Effect of Right Ventricle Lead Position on The Psychological Aspects of Patients With A Dual Chamber Pacemaker

Inclusion Criteria: * implantation of a dual-chamber pacemaker, * the ability to write and read the Arabic language, * adequate follow-up and * patients older than 18 years who were hospitalized for the first time for the implantation procedure Exclusion Criteria: * Patients with history of psychiatric illness (mental, emotional, or behavioral disorders), * with a serious chronic disease, * with implantable cardioverter defibrillator or biventricular pacemaker and * patients who had not a stable programming of their device from the implantation. * patients less than 18 years old, * family and social environment problems prior and subsequent to PM implant, * financial problems