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Cardiac pacing. A review
1Pacemaker Service, Heart Institute, Chaim Sheba Medical Center, Tel Hashomer, Israel.
The Medical Clinics of North America
|March 10, 2001
Summary
Pacemakers have advanced significantly, offering new uses like treating heart conditions and preventing atrial fibrillation. Modern pacemakers are sophisticated diagnostic tools improving patient safety and device longevity.
Area of Science:
- Cardiology
- Biomedical Engineering
Background:
- Pacing has seen rapid clinical and technological advancements.
- The 1990s refined pacing indications and introduced new uses for pacemakers.
Purpose of the Study:
- To review clinical progress and technological advances in cardiac pacing.
- To highlight new pacemaker indications and evolving device capabilities.
Main Methods:
- Review of published data and ongoing studies on pacing.
- Analysis of technological innovations in pacemaker sensors and diagnostic features.
Main Results:
- Pacemakers are now used for cardiomyopathies, congestive heart failure (CHF), and atrial fibrillation prevention.
- New rate-adaptive sensors and data-storing capabilities enhance pacemaker function.
- Automatic algorithms improve patient safety and pacemaker longevity through continuous monitoring.
Conclusions:
- Cardiac pacing continues to evolve with significant clinical and technological progress.
- Future practice may be influenced by new data on pacing mode selection.
- Advanced pacemakers function as sophisticated diagnostic devices, enhancing patient care and device performance.
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