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Previous Volume 334:89-99 January 11, 1996 Number 2 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Approximately 1 million people in the United States have permanent pacemakers, and 426 new pacemakers were implanted per million members of the population in 1993^1,2 (and Bernstein AD, Parsonnet V: personal communication). Since the late 1950s, when the first asynchronous single-chamber permanent pacemakers were placed in patients,^3-5 cardiac pacing has become a complex and self-contained subspecialty within cardiology that requires special training.⁶ However, primary care providers commonly encounter patients in whom permanent pacemakers have been implanted and evaluate patients to determine the need for permanent pacing. For this reason, it is essential that all physicians understand how pacemakers function, particularly . . . [Full Text of this Article]

Indications

Sinus-Node Dysfunction

Atrioventricular Block

Fascicular Block

Neurocardiogenic Syncope

Cardiomyopathy

Programmable Pacemakers

Pacing Modes

Ddd Pacing

Inhibited Pacing of the Atrium and Ventricle (DDI)

Rate-Adaptive Pacemakers (AAIR, VVIR, DDIR, and DDDR)

            Sensors

            Programmability

Choice of Pacing Mode

Conclusions and Future Directions

Source Information

From the Electrophysiology and Pacing Service, Division of Cardiology, Department of Medicine, Lovelace Medical Center, Albuquerque, N.M. (F.M.K.); and the Division of Cardiology, Department of Medicine, University of California, San Francisco, and San Francisco General Hospital (N.G.), both in San Francisco.

Address reprint requests to Dr. Kusumoto at the Electrophysiology and Pacing Service, Cardiology Division, Lovelace Medical Center, 5400 Gibson Blvd. SE, Albuquerque, NM 87108.

