A pacemaker is an electrically charged small medical device. Heart surgeon implants it in a chest by a minor surgery to manage or control irregular heartbeats. It is mainly needed for heart disease known as arrhythmias. In arrhythmias, heart’s rhythm is abnormal. This device uses electrical pulses to cause the heart to beat at a normal rate. Dr Jadhav’s Heart Care has advanced treatment facilities.
Pacemakers generally treat two types of Arrhythmias:
- Tachycardia – A heartbeat that’s too fast
- Bradycardia – A heartbeat that’s too slow
Pacemaker is needed if heart is pumping blood too quickly or slowly. Some patient needs a special type of Pacemaker called a Biventricular Pacemaker or Bivent in case of severe heart failure. A bivent makes the two sides of the heart beat in sync. This is known as cardiac resynchronization therapy (CRT).
Benefits of Pacemaker
- The major benefit of Pacemaker is to control irregular heartbeats.
- It can be used permanently to correct a slow heartbeat (bradycardia) or in some cases helps in the treatment of heart failure.
- It regulates body’s electrical system which controls heart rhythm.
- It can also track and record your heartbeat. A record can help doctor for better understanding of Arrhythmia.
- It can also relieves symptoms such as dizziness, fainting and shortness of breath, general fatigue and chest pain by managing heart rhythm.
- It helps to improve quality of life in most of the heart patients.
- Due to this proceudre, mortality rate has been reduced.
Preparation for Pacemaker
Cardiologist performs various tests before implanting Pacemaker. Various tests include
- Echocardiogram (echo)
- Electrocardiogram (ECG or EKG)
- Holter monitoring
- Stress test
Procedure of Surgery
- This surgery takes around one to two hrs. Before surgery, patient receives a sedative to relax and a local anesthetic to numb the incision site.
- Heart surgeon makes a small incision near the shoulder. Then inserts a small wire through the incision into a major vein near collarbone.
- Then the surgeon sends the wire through vein to heart. X-ray machine guides surgeon throughout this process.
- Surgeon attaches an electrode to heart’s right ventricle by using a wire. The ventricle is the lower chamber of the heart. The other end of the wire attaches to a pulse generator. This contains the battery and electrical circuits.
- In case of biventricular pacemaker, surgeon attaches a second lead to heart’s right atrium and a third lead to the left ventricle. The atrium is the upper chamber of the heart.
- Finally at the end of the surgery, surgeon closes incision with stitches.
Patient should avoid various things after the implanting Pacemaker such as
- Exposures to metal detectors
- High voltage transformers
- Standing for long hours near certain appliance like microwaves
- Keeping mobile in the pocket over the pacemaker
- Heavy lifting and rigorous exercises
The battery of pacemaker can last between 5 to 15 years. Doctor informs the patient whether pacemaker needs any replacement or not during the follow up. Pacemaker and its surgery have no risk or life threatening complications. At Dr Jadhav’s Heart Care, it is easily implanted by a small surgery with the help of advanced medical technology.