A pacemaker is an electronic device that is used to pace the heart when the normal conduction pathway is damaged or diseased. It has three main components: a pulse generator, pacing leads, and healthy myocardium. A pacemaker has three main functions - pacing, sensing, and capture. There are two main types - permanent pacemakers, which are implanted inside the body, and temporary pacemakers, which have an external power source. Pacemakers can operate in either a fixed rate mode, firing constantly, or a demand mode, firing only when the heart rate drops below a preset level. Nursing care for a patient with a pacemaker involves monitoring the heart rate and rhythm, vital signs, bleeding, and infection risk, as