How many people implantation
pacemaker every year in Taiwan ?
Statistics 2010 Taiwan Device Implantation
What Is a Pacemaker?
A pacemaker is a small device that's placed in the chest or
abdomen to help control abnormal heart rhythms. This
device uses electrical pulses to prompt the heart to beat
at a normal rate.
由節律器（pulse generator ）
Most pacemakers perform four functions
• Stimulate cardiac depolarisation.
• Sense intrinsic cardiac function.
• Respond to increased metabolic demand by
providing rate-responsive pacing.
• Provide diagnostic information stored by the
Indications for permanent cardiac pacing
• Sinus node dysfunction
• Atrioventricular (AV) block
• Ventricular tachycardia
• Carotid sinus hypersensitivity with recurrent syncope or
ventricular asystole >3 seconds.
• Neurocardiogenic syncope with
• associated documented bradycardia.
• Atrial fibrillation Symptomatic,drug-refractory atrial fibrillation
with co-existing sinus node disease (tachy-brady syndrome).
• Heart failure
• Hypertrophic cardiomyopathy There is some evidence it reduces
intra-left ventricular systolic pressure (Ritter 2005).
Single or dual-chamber pacing
Toff et al (2005)
found that dual-chamber
pacemakers tended to
prevent more subsequent
heart problems than
Depression and anxiety are reported to be more common
in patients with permanent pacemakers than in the
general population (Duru et al 2001, Tagney 2010).
• Important sufficient information pre-operatively to
prevent any misconceptions
• suggested that pre-operative information should
include an explanation of why the pacemaker is
required, the different components of the pacemaker
(generator and lead), and the pre-operative routine.
• family should ideally be included in any discussions.
Wound care advice
• NICE (2008) recommends covering the wound
transparent dressing post-operatively for 48 hours
• Patients should be advised to look for wound
complications such as haematoma or infection sign
• Wearing sterile gloves dressing
• Do not touch wound and pacemaker
• The Driver and Vehicle Licensing Agency
(2010)states that a car or motorbike cannot be
driven for at least one week post-pacemaker
• ICD patient Recommendation 3-6 months
• when patients return to work as long as
they feel well enough to do so.
• activity in the first few weeks to
prevent lead dislodgement.