Pacemaker implantation has become routine in the management of bradycardia and remains
its only safe treatment, having an enormous evidence base of prognostic and symptomatic
benefi ts. Over 565,000 pacemakers are implanted worldwide each year but the rate is half the
European average in the UK. Dr Chris Plummer explains many elderly people that would
benefi t from a pacemaker are not being identifi ed.