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Pacemaker surgery

Best Pacemaker surgery Treatment In India

Related By Cardiology (Heart Care)

A pacemaker is a small implanted device in the chest that helps control the heartbeat. Its primary function is to keep the heart from beating too slowly. A pacemaker in the chest must be surgically placed. A pacemaker is also known as a heart pacing device.

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Pacemaker surgery

Placement of a pacemaker

  • A pacemaker is a tiny electrical device that is surgically inserted in your chest if you need to have one installed.
  • Your heart receives electrical pulses from the pacemaker in order to beat consistently and not too slowly.
  • If you struggle with a sluggish heart beat, a pacemaker can greatly enhance your quality of life. For certain people, the gadget may even save their lives.
  • Many thousands of pacemakers are implanted each year in the UK, making it one of the most popular cardiac surgery procedures.

Pacemaker surgery

Cardioverter defibrillators that are implantable (ICDs)

Similar to a pacemaker, an implanted cardioverter defibrillator (ICD) is a medical device.
The heart receives a stronger electrical jolt that, in a sense, "reboots" it and gets it pounding once again.
Some gadgets combine an ICD with a pacemaker.

  • ICDs are frequently utilised as a prophylactic measure for patients who are deemed to be at high future risk of cardiac arrest.
  • The ICD will shock the heart electrically if it detects that the heart is beating at a potentially dangerously irregular pace.
  • This frequently aids in restoring the heart's regular beat.
  • A pacing lead that is inserted along a vein is part of a traditional ICD (transvenously).
  • Another more recent ICD kind involves implanting the pacing lead.

Pacemaker surgery

I need a pacemaker, but why?

  • The heart is simply a muscular pump that responds to electrical impulses.
  • Several factors can cause these signals to be interrupted, which can result in a variety of potentially hazardous cardiac diseases, including:
  • Excessively slow heartbeat (bradycardia)
  • A very rapid heartbeat (tachycardia)
  • Heart block (a condition in which your heart beats erratically as a result of improper electrical signal transmission)
  • Cardiac arrest (when the heart completely stops beating due to an issue with the electrical signals)
  • Find out more about the potential need for a pacemaker.

Pacemaker surgery

How are pacemakers installed?

  • Implanting a pacemaker is a reasonably simple procedure.
  • Since it's often done under local anesthesia, you'll be conscious throughout.
  • On the left side of the chest, the generator is often positioned under the skin close to the collarbone.
  • The generator is connected to a cable that travels from the heart through a blood artery.
  • Most patients are able to leave the hospital the same day as surgery or the day following it, and the process typically lasts an hour.
  • Learn more about the installation of a pacemaker.

Pacemaker surgery

After a pacemaker operation

Soon following surgery, you ought to be able to resume your regular physical activity.
Strenuous activities should generally be avoided for 4 to 6 weeks following pacemaker implantation as a precaution.
You should be able to participate in most activities and sports after this.
The pacemaker will be audible to you, but you will quickly become used to it. At first, it could feel a little heavy and unpleasant when you lie in some positions.
Regular check-ups are required to ensure that your pacemaker is operating appropriately. The majority of pacemakers save records of your normal heart beats.

Implantation of a pacemaker is the reason it is done.

When a person has a problem that causes their heart to beat improperly, pacemakers may be advised.
The heart muscle contracts (pulls inward) in anticipation of pumping blood throughout the body with each heartbeat.
Electrical pulses cause the contractions to occur. These are produced by the sinoatrial node, a collection of specialised cells (the SA node).
Because it produces a sequence of electrical pulses at regular intervals, the SA node is frequently referred to as a natural pacemaker.
The atrioventricular node, a collection of cells, receives the pulse after that (AV node). The AV node transmits the pulse to the two lower heart chambers (the ventricles).

  • Chronic sinusitis
  • Heart fibrillation
  • Blocked heart
  • Heart arrest

Pacemaker surgery

Many pacemaker types

The principal types are:
  • The right atrium (upper heart chamber) or right ventricle are linked to the single-chamber pacemaker's one wire (lower heart chamber)
  • The right atrium and right ventricle are linked to a dual-chamber pacemaker by two cables.The procedure for pacemaker placement
  • You will have a preoperative evaluation before having a pacemaker implanted.
  • Your medical team will determine whether you are healthy enough for surgery. At the evaluation, you are welcome to ask any questions and discuss the procedure.
  • Some diagnostics, such as blood tests and an electrocardiogram, could be carried out (ECG).
  • Your general health as well as any cardiac issues you may have and how they affect you will be discussed.
  • You'll also be questioned about any further health issues, past surgeries, and any negative experiences you or your family members may have had with anaesthetics.
  • Exercise regularly, eat a nutritious diet, and stop smoking if you smoke in order to enhance your health and fitness. These actions should shorten the time it takes for you to recover.
  • Three wires from the biventricular pacemaker are attached to the right atrium, right ventricle, and left ventricle.

Pacemaker surgery


Pacemaker installation carries risks, much like any medical or surgical operation.

Clots of blood
One of the veins in the arm on the side of the body where the pacemaker was implanted may develop a blood clot.

infection in a pacemaker
An infection of the pacemaker can occur in certain patients who have one. Typically, this occurs within the first year after the device's installation.

Syndrome of the twiddling
Twiddler's syndrome occurs when the pacemaker generator is forced out of its natural position as a result of a person wriggling with it under the skin, frequently without realizing they are doing it.

difficulties with the pacemaker
Your pacemaker has a tiny probability of malfunctioning, just like any technological equipment. This is referred to be a pacemaker error.

A pacemaker may malfunction if:

  • The lead is shifted out of place
  • The pulse generator's battery dies
  • After being subjected to powerful magnetic fields, the pacemaker's control circuitry suffer damage.
  • The pacemaker's programming is incorrect.
  • Your pacemaker may be malfunctioning if:
  • Your pulse changes to a faster or slower rate.
  • Dizziness\shiccups
  • Fainting or feeling dizzy
  • If you have any doubts about whether your pacemaker has failed, get medical help right away.
  • In rare circumstances, a pacemaker may be able to be adjusted remotely via wireless signals or magnets.
If not, the pacemaker must be taken out.

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