Update in cardiac pacing

Nishant Verma*, Bradley P. Knight

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


Initial efforts to artificially stimulate the heart were borne out of a necessity to prevent catastrophic bradycardic events. The initial pacemaker systems were large, bulky external devices. However, advancements in technology allowed for the development of internally powered, fully implantable devices. Further advancements resulted in more complex, programmable devices, but the overall systems have remained largely unchanged for more than 50 years. The most recent advancements in the field have represented fundamental paradigm shifts in both pacemaker design and the approach to cardiac pacing. These efforts have focused on reducing and eliminating hardware to reduce the risk of complications and to focus on improving cardiac efficiency to improve clinical outcomes. In this article, the authors explore these advances including leadless pacemaker systems, permanent His bundle pacing and advances in the field of cardiac resynchronisation therapy.

Original languageEnglish (US)
Pages (from-to)228-233
Number of pages6
JournalArrhythmia and Electrophysiology Review
Issue number3
StatePublished - 2019


  • Bradycardia
  • Cardiac resynchronisation therapy
  • Leadless pacemakers
  • Pacemakers
  • Permanent His bundle pacing

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)


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