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Permanent cardiac pacing: Overview of devices and indications

David L Hayes, MD
Section Editor
Mark S Link, MD
Deputy Editor
Brian C Downey, MD, FACC


Cardiac pacemakers are effective treatments for a variety of bradyarrhythmias. By providing an appropriate heart rate and heart rate response, cardiac pacing can reestablish effective circulation and more normal hemodynamics that are compromised by a slow heart rate.

This topic will present a broad review of the role of cardiac pacing in a variety of settings. The management of the specific disorders is discussed separately as is a description of the different types of pacemakers and pacing modes. (See "Sick sinus syndrome: Treatment" and "Third degree (complete) atrioventricular block" and "Second degree atrioventricular block: Mobitz type II" and "Modes of cardiac pacing: Nomenclature and selection".)


Despite the myriad of clinical situations in which permanent pacing is considered, most management decisions regarding permanent pacemaker implantation are driven by the following clinical factors:

The association of symptoms with a bradyarrhythmia

The location of the conduction abnormality

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Literature review current through: Nov 2017. | This topic last updated: Dec 04, 2017.
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