CHARACTERISTICS OF CURRENT OF INJURY AND PACEMAKER PARAMETERS IN PATIENTS HAVE BRADYCARDIAC WHO HAVE PERMANENT PACEMAKER INSERTED AT CAN THO CENTRAL GENERAL HOSPITAL

Ngoc Luan Ly1,, Van Phuc Ha2, Hoang Toan Ngo3
1 Can Tho Cardiovascular Hospital
2 Kien Giang Province’s Department of Health
3 Can Tho University of Medicine and Pharmacy

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Abstract

Background: The current of injury (COI) appeared when electrode fixation causes myocardial tissue damage. COI appeared in a short time, important in determining electrode stability and values of pacing parameters during implantation of a permanent pacemaker. Objectives: Description of characteristics of COI and pacing parameters in bradyarrhythmia patients with permanent pacemaker inserted at Can Tho Central General Hospital in 2021-2022. Materials and methods: Patients diagnosed with bradycardiac arrhythmias were inserted with a permanent pacemaker at Can Tho Central General Hospital 2021-2022. Results: 37 right atrial leads: The duration of the intracardiac electrogram (IEd-COI) and ST segment elevation (STe-COI) from 157.7±9.1ms and 2.9±1.2mV after turned decreased to 117.6±7.1ms and 1.3±0.4mV (p<0.001) after 10 minutes; 45 right ventricular leads: IEd-COI and STe-COI from 256.7±20.1ms and 11.5±3.2mV after turned decreased to 182.6±17.1ms and 6.4±2.2mV (p<0.001) after 10 minutes. Conclusions: STe-COI, IEd-COI, pacing threshold, impedence decreased after 10 minutes and sensitivity increased after 10 minutes. 

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