Technical improvements have considerably extended the indications for the implantation of pacemakers. Nearly all forms of bradyarrhythmia and some forms of tachycardia, including sinus node disease, have gradually been added alongside stable A-V blocks, while preventive implantation is now commonly indicated in asymptomatic forms and bradycardia due to drugs. The recent appearance of rapid-pulse and scanning pacemakers has further extended their indication to cover other forms of ectopic and reciprocating tachycardia.
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