The present invention discloses an automatic detection method of a pacing threshold of a
cardiac pacemaker and a pacemaker, comprising: when the pacing threshold is automatically detected, the
cardiac pacemaker issues pacing pulses according to the current pacing output
voltage, and at the end of the pacing pulse issuance, the sensing time and the sensing circuit are turned on to detect the myocardial
depolarization wave, wherein the sensing time is set to the time required to detect the myocardial
depolarization wave, and
depolarization discharge is performed at the end of the sensing time, and the
cardiac pacemaker determines whether capture is successful according to the detection result of the myocardial depolarization wave; when capture is successful,
backup pacing is not issued, and the current pacing output
voltage is updated by reducing one level, and the above pacing threshold automatic detection process is repeated until it is determined that the capture is unsuccessful, and the previous level pacing output
voltage corresponding to the unsuccessful capture is used as the detected pacing threshold; when capture is unsuccessful,
backup pacing is performed after the last
discharge. In this way, automatic and accurate detection of the pacing threshold can be achieved at a low cost.