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Editorial
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Volume 353:202-204 July 14, 2005 Number 2
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Pacemaker Selection — The Changing Definition of Physiologic Pacing
Kenneth A. Ellenbogen, M.D., and Mark A. Wood, M.D.

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 by Toff, W. D.
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Almost 50 years after the first report of the use of cardiac pacing, in the Journal,1 pacing is playing an increasingly important role in the management of cardiac disease. Cardiologists have evaluated single-chamber, dual-chamber, and triple-chamber pacemakers in patients with different types of conduction-system disease and underlying cardiac function. The goal of these increasingly complex pacing systems is to reproduce the normal electrical activation of the heart.

Dual-chamber pacing confers potentially important hemodynamic advantages over ventricular pacing by linking the timing of atrial and ventricular contraction, a phenomenon called atrioventricular synchrony.2 In short-term and long-term studies, atrioventricular synchrony improves stroke . . . [Full Text of this Article]


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From Virginia Commonwealth University School of Medicine, Richmond.


Related Letters:

Pacing for Atrioventricular Block
Amato J. L. Jr., Fauchier L., Babuty D., Heist E. K., Harthorne J. W., Singh J. P., Toff W. D., Camm A. J., Skehan J. D., the UKPACE Trial Investigators
Extract | Full Text | PDF  
N Engl J Med 2005; 353:1742-1744, Oct 20, 2005. Correspondence

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