Introduction
Endomyocardial fibrosis (EMF) is characterized by fibrous tissue
deposition on endocardial surfaces leading to impaired filling of one or
both ventricles, resulting in either right or left heart failure or
both1. Chronic heart failure, thromboembolic disease
and arrhythmia are some of the associated complications. Incidence of
complete heart block (CHB) necessitating a pacemaker is rare in
EMF1. We report two cases in which the patients had
EMF with CHB, who were treated with an alternative pacing strategy.