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Pacing in older people

Published online by Cambridge University Press:  23 March 2011

Honey E Thomas*
Affiliation:
Department of Cardiology, Freeman Hospital, Newcastle upon Tyne, UK
Michael S Cunnington
Affiliation:
Department of Cardiology, Freeman Hospital, Newcastle upon Tyne, UK
Janet M McComb
Affiliation:
Department of Cardiology, Freeman Hospital, Newcastle upon Tyne, UK
*
Address for correspondence: Dr Honey E Thomas, Cardiology Department, Freeman Hospital, Newcastle upon Tyne NE7 7DN, UK. Email: honeythomas@btinternet.com

Summary

The vast majority of cardiac pacemakers are implanted in older people. Pacing is a safe and effective treatment for patients with symptomatic bradyarrhythmias. This review provides a clinician's guide to the essential aspects of modern pacemaker therapy in older patients, including aetiology and epidemiology of bradycardia. We discuss some barriers to access to pacing. We review indications for pacemakers, and describe pacing system function, including the different types of pacemakers used. We also review clinical outcomes following pacing, follow-up requirements and problems encountered in clinical practice. Finally, we discuss ethical and end of life considerations with these devices.

Type
Clinical geriatrics
Copyright
Copyright © Cambridge University Press 2011

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