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Pacemaker principles 

Pacemaker principles
Chapter:
Pacemaker principles
Author(s):

James Gamble

and Paul Leeson

DOI:
10.1093/med/9780199687831.003.0001
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date: 20 September 2019

This chapter covers the basis of the pacemaker. The history of pacemakers through to latest technological advances is outlined, followed by basic heart and venous system anatomy. The components of a pacemaker are described and illustrated, and special types of pacemaker are briefly defined. The mechanisms by which a pacemaker senses and an overview of pacing is described. Nomenclature and common modes are discussed and illustrated, with guidelines for implementation to help the reader. Sinus node dysfunction, atrioventricular (AV) node indications, and methods of preventing various arrhythmias are discussed by type of problem. Practical advice on choosing pacing modes are presented using a flow diagram.

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