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Feature Article Cardiovascular medicine
Cardiac pacemakers: keeping the beat
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Pacemakers and Implantable Defibrillators
Pacemakers and Implantable Defibrillators
Abstract
Implantable pacemakers are the treatment of choice for patients with symptomatic bradycardia or high-grade atrioventricular block, allowing them to live near-normal lives. Technological advances include demand and rate-responsive pacing, which have improved battery longevity and exercise tolerance, and remote monitoring, which allows devices to be monitored in the patient’s own environment.
Key Points
- Pacemakers are the treatment of choice for patients with symptomatic bradycardia or heart block.
- Patients with pacemakers can live a near-normal life.
- Battery life of pacemakers is approximately eight to 10 years.
- Patients with any late swelling or persistent pain over the pacing generator require urgent referral to the local pacing unit.
Picture credit: © Cane Medical Imaging/Getty.
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