Journal of Zhejiang University SCIENCE B

, Volume 11, Issue 8, pp 634–638 | Cite as

Pacing technology: advances in pacing threshold management

  • Chu-pak LauEmail author
  • Chung-wah Siu


Over the last five decades, pacemaker therapy has undergone remarkable technological advances with increasing sophistication of pacemaker features. However, device longevity has remained one of the major issues in pacemaker design ever since the first endocardial pacing lead implantation in 1958. In addition to various hardware design to enhance device longevity, software-based solutions to minimize pacing energy and yet with good safety margin have also been developed. Together with desire and need of fully automatic pacing system in increasingly busy pacemaker clinic, several manufacturers have introduced different automatic threshold management algorithm. This article summarizes the current state-of-the-art management in pacing threshold in the modern pacemakers.

Key words

Pacemaker Threshold management Autocapture 

CLC number



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© Zhejiang University and Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  1. 1.Cardiology Division, Department of Medicine, Queen Mary HospitalThe University of Hong KongHong Kong SARChina

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