Permanent Pacemaker Implantation (PPM)

Permanent pacemaker (PPM) may be considered when symptomatic bradycardia is present, such as sick sinus syndrome or atrioventricular block, and the evaluation meets guideline indications. The decision will integrate factors such as the type and severity of arrhythmia, whether there are reversible causes, previous treatment response and recurrence risk, cardiac function and infection risk, venous access and device compatibility.