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J Zhejiang Univ Sci B. 2010 Aug;11(8):634-8. doi: 10.1631/jzus.B1001016.

Pacing technology: advances in pacing threshold management.

Author information

1
Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong SAR, China. cplau@hkucc.hku.hk

Abstract

Over the last five decades, pacemaker therapy has undergone remarkable technological advances with increasing sophistication of pacemaker features. However, device longevity has remained one of the major issues in pacemaker design ever since the first endocardial pacing lead implantation in 1958. In addition to various hardware design to enhance device longevity, software-based solutions to minimize pacing energy and yet with good safety margin have also been developed. Together with desire and need of fully automatic pacing system in increasingly busy pacemaker clinic, several manufacturers have introduced different automatic threshold management algorithm. This article summarizes the current state-of-the-art management in pacing threshold in the modern pacemakers.

PMID:
20669355
PMCID:
PMC2916098
DOI:
10.1631/jzus.B1001016
[Indexed for MEDLINE]
Free PMC Article

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