References

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• Le Scouarnec, S., Bhasin, N., Vieyres, C., Hund, T. J., Cunha, S. R., Koval, O., Marionneau, C., Chen, B., Wu, Y., Demolombe, S., Song, L.-S., Le Marec, H., Probst, V., Schott, J.-J., Anderson, M. E., Mohler, P. J. (2008). Dysfunction in ankyrin-B-dependent ion channel and transporter targeting causes human sinus node disease. Proc. Natl. Acad. Sci. USA 105: 15617-15622 [Abstract] [Full Text]  
• Epstein, A. E., DiMarco, J. P., Ellenbogen, K. A., Estes, N.A. M. III, Freedman, R. A., Gettes, L. S., Gillinov, A. M., Gregoratos, G., Hammill, S. C., Hayes, D. L., Hlatky, M. A., Newby, L. K., Page, R. L., Schoenfeld, M. H., Silka, M. J., Stevenson, L. W., Sweeney, M. O. (2008). ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices) Developed in Collaboration With the American Association for Thoracic Surgery and Society of Thoracic Surgeons. J Am Coll Cardiol 51: e1-e62 [Full Text]  
• Epstein, A. E., DiMarco, J. P., Ellenbogen, K. A., Mark Estes, N.A. III, Freedman, R. A., Gettes, L. S., Gillinov, A. M., Gregoratos, G., Hammill, S. C., Hayes, D. L., Hlatky, M. A., Newby, L. K., Page, R. L., Schoenfeld, M. H., Silka, M. J., Stevenson, L. W., Sweeney, M. O. (2008). ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices) Developed in Collaboration With the American Association for Thoracic Surgery and Society of Thoracic Surgeons. J Am Coll Cardiol 51: 2085-2105 [Full Text]  
• Epstein, A. E., DiMarco, J. P., Ellenbogen, K. A., Estes, N.A. M. III, Freedman, R. A., Gettes, L. S., Gillinov, A. M., Gregoratos, G., Hammill, S. C., Hayes, D. L., Hlatky, M. A., Newby, L. K., Page, R. L., Schoenfeld, M. H., Silka, M. J., Stevenson, L. W., Sweeney, M. O. (2008). ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices): Developed in Collaboration With the American Association for Thoracic Surgery and Society of Thoracic Surgeons. Circulation 117: 2820-2840 [Full Text]  
• Epstein, A. E., DiMarco, J. P., Ellenbogen, K. A., Estes, N.A. M. III, Freedman, R. A., Gettes, L. S., Gillinov, A. M., Gregoratos, G., Hammill, S. C., Hayes, D. L., Hlatky, M. A., Newby, L. K., Page, R. L., Schoenfeld, M. H., Silka, M. J., Stevenson, L. W., Sweeney, M. O. (2008). ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices): Developed in Collaboration With the American Association for Thoracic Surgery and Society of Thoracic Surgeons. Circulation 117: e350-e408 [Full Text]  
• Yankelson, L., Feld, Y., Bressler-Stramer, T., Itzhaki, I., Huber, I., Gepstein, A., Aronson, D., Marom, S., Gepstein, L. (2008). Cell Therapy for Modification of the Myocardial Electrophysiological Substrate. Circulation 117: 720-731 [Abstract] [Full Text]  
• Yanagi, K., Takano, M., Narazaki, G., Uosaki, H., Hoshino, T., Ishii, T., Misaki, T., Yamashita, J. K. (2007). Hyperpolarization-Activated Cyclic Nucleotide-Gated Channels and T-Type Calcium Channels Confer Automaticity of Embryonic Stem Cell-Derived Cardiomyocytes. Stem Cells 25: 2712-2719 [Abstract] [Full Text]  
• Authors/Task Force Members, , Vardas, P. E., Auricchio, A., Blanc, J.-J., Daubert, J.-C., Drexler, H., Ector, H., Gasparini, M., Linde, C., Morgado, F. B., Oto, A., Sutton, R., Trusz-Gluza, M., ESC Committee for Practice Guidelines (CPG), , Vahanian, A., Camm, J., De Caterina, R., Dean, V., Dickstein, K., Funck-Brentano, C., Filippatos, G., Hellemans, I., Kristensen, S. D., McGregor, K., Sechtem, U., Silber, S., Tendera, M., Widimsky, P., Zamorano, J. L., Document Reviewers, , Priori, S. G., Blomstrom-Lundqvist, C., Brignole, M., Terradellas, J. B., Camm, J., Castellano, P., Cleland, J., Farre, J., Fromer, M., Le Heuzey, J.-Y., Lip, G. Y., Merino, J. L., Montenero, A. S., Ritter, P., Schalij, M. J., Stellbrink, C. (2007). Guidelines for cardiac pacing and cardiac resynchronization therapy: The Task Force for Cardiac Pacing and Cardiac Resynchronization Therapy of the European Society of Cardiology. Developed in Collaboration with the European Heart Rhythm Association. Europace 9: 959-998 [Full Text]  
