The history of cardiac pacing in the young and a look to the future.

Purpose Of Review: The purpose of this review is to explore the historical and serendipitous events that led to the creation of modern-day pacemakers. In addition, this review will explore how contemporary conduction site-specific pacing has overcome some of the deleterious effects from historical chronic right ventricular apical pacing.

Recent Findings: Recently, there have been tremendous advances in not just the lead design but the tools required to promote more physiologic pacing.