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Sinus bradycardia treated by long-term atrial pacing
  1. Malcolm Clarke,
  2. David W. Evans,
  3. B. B. Milstein
  1. Regional Cardiac Unit, Papworth Hospital, Cambridge


    A technique for long-term atrial pacing is described. It uses the system whereby power from an external pulse-generator (including battery) is transferred through the intact skin by inductive-coupling. Once installed, there is no requirement for further surgery to effect battery changes, and the patient can control his heart rate over a wide range to suit his needs.

    It is suggested that pacing by such means may offer a preferable alternative to drug therapy in the treatment of low cardiac output due to pathological sinus bradycardia. Two patients successfully treated in this way are reported.

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