Quality of life as an individuals, perception of his/ her position in life in the context of the culture and value systems in which he /she lives and in relations to their goals expectations standards and concerns. This study was the first geographical location which helps such group of patients to describe changes in quality of life of patients with chronic heart failure undergoing permanent artificial pacemaker. Descriptive re- search design was adapted to conduit the study on 80 patients whit pacemaker implantation in coronary catheterization lab., at Assiut university Hospital. A structural interview sheet was developed for data collection to assess the quality of life among patients with permanent pacemaker. The tool content modified was done and translated into Arabic by researchers. Descriptive statistics calculated were frequency, percentage, chi-square and p-value. In the present study the patients characteristics, regarding age the majority of patients were in the age between 40-65 years although the majority of them were female and unskilled. 93.75% of total study patients were living in the rural areas 53.75% of them reported it as less them 6 months but 46.25% of them as more than 6 months. No significant relation was observed between patients education and self-concepts, although between patients psycho-logical assessment and duration of pacemaker implantation but there was a significant difference between patients occupation and physical activity.