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Zahoor Ahmad Khan
Hameed Ullah
Shahab Ullah
Zahid Aslam Awan


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.

Article Details

How to Cite
Khan ZA, Ullah H, Ullah S, Awan ZA. ISCHEMIC HEART DISEASE IN PATIENTS WITH HEART BLOCKS REQUIRING PERMANENT PACEMAKER. J Postgrad Med Inst [Internet]. 2017 May 12 [cited 2023 Dec. 1];31(2). Available from:
Original Article
Author Biographies

Zahoor Ahmad Khan, PGMI,HMC

Fellow in Electrophysiology and cardiac pacing.Electrophysiology department HMC peshawar

Hameed Ullah, PGMI HMC

Senior registrar,Electrophysiology Department HMC peshawar

Shahab Ullah, PGMI HMC

Fellow EP/cardiac pacing

Zahid Aslam Awan, PGMI HMC

Professor & HOD cardiology department HMC Peshawar

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