Abstract
Clinically symptomatic bradycardia arrhythmias due to disorders of impulse formation and conduction usually lead to an indication for pacemaker implantation. On the other hand, there are also a number of prognostic indications for pacemaker implantation in asymptomatic patients, but often with a lower class of recommendation. After acute myocardial infarction or cardiac surgery the implantation of a pacemaker may be necessary for the occurrence of bradycardia. Prior to a definitive pacemaker implantation reversible or preventable causes must be investigated and treated. Only for acute treatment of symptomatic bradycardia as a bridging measure drug therapy can be considered. For pacemaker supply various systems are available. We distinguish temporary from permanent systems and one-, two-and three-chamber systems. In addition, leadless pacemaker systems are tested.
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