• Authors/Task Force Members, , Vardas, P. E., Auricchio, A., Blanc, J.-J., Daubert, J.-C., Drexler, H., Ector, H., Gasparini, M., Linde, C., Morgado, F. B., Oto, A., Sutton, R., Trusz-Gluza, M., ESC Committee for Practice Guidelines (CPG), , Vahanian, A., Camm, J., De Caterina, R., Dean, V., Dickstein, K., Funck-Brentano, C., Filippatos, G., Hellemans, I., Kristensen, S. D., McGregor, K., Sechtem, U., Silber, S., Tendera, M., Widimsky, P., Zamorano, J. L., Document Reviewers, , Priori, S. G., Blomstrom-Lundqvist, C., Brignole, M., Terradellas, J. B., Camm, J., Castellano, P., Cleland, J., Farre, J., Fromer, M., Le Heuzey, J.-Y., Lip, G. Y., Merino, J. L., Montenero, A. S., Ritter, P., Schalij, M. J., Stellbrink, C. (2007). Guidelines for cardiac pacing and cardiac resynchronization therapy: The Task Force for Cardiac Pacing and Cardiac Resynchronization Therapy of the European Society of Cardiology. Developed in Collaboration with the European Heart Rhythm Association. Eur Heart J 28: 2256-2295 [Full Text]  
• Fragakis, N., Iliadis, I., Sidopoulos, E., Lambrou, A., Tsaritsaniotis, E., Katsaris, G. (2007). The value of adenosine test in the diagnosis of sick sinus syndrome: susceptibility of sinus and atrioventricular node to adenosine in patients with sick sinus syndrome and unexplained syncope. Europace 9: 559-562 [Abstract] [Full Text]  
• Gizurarson, S., Lorentzon, M., Ramunddal, T., Waagstein, F., Bergfeldt, L., Omerovic, E. (2007). Effects of complete heart block on myocardial function, morphology, and energy metabolism in the rat. Europace 9: 411-416 [Abstract] [Full Text]  
• Haqqani, H. M., Kalman, J. M. (2007). Aging and Sinoatrial Node Dysfunction: Musings on the Not-So-Funny Side. Circulation 115: 1178-1179 [Full Text]  
• Tveskov, C., Skytthe, A., Arnsbo, P., Vaupel, J. W., Møller, M., Christensen, K. (2005). Twins with implanted pacemakers: Is there an increased mortality risk for the co-twin? A follow-up study based on the Danish Twin Registry and the Danish Pacemaker Register. Europace 7: 598-603 [Abstract] [Full Text]  
• Gepstein, L., Feld, Y., Yankelson, L. (2004). Somatic gene and cell therapy strategies for the treatment of cardiac arrhythmias. Am. J. Physiol. Heart Circ. Physiol. 286: H815-H822 [Full Text]  
• Committee Members, , Gregoratos, G., Abrams, J., Epstein, A. E., Freedman, R. A., Hayes, D. L., Hlatky, M. A., Kerber, R. E., Naccarelli, G. V., Schoenfeld, M. H., Silka, M. J., Winters, S. L., Task Force Members, , Gibbons, R. J., Antman, E. M., Alpert, J. S., Gregoratos, G., Hiratzka, L. F., Faxon, D. P., Jacobs, A. K., Fuster, V., Smith, S. C. Jr. (2002). ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices--Summary Article: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/NASPE Committee to Update the 1998 Pacemaker Guidelines) . J Am Coll Cardiol 40: 1703-1719 [Full Text]  
• Gregoratos, G., Abrams, J., Epstein, A. E., Freedman, R. A., Hayes, D. L., Hlatky, M. A., Kerber, R. E., Naccarelli, G. V., Schoenfeld, M. H., Silka, M. J., Winters, S. L., Gibbons, R. J., Antman, E. M., Alpert, J. S., Gregoratos, G., Hiratzka, L. F., Faxon, D. P., Jacobs, A. K., Fuster, V., Smith, S. C. Jr, Committee Members, , Task Force Members, (2002). ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices: Summary Article: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/NASPE Committee to Update the 1998 Pacemaker Guidelines). Circulation 106: 2145-2161 [Full Text]  
• Gale, C. P, Mulley, G. P (2002). Pacemaker explosions in crematoria: problems and possible solutions. JRSM 95: 353-355 [Abstract] [Full Text]  
• MARBAN, E., NUSS, H.B., DONAHUE, J.K. (2002). Gene Therapy for Cardiac Arrhythmias. Cold Spring Harb Symp Quant Biol 67: 527-532 [Abstract]  
• Proclemer, A., Della Bella, P., Facchin, D., Fattore, L., Carbucicchio, C., Tondo, C., Lunati, M., Vecchi, M. R., Petz, E., Zecchin, M. (2001). Indications for dual-chamber cardioverter defibrillators at implant and at 1 year follow-up: a retrospective analysis in the single-chamber defibrillator era. Europace 3: 132-135 [Abstract]  
• Kusumoto, F. M., Goldschlager, N. (2000). Pacemakers: Types, Function, and Indications. SEMIN CARDIOTHORAC VASC ANESTH 4: 122-137  
• Lewalter, T., Schimpf, R., Kulik, D., Wolpert, C., Jung, W., Luderitz, B. (2000). Comparison of spontaneous atrial fibrillation electrogram potentials with the P-wave electrogram amplitude in dual chamber pacing with unipolar atrial sensing. Europace 2: 136-140 [Abstract]  
• Gordon, R. S., Ivanov, J., Cohen, G., Ralph-Edwards, A. L. (1998). Permanent cardiac pacing after a cardiac operation: Predicting the use of permanent pacemakers. Ann. Thorac. Surg. 66: 1698-1704 [Abstract] [Full Text]  
• Barold, S. S., Kusumoto, F., Goldschlager, N. (1996). Cardiac Pacing. NEJM 334: 1476-1477 [Full Text]