[Methodology for the implantation of definitive cardiac pacemakers]

Recent technological improvements in the field of artificial cardiac stimulation have markedly increased the complexities involved in the implantation of cardiac devices. The main purpose of this article is to review the current methodology for implantation of permanent pacemakers. Standardized terminology of the ICHD for the correct identification of permanent pacemakers, indications for their installation and surgical procedures are reviewed. The authors express their personal experiences on the optimal criteria for the selection and use of the pacemakers and comment on the potential problems and complications associated with their use as well as a description of the details of device implantation. Finally, the moral and ethical considerations involved with the prescription and usage of these devices in our country are discussed.