Experience with permanent ventricular pacing in Chagas disease is extensive in South American tertiary care centers. In general, the symptomatic status and probably the longevity of patients with Chagas disease are improved by permanent ventricular pacing.181 Single-chamber ventricular pacing is generally used, and dual-chamber or rate-responsive pacing offers little additional benefit for most patients.182 Mortality in patients with permanent pacemakers depends mainly on the severity of the underlying myocardial disease and averages 5% per year.
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