Pacemaker

What is a Pacemaker Implant?
A pacemaker implant is a procedure to insert a small, battery-operated device called a pacemaker into your chest. This assists your heart to beat regularly.

What are the different types of Pacemaker Implant treatments?
Endocardial approach.
This is the traditional procedure commonly used. An incision is made in the chest for the leads and pacemaker to be inserted. The lead(s) is carefully placed into the incision and into a vein, then guided to the heart. The tip of the lead is attached to the heart muscle, whilst the other end is inserted into a pocket created under the skin in the upper chest.

Epicardial approach.
This procedure is more commonly used with children. The surgeon attaches the tip of the lead to the heart muscle, whilst the other end is placed in a pocket created underneath the skin in the abdomen.

How Long Will My Pacemaker Last?
Pacemakers can usually last between four to eight years. Your pacemaker will need to be replaced, once the the battery becomes low.

What are the tests required?
The tests required before the procedure is:
Blood Test
ECG
Chest X-ray

What is the cost of the procedure?
The cost of procedure might be around 1000 - 3600 USD.

How much time is required?
Normally, surgery can take up to 3 hours in the hospital. Generally, you will be allowed to go home after one or two days.

What type of anesthesia will be given?
Local Anesthesia

How will patient recover?
Try to ensure that your wound is kept clean and dry. After around five days, you maytake a shower. Avoid lifting heavy objects and activities that require pushing or pulling heavy objects. For six weeks after the procedure, stay clear of vigorous activity such as golfing, tennis, and swimming. Try to walk as much as possible for exercise. Normally, you can resume work within a week after you go home.

What should be cared?
A check of your pacemaker should be done six weeks after your pacemaker is implanted. This follow-up appointment is important, due to the fact that adjustments will be executed that will extend the life of your pacemaker.
After that, your pacemaker should be checked every three months on the telephone to assess battery function.
A complete examination will be required once a year at a hospital or doctor's office.

Be aware that the following items could interfere with the functioning of your pacemaker:
- A cell phone. This should be used on the side that is opposite to where the pacemaker was implanted.
- Strong electric or magnetic fields, such as: some industrial equipment; high intensity radio waves ; and arc resistance welders.

Avoid any tests that require magnetic resonance imaging (MRI).