Chapter 79. Bradyarrhythmias – Choice of Pacemakers

  1. Salim Yusuf DPhil, FRCPC, FRSC Research Chair Professor of Medicine Director Vice President Research3,4,5,
  2. John A Cairns MD, FRCPC Professor of Medicine Former Dean6,
  3. A John Camm MD British Heart Foundation Professor Head of Cardiac7,
  4. Ernest L Fallen MD, FRCPC Professor Emeritus8 and
  5. Bernard J Gersh MB, ChB, DPhil Consultant Professor of Medicine9
  1. Pablo B Nery MD Assistant Professor1 and
  2. Carlos A Morillo MD, FRCPC, FACC, FHRS, FESC Professor Director2

Published Online: 21 MAY 2010

DOI: 10.1002/9781444309768.ch79

Evidence-Based Cardiology, Third Edition

Evidence-Based Cardiology, Third Edition

How to Cite

Nery, P. B. and Morillo, C. A. (2009) Bradyarrhythmias – Choice of Pacemakers, in Evidence-Based Cardiology, Third Edition (eds S. Yusuf, J. A. Cairns, A. J. Camm, E. L. Fallen and B. J. Gersh), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444309768.ch79

Editor Information

  1. 3

    McMaster University, Canada

  2. 4

    Population Health Research Institute, McMaster University, Hamilton Health Sciences, Canada

  3. 5

    Hamilton Health Sciences, Hamilton, Ontario, Canada

  4. 6

    Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada

  5. 7

    St George's University of London, London, UK

  6. 8

    McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada

  7. 9

    Mayo Clinic College of Medicine, Rochester, MN, USA

Author Information

  1. 1

    University of Ottawa, Staff Cardiac Electrophysiologist, University of Ottawa Heart Institute, Ottawa, Ontario, Canada

  2. 2

    Department of Medicine, Arrhythmia & Pacing Service, McMaster University, Hamilton, Ontario, Canada

Publication History

  1. Published Online: 21 MAY 2010
  2. Published Print: 13 NOV 2009

ISBN Information

Print ISBN: 9781405159258

Online ISBN: 9781444309768



  • bradyarrhythmias - pacemakers choice;
  • sinus node dysfunction (SND) diagnosis - syncope, fatigue, presyncope;
  • chronotropic incompetence - 85% of maximal heart rate achievement failure;
  • SND and chronotropic incompetence;
  • Calgary Syncope Score - ruling out vasovagal syncope;
  • sinus bradycardia syndromes - permanent pacemaker implantation;
  • dual-chamber pacing over single-chamber ventricular pacing - atrial fibrillation reduction


This chapter contains sections titled:

  • Conclusion

  • References