Indications

• Third-degree heart block

• Mobitz Type II second-degree heart block when the circulation iscompromised or an operation is planned

• Overpacing (rarely; more successful with internal pacing)

Complica tions Internal pacing

• As for central venous catheter insertion

• Arrhythmias

• Infection (including endocarditis)

• Myocardial perforation (rare)

External pacing

• Discomfort

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