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How should the software pacemaker be programmed during manufacturing and after implantation?

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How should the software pacemaker be programmed during manufacturing and after implantation?

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The different possibilities for programming modern pacemakers are discussed. A pacemaker based on hardware alone provides highly reliable pacing within narrow limits. On the other hand, a totally software-based pacemaker would provide maximum flexibility in terms of programming but would remain more susceptible to errors in software. A middle solution might be one that divides the program between passive ROM and active RAM memories. This alternative may provide sophistication without sacrificing safety.

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