Zahoor Ahmad Khan, Hameed Ullah, Shahab Ullah, Zahid Aslam Awan.
Ischemic Heart Disease In Patients With Heart Blocks Requiring Permanent Pacemaker.
J Postgrad Med Inst Jan ;31(2):138-41.

Objective: To find out the frequency of ischemic heart disease in patients with conduction disorders requiring permanent pacemaker implantation. Methodology: This cross sectional descriptive study was carried over 78 patients at Electrophysiology Department, Cardiology, Hayatabad Medical Complex, Peshawar from September 2014 till September 2015 for a period of one year who presented with conduction defects and had been hospitalized for permanent pacemaker implantation. Coronary angiography (CAG) was carried out in all patients to diagnose ischemic heart disease (IHD). We determined the frequency of various degrees of ischemic heart disease in different types of heart blocks. Results: Out of 78 patients, there were 42 (53.8%) males and 36(46.2%) females. 53 patients (67.9%) had coronary artery disease. Patients with age more than 40 years were having the highest frequecy of IHD 26(33.3%). Regarding the severity of IHD, 21.8% had mono-vessel disease ,60.3% had two- vessel disease and 17.9% had three-vessel disease. 25 patients (32.1%) had no significant lesion on coronary angiography. Conclusion: Ischemic heart disease was present in high frequency in patients with chronic conduction disorders and the most common artery involved was right coronary artery.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals -