Pacemaker Surgery

Pacemaker is an electrically charged medical device used to manage irregular heartbeats.
It has two parts:  the pulse generator which has the battery and electronics to control the heartbeat and another part called Leads which are small wires that send the electric signals in form of pulse to the heart.
It is usually done in cases of:

  • Bradycardia: when heartbeat is too slow
  • Tachycardia: when heartbeat is too fast

 

Know More About Surgery

A pacemaker surgery may be required in case of:

  • Fainting or lightheadedness
  • Fatigue
  • Shortness of breath
  • Tiredness
  • Damage to vital organs

The diagnostic methods used for a Pacemaker surgery are:

  • Echocardiography (ECG): In ECG sound waves are used to create the moving picture of your heart.
  • STRESS TEST:  you are asked to exercise so that the heart can beat fast and then the tests like ECHO are done to study it.
  • Electrophysiology Study:  A thin, flexible wire is passed through a vein either in your arm or upper thigh to your heart.

A local anaesthetic agent is applied at the site of the incision and the patient is sedated. A small incision is made to guide a small wire through the incision into a major vein found near the collarbone and then the wire is lead through the vein to the heart.This process is done with the help of X-ray machine.

Then an electrode is attached to the right ventricle and other end of the wire to pulse generator which contains battery and electronics. Usually the generator is placed under the skin near the collarbone.

The risks involved in a Pacemaker surgery are:

  • Damage to nerves
  • Damage to blood vessels
  • Allergic reactions to anesthesia
  • Bleeding
  • Infection at the site of incision.
  • Lung collapse, although it is rare
  • Heart gets punctured (rare)

After a pacemaker surgery, it is essential to keep in mind the following:

  • Avoid rigorous exercise and heavy lifting over the next month
  • Certain devices can cause interference with the pacemaker such as: standing too near appliances such as microwave, keeping cell phones/mp3 player over the pacemaker, high-voltage transformers and prolonged exposure to metal detectors
  • Do not Raise your arm above your shoulder as exercise
  • Do not try to twist, push & pull your arms for 2-3 weeks

Pacemaker Surgery from one of the best multi-speciality hospital: Jaslok Hospital And Research Centre, Peddar Road, Mumbai

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