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[Current status of pacemaker technology (author's transl)]

K Holper, R A Zink, W Heimisch

|June 1, 1978

Summary

This summary is machine-generated.

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Cardiac pacemaker technology has advanced significantly over twenty years, improving patient reliability, therapeutic efficiency, and life expectancy through component innovations.

Area of Science:

Biomedical Engineering
Cardiology
Medical Device Technology

Context:

The evolution of cardiac pacemakers over the past two decades.
Significant improvements in pacemaker components and functionality.
Increased patient life expectancy and therapeutic outcomes.

Purpose:

To review the technological advancements in cardiac pacemakers.
To highlight improvements in reliability, efficiency, and longevity.
To discuss the impact of these innovations on patient care.

Summary:

Technological developments have enhanced pacemaker electrodes, energy sources (e.g., lithium batteries lasting over 8 years), and electronic circuitry.
Reduced current consumption through smaller electrode surface areas, shorter pulse durations, and hybrid circuits.

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Microprocessing has led to smaller, more reliable pulse generators with enhanced capabilities, including atrial and bifocal pacing, external programmability, and overdrive pacing for electrophysiologic disturbances.

Impact:

Increased reliability and therapeutic efficiency of cardiac pacemakers.
Prolonged patient life expectancy due to advanced pacemaker technology.
Improved management of electrophysiologic disturbances with sophisticated pacing modes.