[Management of high-grade atrioventricular block in Lomé, Togo].

K Yayehd, K Ganou, T Tchamdja, Y Tété, M P N'cho Mottoh, S Pessinaba, F Damorou
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Abstract

The purpose of this cross-sectional study was to describe epidemiological, clinical and therapeutic aspects of high-grade atrioventricular block in Lomé. Out of 2245 patients hospitalized between June 2004 and May 2009, a total of 22 cases of high-grade atrioventricular block were detected thus a prevalence of 1%. The main symptoms were syncope and presyncope (73%) and dyspnea (50%). There was 77.2% of chronic grade III atrioventricular block and 22.8% of grade II atrioventricular block. A pacemaker has been established in 8 patients (40% of the patients presenting a class I indication) in VVI (R) mode. We noted 59% of deaths among patients who did not benefited from any cardiac pacing.

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[多哥lomoise高级别房室传导阻滞的处理]。
本横断面研究的目的是描述lom高级别房室传导阻滞的流行病学、临床和治疗方面。在2004年6月至2009年5月期间住院的2245例患者中,共检测到22例高级别房室传导阻滞,患病率为1%。主要症状为晕厥和晕厥前期(73%)和呼吸困难(50%)。慢性III级房室传导阻滞占77.2%,II级房室传导阻滞占22.8%。在VVI (R)模式下,8例患者(40%的患者表现为I类指征)植入了起搏器。我们注意到59%的死亡患者没有从任何心脏起搏中获益。
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