2012 Volume 32 Issue 3 Pages 448-460
Cardiac pacemakers are well-established and highly effective electrotherapeutic devices. Increasingly more patients undergoing surgery will require an implanted cardiac device. Preoperative evaluation should be performed in these patients by anesthesiologists. It is also important to understand the type of implantable device, and programmed settings. Anesthesiologists should be able to effectively cope with bradyarrhythmia occurring spontaneously during surgery.
Here we provide an outline of the principle, indication, and mode selection of cardiac pacemakers, and the Guidelines for Non-Pharmacological Therapy of Cardiac Arrhythmias (The Japanese Circulation Society 2011).