The first pacemaker was implanted in 1958 at the Karolinska Institute in Sweden, the patient was Arne Larsson when he was only 44 years old. His pacemaker was replaced 26 times with a new model, and the patient experienced old age. In Croatia, the first pacemaker was implanted in 1964 at University Hospital Centre Zagreb, and it was implanted by Dr. Miram Pasini. Indications for implantation of a permanent pacemaker in the last 20 years have greatly expanded, which affected the number of implanted pacemaker and contributed to the quality of patient’s life. (1)

In the Pula General Hospital most common indications for pacemaker implantation were atrioventricular block and atrial fibrillation with ventricular brady arrhythmia. The implantation of permanent pacemaker started in 2010, and so far 190 are implanted. By 2010, at the Pula General Hospital were implanted only temporary electostimulators. The article presents our results in the mentioned period.