Abstract
Pacemakers were initially designed to treat bradyarrhythmias. Later, the medical community realized the importance of pacemaker therapy in relation to ‘sudden death’. This was probably due to the fact that pacing in patients with heart block and sinus node disease prevented ventricular tachyarrhythmias in some of the patients. Therefore, modern pacemakers can be important as well as effective instruments in the treatment of tachyarrhythmias. However, as is well known from antiarrhythmic drugs, pacemakers can be arrhythmogenic, and they can cause arrhythmias in certain conditions. This was already recognized in the fixed rate (VOO) pacemaker and was an important stimulus to develop the ventricular demand pacemaker, which responds to the electrical activity of the heart, and avoids asynchronous pacing.1
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Jordaens, L. (1995). Cardiac Arrhythmias and the Interaction with Pacemakers. In: Van Hemel, N.M., Wittkampf, F.H.M., Ector, H. (eds) The Pacemaker Clinic of the 90’s. Developments in Cardiovascular Medicine, vol 175. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-0347-3_9
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DOI: https://doi.org/10.1007/978-94-011-0347-3_9
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