Eva Balážová, Vladimír Milovský, Marta Valentíková, Vladimír Ťažký
Number of children with implanted pacemaker is steadily increasing. Pacemaker is implanted to children with congenital heart rhythm disorders and/or to children after congenital heart disease surgery, or with acquired rhythm disorders. New trends in pediatric cardiac pacing brought about also changes in implantation sites and procedures, as well as changes in philosophy of pacing, mainly the need for physiologic pacing modes. In group of our patients (n = 121, 61 (50,4 %) girls and 60 (49,6 %) boys in the age of 0 - 23 years, average 10,76 years) during years 1993 till 2004 at first mostly non-physiologic mode VVI was implanted, which was later replaced by physiologic pacing modes as frequently as possible. VVI mode is now used only in specially indicated cases.