Abstract
The idea of Right Ventricular Outflow Tract (RVOT) septal pacing is based on the fact that the septal region of the RVOT and mid RV are the first zones of the ventricle to depolarise , suggesting that pacing from these areas on the right side of the septum would achieve as normal a contraction pattern as possible. This mini review describes short history of pacemaker and evolution of concept of physiological pacing like RVOT Pacing and its technical aspects of successful implantation.
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