Treatment Details

Pacemaker Implantation Details

Your heart has a natural ability to generate electrical impulses which help in generating heart beat and are responsible for the pumping of blood from the heart. The group of muscle fibers which generate electrical impulses are called SA node. When the natural potency of the heart to generate electrical impulses is disturbed or reduced, there is a need to get a pacemaker implant done. A pacemaker is a small lithium ion battery which has certain wires attached to it. Depending on the choice of the surgeon it can be placed either in the abdominal cavity or in the chest cavity.

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Before Pacemaker Implantation

Your doctor needs to assess the beating pattern of your heart and he needs to understand the irregularity in the pattern of heart beat. This can be done with the help of an electrocardiogram (ECG). This will help your surgeon determine the type of pacemaker which will be suitable for you. Your surgeon would like to know about your medical history and might recommend certain medications before the surgery.

How it is performed

On the day of surgery you will be taken to the operation theater and would be made to lie on the bed. Local anesthesia will be given around the chest region and you will be awake during the procedure. After numbing the area, your surgeon will make an incision near the collar bone and will introduce an introducer into the body to find and locate the vein of interest. After the vein has been identified, your doctor will introduce the pacing lead into the vein and will guide its movement into the heart. Depending upon the condition you might need one lead or two pacing leads, each placed in the right atrium and right ventricle. All this is guided by the help of constant graphs which are being taken and being watched by the surgeon on the monitor. After the leads have reached the desired areas, the other ends are attached to the battery or the pace generator. Doctors will now do the testing to set the device as per your need. The surgeon will make a pocket in the chest cavity by cutting and lifting some skin or even muscle and will put the pacemaker into the cavity. Both the openings are closed with the help of sutures.

Recovery

You will be kept under observation for some time and will be discharged in couple of days. You will have to follow all the instructions given by the surgeon.