Nowadays permanent pacing of the heart helps patients not only with pathological bradycardia or asystole in the tract of the AV blocks (AVB) and sick sinus syndrome (SSS), but is also valuable in the prevention of atrial fibrillation (AF) as well as the stabilization of the rhythm in chronic AF. For this reason patients with AF are often candidates for implantation of a cardiac pacemaker. The basic problem for doctor qualifying patients for pacemaker implantation with AF is the choice of a suitable type of pacing. However, this is not the only problem. New possibilities in the tract of solid and very quick progress in the field of pacing have appeared but there are also new doubts. The present publication presents the possibilities of utilization of types of pacing in this field including the newest solutions (antyarrhythmic algorithms) along with the role of placement of stimulation (dual site right ventricular pacing). Hybrid therapy is also described as the only alternative in special circumstances. All these methods were supported by the data from the latest trial.