الفهرس 
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Abstract
Technological advances in cardiac care have enhanced
the ability to help patients with electrical or mechanical cardiac
dysfunction and to improve their quality of life. The permanent
pacemaker improved heart care by detecting arrhythmia and
regulating it as appropriate by sending an electrical shock to
revive the wearer before the situation becomes a lifethreatening
emergency due to cardiac arrest, heart attack, or
blockage of the blood vessels.
Poor compliance to prescribed therapeutic regimen may
have a major impact on treatment outcomes, especially for
patients with a chronic illness. Patients can fail to comply when
they don’t understand their conditions and importance of
treatment plan they should follow. Therefore, good
communication with healthcare providers was likely to cause a
positive effect on patient’s compliance. So, nurses are in the
unique position of being able to provide education, counseling
and communication to patients with multitude of problems and
to develop interventions that enhance their compliance to
prescribed regimens.