Recent Advances in Physiological Pacing

Physiological pacing has undergone three stages: atrioventricular sequential pacing, chronotropic pacing and cardiac resynchronization therapy.How to make pacing therapy more physiological, so as to meet the physiological needs of patients, is the unremitting pursuit of clinicians.With further understanding of cardiac function and the development of pacemaker manufacturing technology, pacing function will become more and more physiological.At the same time, the newer generation of pacemakers will have more sophisticated program control function, higher automation, simulation of the doctor's thinking, and the pacing parameters can be optimized automatically after implantation allowing pacemaker to operate in the most effective and energy-saving state.From cardiac rhythm managers to heart disease managers, their unique efficacy will make physiological pacing function perfect day by day.In this paper, the research progress in this field is analyzed, which aims to provide the basis for pacing mode, pacing site and pacing interval in the future. Key words: Physiological; Pacing; Advance; Review