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  Vol. 145 No. 12, December 1985 TABLE OF CONTENTS
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Progress in Cardiac Pacing

Part II

Bruce Shively, MD; Nora Goldschlager, MD

Arch Intern Med. 1985;145(12):2238-2244.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Technologic innovations have made many forms of pacing therapy available to patients. Part I of this review1 discussed the design features and programming capabilities of currently available pulse generators. Part II will focus on the various modes of pacing and present guidelines for their clinical application. We will also outline future trends in pacemaker design, emphasizing the potential of antitachycardia pacing.

PACING MODES: DEFINITION, RATIONALE, INDICATIONS

In the 1980s, the clinician needs to be sufficiently knowledgeable about cardiac pacemakers to participate in the decision to prescribe a specific pacing mode for the patient. This decision is usually between noncompetitive ventricular pacing (VVI mode; Table 1) and dual-chamber systems. The choice is often made in the absence of controlled clinical trials comparing these modes in properly selected patients.

Single-Chamber Pacing Modes

The single-chamber noncompetitive pacemaker generators used most widely are those that inhibit their output on sensing a spontaneous signal (AAI . . . [Full Text PDF of this Article]


Author Affiliations



From the Division of Cardiology, San Francisco General Hospital, and the Departments of Medicine, San Francisco General Hospital and University of California, San Francisco.


Footnotes



Accepted for publication Jan 4, 1985.

Reprint requests to Cardiology Division, Room 5G1, San Francisco General Hospital, San Francisco, CA 94110 (Dr Goldschlager).



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