Pacemaker Implantation
Pacemaker implantation is a minimally invasive cardiac procedure designed to treat heart rhythm disorders (arrhythmias) such as bradycardia (slow heart rate) or irregular heartbeats. The pacemaker is a small electronic device placed under the skin in the chest that helps the heart maintain a normal rhythm and ensures efficient blood circulation.
Coronary angiography and angioplasty
Renal Angioplasty
Coronary Angiography
Left Main Angioplasty
Pre-Procedure Assessment
Calcified Arteries
Pacemaker Implantation
Valvular Heart Disease
Endovascular Graft Repair
Device Closures
Peripheral Interventions
Renal Angioplasty
Non Invasive Cardiology
Types of Pacemakers
Single-Chamber Pacemaker – Contains one lead that is placed in either the right atrium or the right ventricle to regulate the heartbeat.
Dual-Chamber Pacemaker – Has two leads, one in the right atrium and one in the right ventricle, helping coordinate timing between the upper and lower chambers of the heart.
Biventricular Pacemaker (CRT Device) – Includes three leads placed in the right atrium, right ventricle, and left ventricle. It is used for cardiac resynchronization therapy (CRT) in patients with heart failure to improve heart pumping efficiency.
Preparation
Evaluation: Pre-procedure assessments such as ECG, echocardiogram, and blood tests are performed to evaluate the patient’s heart condition.
Medication: Certain medications, particularly blood thinners, may be temporarily stopped prior to the procedure.
Fasting: Patients are generally asked to fast for several hours before surgery.
Implantation Procedure
Anesthesia: The procedure is performed under local anesthesia with mild sedation to keep the patient comfortable.
Incision: A small incision (usually below the collarbone) is made.
Lead Placement: One or more leads (wires) are inserted through a vein and guided into the heart chambers using fluoroscopic (X-ray) guidance.
Device Placement: The pacemaker generator is placed in a pocket under the skin near the incision site.
Testing & Programming: The leads are connected to the device and tested to ensure correct pacing. The pacemaker is then programmed to match the patient’s specific heart rhythm needs.
Closure: The incision is closed using sutures or surgical glue.
Post-Procedure Care
Monitoring: The patient is monitored for several hours or overnight for any complications such as bleeding, swelling, or lead displacement.
Programming: The pacemaker’s settings are fine-tuned for optimal performance.
Medications: Patients may be prescribed antibiotics to prevent infection and given guidance on resuming regular medicines.
Activity Restrictions: Patients are advised to avoid lifting heavy objects or raising the arm on the implantation side for a few weeks.
Advantages of Pacemaker Implantation
Relief from Symptoms: Reduces dizziness, fainting, and fatigue caused by irregular or slow heartbeats.
Improved Heart Function: Helps maintain a stable and effective heartbeat, improving oxygen delivery to the body.
Enhanced Quality of Life: Enables patients to resume normal activities with better energy levels and stamina.
Durability: Modern pacemakers last 5 to 15 years, depending on device type and usage.
