Description
Permanent pacing provides safe and effective therapy for a variety of cardiovascular and neurocardiovascular disorders with benefits seen in terms of both mortality and symptoms. The majority of pacemakers are now implanted in older patients, hence a working knowledge of the major indications for pacemaker prescription among geriatricians and general physicians is vital to ensure appropriate treatment for a population less frequently seen by over-burdened mainstream cardiology services. This article provides a brief overview of the major indications for pacemaker implantation, along with the rationale for their use, and an explanation of the optimal choice of pacing mode utilised. A second article will cover the implantation procedure, short and long term complications, impact on quality of life and cognitive function and cost implications.
