Pacemakers provide electrical stimuli to cause cardiac contraction during periods when intrinsic cardiac electrical activity is inappropriately slow or absent. Conventional pacing systems consist of a pulse generator and pacing leads (atrial and ventricular). In order to achieve appropriate pacing, pacemaker sense spontaneous electrical activity of the chamber of interest, and in case of no electrical activity or slow electrical activity, pacemakers stimulate the heart cavity, mostly right atrium and/or right ventricle. The majority of the current systems include a sub-cutaneous pacemaker, usually implanted in the chest, connected to atrial and/or ventricular lead. In addition, current system suffers from, inter alia, wear of the leads, insufficient to right ventricular pacing and limited synchronization between the atrial and ventricular electrical activity.

The technology is an innovative heart pacing apparatus that effectively emulates physiological heart pacing.