Pacemaker Implantation Surgery

Pacemaker Implantation Surgery

Pacemaker Implantation Surgery
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A pacemaker is a small, battery-operated device. The device senses if the heart is beating irregularly or too slowly. It sends signals to the patient’s heart that make his heart beat at the right pace.

Surgery Time

The surgical procedure takes between 1-2hrs only.

Anesthesia Type

General Anesthesia


The newer pacemakers weigh as little as 1 ounce (28 grams).

Most pacemakers have 2 parts:

• The generator consists of the battery and the specifics to manipulate the heartbeat.

• The leads are wires that join the heart to the generator and bring the electrical messages to the heart.

A pacemaker is implanted beneath the skin. A patient may be given a sedative to help him relax. The patient could be awake during the technique.

A small incision (cut) is made. Most often, the cut is on the left side (in case the patient is right-handed) of the chest underneath his collar bone. The pacemaker generator is then located beneath the skin at this location. The generator might also be located in the abdomen; however, this is less commonplace. A new "leadless" pacemaker is a self-contained unit that is implanted within the proper ventricle of the coronary heart.

Using live X-rays to explore the area, the surgeon places the leads through the cut, into a vein, after which into the heart. The leads are connected to the generator. The skin is closed with stitches. Most patients go home within 1 day of the procedure.

There are 2 types of pacemakers used preferably in medical emergencies.

• Transcutaneous pacemakers

• Transvenous pacemakers

They are temporary pacemakers.

Why the Procedure is Performed

Pacemakers may be used for patients who have heart troubles that make their heart beat too slowly. A slower heartbeat than usual is also known as bradycardia. Two usual issues that cause a slow heartbeat are sinus node disorder and heart block.

When the heartbeats are too slow, the body and brain might not get sufficient oxygen. The symptoms can be

• Lightheadedness

• Tiredness

• Fainting spells

• Shortness of breath

Some pacemakers may be used to reduce a heartbeat that is too speedy (tachycardia) or if it is irregular.

Other types of pacemakers can be used for excessive heart failure. These are referred to as biventricular pacemakers. They assist in coordinating the beating of the heart chambers.

Most biventricular pacemakers implanted today also can work as implantable cardioverter defibrillators (ICD). ICD fix a regular heartbeat with the aid of delivering a larger shock whilst a potentially deadly rapid heart rhythm occurs.


Possible issues of the pacemaker implantation procedure are:

• Abnormal heart rhythms

• Bleeding

• Punctured lung. This is rare.

• Infection

• Puncture of the heart, which can result in bleeding across the heart. This is rare.

A pacemaker senses if the heartbeat is above a certain level. When it's beyond that level, the pacemaker will stop sending impulses to the heart. The pacemaker also can detect when the heartbeat slows down too much. It will automatically start pacing the heart again to bring it to an optimum rhythm.

After the Procedure

Patients may likely go home after 1 day or even the same day in a few cases. Patients have to be able to go back to their ordinary routine quickly.

When patients go away from the hospital, they may be given a card to maintain. This card lists the details of his pacemaker and has contact statistics for emergencies. Patients have to always keep this card in their pocket.

Outlook (Prognosis)

Pacemakers can assist the patient keep his heart rhythm and rate at a safe level. The pacemaker battery usually lasts between 6 to 15 years. The hospital provider will check the battery regularly and update it when necessary.

DisclaimerThe information provided herein is for the patient's general knowledge only and should not be used during any medical emergency, diagnosis or treatment of any medical condition. Duplication for personal and commercial use must be authorized in writing by

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