A pacemaker is a battery-powered device that is surgically implanted into the chest to regulate heart rhythm. The size of a pacemaker is slightly bigger than the size of a small capsule. A pacemaker sends electrical signals to the heart and synchronizes the rhythm of the atria and ventricles in a pattern that closely resembles the natural heartbeat. This results in a regular heartbeat and increases the quality of life.
A pacemaker has two main components - A pulse generator and leads (electrodes). The pulse generator contains the battery and electric circuits which control the rate of electrical impulses sent to the heart. Leads are insulated wires that are placed in one or more chambers of the heart to deliver electrical stimulations. However, the latest pacemakers do not require leads and are directly implanted into the heart muscles.
Doctors classify pacemaker types based on their functionality. Depending on the condition, the doctor may recommend -
Additionally, the doctor may suggest a temporary or permanent pacemaker depending on the severity of the condition. Temporary pacemakers are implanted for a short while after the surgical procedure. On the other hand, permanent pacemakers are implanted into the chest via surgery. Permanent pacemakers are battery-operated devices that can last for 5 to 15 years before being replaced.
Seek medical assistance in case you have a deteriorating heart condition or are experiencing symptoms of prolonged heart disease. After a comprehensive diagnosis, the doctor may recommend a pacemaker implant procedure to stimulate a faster heart rate when the heartbeat is slow or vice versa. Problems with heart rhythms can cause difficulties in pumping blood to the rest of the body. Therefore, in case the patient is feeling dizzy, fatigued, or experiencing chest pain, the doctor may suggest a comprehensive diagnosis. After diagnosis, a pacemaker procedure is recommended in case of the following -
A pacemaker procedure is likely recommended for patients with heart rhythm problems. The aim is to find the primary cause of irregular heartbeat and provide the most effective solution. The doctor may recommend the following diagnostic tests before the pacemaker surgery to assess the patient’s overall health and the risk associated with the procedure -
Before The Procedure:
The doctor generally provides pre-surgery tips which can help the patient prepare for the procedure. Apart from all the paperwork and formalities, the doctor will ask questions related to your health and inform you of any risks associated with the surgery. Here are some pre-surgery tips that can help you prepare for the pacemaker implantation procedure -
Do not eat or drink 8 to 9 hours prior to the surgery. Since the procedure is done under anesthesia, eating or drinking after midnight on the day of surgery can increase the risk of complications and delay the effect of anaesthesia.
During The Procedure:
After the patient is sedated with general or local anesthesia, the surgeon inserts one or more wires into the major vein or near the collarbone. The surgeon leverages x-ray imaging technology to secure each end of the wire in an appropriate position in the heart. The other ends of the wires are attached to the pulse generator, which is implanted under the skin near the collarbone.
An ECG is conducted to check if the pacemaker is working properly. Subsequently, the incisions are closed with surgical sutures or adhesive strips. In the case of the leadless pacemaker insertion procedure, the surgeon inserts a flexible catheter in a vein which is positioned accurately in the heart using image-guided medical instruments.
After The Procedure:
After the Pacemaker Surgery, the patient is taken to the recovery room for observation where a team of healthcare providers monitor the health and keeps a check on the vitals. The patient may be required to stay in the hospital until there are no signs of complications. The patient may feel sore and there may be mild discomfort around the area of the incision as the effect of anaesthesia wears off.
The doctor may also prescribe some medications to reduce the pain and discomfort. Along with that, the patient is also given a diet chart and special preventive measures to ensure a speedy recovery.
BM Birla Heart Research Centre is a super speciality hospital with modern infrastructure and state-of-the-art technology in Kolkata. BM Birla Heart Research Centre is the only hospital offering super speciality cardiac care in entire eastern India. With a 200+ bed capacity, cardiac rehabilitation services, cath labs and modular OTs, BM Birla Heart Research Centre has made a mark with its singular focus on the treatment of a wide variety of cardiac ailments. Here are a few advantages of choosing BM Birla Heart Research Centre for your pacemaker implantation -
Get in touch with our expert heart doctors at BM Birla Heart Research Centre, Kolkata for complete cardiac care.
Pacemaker procedure improves the quality of life and prevents heart problems. Here are some possible benefits of the pacemaker insertion procedure -
Though rare, pacemaker implant surgery may pose some risks depending on the medical health of the patient, the surgical expertise of the surgeon, and the type of procedure. Here are some possible complications of pacemaker surgery -
Pacemaker batteries can last for 5 to 15 years depending on the type of pacemaker used. When the battery stops working, you may require another surgery to replace it.
Yes, a pacemaker sends electrical impulses that mix with the irregular heart rhythm to achieve a stable heart rate. Depending on the degree of atrial fluttering, the doctor may suggest a specific pacemaker procedure for the best results.
No, there is no problem with using common electrical household appliances like microwaves, electric blankets, cell phones, earphones, etc. However, it is not advisable to keep your cell phones or other portable electronics near the heart for long periods of time.
A Transcatheter Aortic Valve Replacement (TAVR) or Transcatheter Aortic Valve Implantation (TAVI) is a surgical method performed to repair a compromised, blocked or narrowed artery which was causing disruption in the blood and oxygen supply to the heart. This surgical procedure is recommended for patients who have higher risk or are too sick, or too old for an open heart surgery.
Heart failure is a serious condition marked by the inefficiency of the heart muscles to pump blood to different parts of the body. Also referred to as congestive heart failure, the condition can prove to be life-threatening if not addressed immediately. Such patients are often recommended to undergo a heart transplant, a surgical procedure that involves the replacement of a diseased or non-functional part of the patient’s heart with a healthy heart taken from a deceased donor.
Heart failure is one of the serious conditions that we should be aware of. It can be proved fatal if not treated at right time. As suggested by the best heart doctor in Kolkata.