1 38.1 Introduction
When artificial cardiac stimulation was introduced in 1958 as a permanent treatment for bradycardia, the interpretation of pacemaker ECGs posed little difficulty. The indication for pacemaker implantation at that time was total atrioventricular block, and the available pacemaker systems provided fixed-rate ventricular stimulation (Fig. 38.1). Today multiprogrammable pacemaker devices are available with many different pacing modes, sophisticated functions, and diagnostic tools. Pacing during various arrhythmias creates ECG recordings which are sometimes rather difficult to analyze, and nowadays there are many methods for performing an evaluation of the pacemaker function other than looking at a standard surface ECG. To perform a comprehensive examination, an appropriate pacemaker programmer is sometimes necessary where the initial interrogation will allow retrieval of programmed settings and diagnostic data. The ECG (usually both surface ECG and intracardiac...
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FĂ„hraeus, T. (2010). Pacemaker Electrocardiography. In: Macfarlane, P.W., van Oosterom, A., Pahlm, O., Kligfield, P., Janse, M., Camm, J. (eds) Comprehensive Electrocardiology. Springer, London. https://doi.org/10.1007/978-1-84882-046-3_38
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