What is the difference between a fixed-rate pacemaker and a demand pacemaker?

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Answer

A fixed-rate pacemaker sends electrical prompts to your heart at an unchanging rate. Its drawbacks include that it is somewhat difficult to adapt to a state of physical exertion or emotional arousal.

A more advanced type, called a demand pacemaker (there are several types) kicks in after your cardiac function varies outside a pre-set normal rate. It then brings your heartbeat into a more efficient rhythm. (Sinus-rhythm.)

A demand pacemaker does not take the place of an implanted defibrillator! If a lifethreatening cardiac arrhythmia develops, it takes a defibrillator -- an implanted one or an external unit used by someone trained to respond -- to correct ventricular fibrillation. If it is not corrected, v-fib is fatal.

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Demand pacemakes are used to restore a normal heart rate that only becomes abnormal occasionally. A fixed rate pacemaker is used when the problem is always there and the heart won't keep going without constant help.

First answer by SabrinaSingularity. Last edit by Redbeard. Contributor trust: 3551 [recommend contributor recommended]. Question popularity: 17 [recommend question].