How smart should pacemakers be?

A BioMEMS Review: MEMS Technology for Physiologically Integrated Devices

“…Automaticity is another area of intense research interest in pacemaker technology with the ultimate goal of a "smart" pacemaker that incorporates multiple functions and can achieve optimal treatment and diagnosis for patients with specific indications [152], [153]. Several automatic algorithms have been implemented in pacemaker therapy for automatic capture detection, sensing detection, impedance measurement, and longevity estimation [149], [154].…”

Reduction of RV Pacing by Continuous Optimization of the AV Interval

“…Therefore, intrinsic ventricular activation is generally preferred to a ventricular‐paced sequence whenever possible. New pacing algorithms can search for and promote intrinsic atrioventricular (AV) conduction 4,5 . These algorithms may also improve pacemaker battery longevity 6,7 .…”

“…New pacing algorithms can search for and promote intrinsic atrioventricular (AV) conduction. 4,5 These algorithms may also improve pacemaker battery longevity. 6,7 The primary application of these algorithms would be in patients with intermittent AV block, with variable PR intervals, or with sinus node dysfunction (SND).…”

Automatic Sensor Algorithms Expedite Pacemaker Follow‐ups

“…While pacemakers (PM) have become more refined, their clinical follow‐up has become more time‐consuming 1,2 . The introduction of new automatic functions can help physicians and medical staff save time on the technical aspects of the procedures and allocate more time to other patient care needs 3 .…”