The non-invasive temporary pacemaker is a reliable and easy method for emergency treatment of asystole or severe bradycardias. Large electrode areas and long pulse width allow a low stimulation threshold (40-60 mA), and so were largely eliminated discomfort resulting from contraction of skeletal muscles and burning pain from stimulation of cutaneous nerves. In our experience, non-invasive pacing was effective in all thirteen patients in whom it was applied, was maintained for a mean time of 30 minutes and then temporary endocardial pacing was performed. In our opinion, this method will be a valid alternative to transvenous pacing, when completely eliminated stimulation of skeletal muscles and cutaneous nerves. It may play a role in the treatment of tachyarrhythmias.