Cardiac Pacemakers: Function, Troubleshooting, and Management: Part 1 of a 2-Part Series

Siva K. Mulpuru, Malini Madhavan, Christopher J. McLeod, Yong Mei Cha, Paul A. Friedman

Research output: Contribution to journalReview articlepeer-review

76 Scopus citations


Advances in cardiac surgery toward the mid-20th century created a need for an artificial means of stimulating the heart muscle. Initially developed as large external devices, technological advances resulted in miniaturization of electronic circuitry and eventually the development of totally implantable devices. These advances continue to date, with the recent introduction of leadless pacemakers. In this first part of a 2-part review, we describe indications, implant-related complications, basic function/programming, common pacemaker-related issues, and remote monitoring, which are relevant to the practicing cardiologist. We provide an overview of magnetic resonance imaging and perioperative management among patients with cardiac pacemakers.

Original languageEnglish (US)
Pages (from-to)189-210
Number of pages22
JournalJournal of the American College of Cardiology
Issue number2
StatePublished - Jan 17 2017


  • atrial fibrillation
  • bradycardia
  • cardiac pacing
  • heart conduction system
  • magnetic resonance imaging
  • tachycardia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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