EDUCATION IN HEART
Electrophysiology
Basics of cardiac pacing: selection and mode choice
Correspondence to:
Correspondence to:
Dr John M Morgan
Wessex Cardiology, Cardiology Offices, Tremona Road, Southampton SO16 6UY, UK; jmm@cardiology.co.uk
Keywords: atrioventricular node disease; neurally-mediated syncope; pacing; sinus node disease
| The first 150 words of the full text of this article appear below. |
Therapeutic cardiac stimulation has been in clinical practice for many decades.1 During the evolution of the therapy, pacing generators have shrunk in size, increased in longevity, and increased in device complexity. They offer rhythm and disease state diagnostics, with various algorithms designed to offer timing of delivery of pacing impulse and more recently diagnostics indicative of pathophysiology. Pacing leads have also reduced in size and improved in durability. Pacing electrode configurations have enhanced sensing capability and stability of long term pacing function.
With the potential for a range of biosensors that could be incorporated in pacemaker devices to further the potential for pathophysiological monitoring, cardiac pacing has achieved an extraordinary maturity in the armoury of cardiac treatments. However, it has taken much longer for there to be large scale clinical trials on the therapeutic efficacy of devices, long term patient well being, and the impact of right ventricular pacing
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