SEQUELAE OF COMPLETE HEART BLOCK PATIENTS COMING TO RAWALPINDI INSTITUTE OF CARDIOLOGY IN ASSOCIATION WITH PRESENTING COMPLAINTS

Authors

  • Faizania Shabbir Department of Physiology, Rawalpindi Medical University, Rawalpindi, Pakistan
  • Irum Rehman Margalla College of Dentistry, Margalla Institute of Health Sciences, Rawalpindi, Pakistan
  • Maria Gill Bakhtawar Amin Medical & Dental College, Multan, Pakistan
  • Sabahat Fatima Department of Biochemistry, Gujranwala Medical College, Gujranwala, Pakistan
  • Tanvir Ahmad Raja Rawalpindi Institute of Cardiology, Rawalpindi, Pakistan

Keywords:

correlation, presenting complaints, outcome, complete heart block, pacemaker

Abstract

Background: Complete heart block (CHB) is considered as a medical emergency and can be fatal if left untreated. Most patients with acquired complete heart block require a permanent pacemaker and their condition improves after implantation. Objective of this study was to determine the types and frequency of various presenting complaints and their correlation with treatment modality used. Methods: This prospective cohort study was conducted at Rawalpindi Institute of Cardiology, Rawalpindi for a duration of six months. A total of 153 patients who were diagnosed having CHB were enrolled. The patients were extensively worked up for history, physical examination, blood tests, chest X-ray, electrocardiography and echocardiography. A pre-designed proforma was filled for each patient to record demographic details, risk factors, past medical and surgical history, vitals and other parameters. The treatment given to each patient was also recorded. Results: The most common presenting complaint was dizziness (37.9%), followed by chest pain (31.4%), and syncope (22.8%). Other presenting complaints (17.6% of patients) include shortness of breath, palpitations, generalized fatigue, tiredness and nausea. There was a negative correlation (p=0.003) between chest pain and pacemaker implantation. A negative correlation between syncope and death (p=0.050) was also observed. Conclusions: The most common presenting complaint was dizziness and majority (58.6%) of these patients were implanted with a pacemaker. Majority of patients who presented with chest pain were treated medically. No death occurred in group of patients who presented with syncope.

Pak J Physiol 2023;19(2):40?3

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Author Biographies

Faizania Shabbir, Department of Physiology, Rawalpindi Medical University, Rawalpindi, Pakistan

Associate Professor, Department of Physiology, Department of Physiology, Rawalpindi Medical University, Pakistan

Irum Rehman, Margalla College of Dentistry, Margalla Institute of Health Sciences, Rawalpindi, Pakistan

Associate Professor and Head, Department of Physiology, Margalla College of Dentistry, Margalla Institute of Health Sciences, Rawalpindi

Maria Gill, Bakhtawar Amin Medical & Dental College, Multan, Pakistan

Associate Professor, Department of Physiology, Bakhtawar Amin Medical & Dental College, Multan, Pakistan

Sabahat Fatima, Department of Biochemistry, Gujranwala Medical College, Gujranwala, Pakistan

Assistant Professor, Department of Biochemistry, Gujranwala Medical College, Gujranwala, Pakistan

Tanvir Ahmad Raja, Rawalpindi Institute of Cardiology, Rawalpindi, Pakistan

Senior Registrar, Department of Cardiology, Rawalpindi Institute of Cardiology, Rawalpindi, Pakistan

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Published

30-06-2023

How to Cite

1.
Shabbir F, Rehman I, Gill M, Fatima S, Raja TA. SEQUELAE OF COMPLETE HEART BLOCK PATIENTS COMING TO RAWALPINDI INSTITUTE OF CARDIOLOGY IN ASSOCIATION WITH PRESENTING COMPLAINTS. Pak J Phsyiol [Internet]. 2023 Jun. 30 [cited 2024 May 23];19(2):40-3. Available from: https://pjp.pps.org.pk/index.php/PJP/article/view/1483