A pacemaker is a medical device which uses electrical impulses, delivered by 
electrodes contacting the heart muscles, to regulate the beating of the heart. Its main purpose is to maintain an adequate heart rate, either because the heart’s native pacemaker is not fast enough, or there is a block in the heart’s electrical conduction system (source: wikipedia.org)
The implantation of this device required an advanced medical skills and training or should preferably be carried out by specifically trained cardiologists or cardiac electrophysiologists. This guidelines is aimed at providing such information to the noncardiologist physicians.
This can be achieved by familiarizing oneself with the expected and commonly reported symptoms in patients with pacemakers, carrying out diligent physical examination for the normally expected and unexpected abnormal findings, carefully studying the chest x ray, and analyzing the ECG in detail, according to this article. The scopes of the guideline are about detailed description of various pacemaker-timing cycles, analysis of pacemaker ECG’s, interrogation of the pacemakers and optimizing their programming.
Find complete read about Pacemaker, an Implantation Guidelines for Noncardiologist Physicians in PDF format available to download.
