The invention discloses a
cardiac pacemaker pacing threshold automatic detection method and a pacemaker, and the method comprises the steps: carrying out the pacing pulse distribution of the
cardiac pacemaker according to the current pacing output
voltage when the pacing threshold automatic detection is carried out, and starting the sensing time and a sensing circuit to detect the myocardial
depolarization wave when the pacing pulse distribution is finished, wherein the sensing time is set to be the time required for detecting the myocardial
depolarization wave,
depolarization discharge is carried out when the sensing time is ended, and the
cardiac pacemaker judges whether capture succeeds or not according to the detection result of the myocardial depolarization wave; when capture succeeds,
backup pacing is not issued, the current pacing output
voltage is updated according to a reduction gear, the automatic pacing threshold value detection process is repeated until it is judged that capture fails, and the corresponding previous gear pacing output
voltage when capture fails serves as the detected pacing threshold value; and when capture is not successful,
backup pace-making is carried out after post-pole
discharge. Therefore, automatic and accurate detection of the pace-making threshold can be realized at low cost.