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In Burkina Faso, cardiac stimulation was introduced in October 2000 has grown over time.In orderto evaluate the effectiveness of stimulation on life, we proposed to evaluate the quality of life of patients with a pacemaker. GENERAL OBJECTIVE: to study the effect of the pacemaker on the quality of life of patients PATIENTS AND METHODS: This was a cross-sectional study aimed at describingthe wearers of a pacemaker for at least six months at the Yalgado OUEDRAOGO University Hospital and the Schiphramedical center.The AQUAREL questionnaire has been adapted to our context to establish a quality-of-life score.The mean age of the study population was 68 years with a female predominance (53.3%). Complete atrioventricular block was the main indication of stimulation in 55%. The average duration of implantation was 41.6 months with extremes of 8 and 128 months. The primo implantation was found in 79.1 % of patients against 18.3 % for a first change of case and2.5 % for a second change of housing. Double chamber stimulation was performed in 65% of cases. DDD mode was the most used followed by VVIR. The average quality of life score was 90.12. Negative predictors of quality of life were age and female.A correlation between quality-of-life score and age, hypertension and dyslipidemia was found (p0.05). On the other hand, no correlation between the number of implantation, the duration of implantation and the mode of stimulation was found (p0.05).patients with a pacemaker have a good quality of life. However, quality-of-life is not correlated with the number of pacemakers, nor the duration and mode of stimulation.

We studied from January to December 1988 the part played by malaria in the etiology of febrile diseases observed in three community clinics of Ouagadougou city (Burkina Faso, West Africa). The diagnosis of malaria attacks was based on the association of a body temperature equal or above 38 degrees C and a parasite density equal or above 10,000 parasitized red blood cells per mm3. We observed that fever attacks were primarily caused by malaria. Among the 5-14 years age group, malaria attacks were responsible for more than 50% of febrile cases and occurred mainly during the rainy season and at the beginning of the dry season (July to October). Ear, nose, throat and lung infections were the other dominant causes of fever attacks and were found during the whole year but especially during the dry season (February, March, September). They were followed by urinary and gastrointestinal infections and other tropical febrile diseases. Clinical diagnosis only of malaria attacks and even more so of fever attacks is poorly reliable.