[Which pacemaker for which patient].

Abstract

Once the indication for permanent cardiac pacing has been retained, the problem is to determine the choice of pacemaker. The choice of model is based on a clear understanding of the physiology of cardiac pacing, a subject which has been completed by the introduction of cardiac resynchronisation in 1994, reserved for patients with cardiac failure resistant to maximal medical therapy and who have desynchronisation of ventricular contraction. Another problem is the choice of the most appropriate model of all commercially available devices adapted to the individual patient's condition. It goes without question that an implanted pacemaker should be optimally programmed for each patient.