Table Of Index
What is pacemaker implantation?
Pacemaker implantation is a surgical procedure performed to insert a small battery-operated device called a pacemaker into the chest. The pacemaker is a small electronic device, which helps keep the heart beating without any interruption. Pacemaker implantation may represent a life-changing treatment for heart conditions like arrhythmias. Implanting a pacemaker into the chest is done through minor surgery. Pacemakers can fix specific problems like atrial fibrillation. A pacemaker is inserted just beneath the collar-bone at the front of the chest generally on the right side. Most pacemakers are inserted using local anesthesia, intravenous sedation may be given to help you relax.
Types of pacemaker implantation
There are three main types of pacemaker implantation:
Single-chamber pacemaker implantation: In this type, the pacemaker delivers the electrical impulse to a single chamber of your heart. They are mostly used to pace the right ventricle in individuals with chronic atrial fibrillation.
Dual-chamber pacemaker implantation: These pacemakers are used when the timing of chamber contractions is misaligned. The pacemaker corrects this problem by delivering synchronized pulses to both right ventricle and right atrium.
Biventricular pacemaker implantation: This type of implantation is also known as cardiac resynchronization therapy used for people with heart failure. The implanted pacemaker works to ensure synchronous contraction of the left and right ventricles helping them pump together and improve cardiac functions.
Causes and Symptoms
Electrophysiology study: In this test, a special catheter is threaded through the blood vessels and into the heart in order to map electrical impulses.
Electrocardiogram: ECG measures the electrical activities in the heart.
Echocardiogram: This is a noninvasive test that uses sound waves to produce images of the heart.
Holter monitor: This is wearable ECG device which records the heart’s activities throughout the day.
Risk & Complications
Pacemaker procedures tend to have some complications as mentioned below:
Allergic reactions: This may happen due to some medications that you are given or you might be allergic to the materials used in the pacemaker.
Blood clots: The doctor can prescribe blood-thinning drugs to cut the risk of having a blood clot.
Malfunctions of pacemaker: In certain cases, the pacemaker lead may get out of its position or may break free. The doctor will tell to limit your activity after the procedure to avoid the issue.
Heart rhythm problems: Some individuals may develop heart rhythm problems due to the pacemaker. The healthcare provider will talk to you about such risks and guide you to avoid them.
Inflammation of the pericardium: There may be swelling in the pericardium, the sac protecting the heart, after a pacemaker procedure. This is generally treated through medications like antibiotics.
Preparation of Treatment
Pacemaker implantation is a common procedure but it requires preparation. When a pacemaker is recommended, you need to meet a general surgeon or cardiologist to discuss the procedure. If the surgery is done on an outpatient basis, you must wear comfortable clothes. In case the surgery needs an oveight hospital stay, bring things that you may need for the stay, including toiletries, daily medications, and a comfortable robe. You need to stop eating anything at midnight the night before your procedure. Within four hours of the surgery, nothing must be taken through mouth. Medications that may lead to bleeding should be avoided before the surgery. While some of them must be stopped a day or so beforehand, others need to be stopped for a week or more after and before surgery.
Recovery after pacemaker implantation
Recovery after a pacemaker implantation requires some rest for a few weeks and a diet might be recommended by the doctor. A few pacemaker precautions will help in speedy recovery after pacemaker implantation. After leaving ICU, the patient may need to stay in the hospital for nearly a week. Recovery at home usually takes 4 to 6 weeks. The healthcare team will help in rehabilitation and advise on restrictions on physical activity and medications. Some suggestions for smooth recovery include taking medications exactly as prescribed, having plenty of rest, participating in activities as advised, like walking, and keeping appointments for lab and doctor visits as scheduled.
Award-winning CEO of Marlin Medical Assistance Pvt. Ltd
Dr. Mohammad Afzal Siddiqui is an award-winning CEO of Marlin Medical Assistance Pvt. Ltd., a professionally managed medical tourism holding company and the active Director of Alshifa Healthcare Services Pvt. Ltd., a full-service medical tourism aggregation agency servicing JCI and NABH/ NABL accredited Hospitals across the country’s 5 locations.
In addition to Marlin, Alshifa also includes Media Group, which houses Arabic Medical Tourism e-Magazine healthandtour.com. The E-magazine “مجلة الصحة والسياحة” provides a wide scope of medical tourism information to healthcare travellers to find a safe, effective and cost-saving solution for their medical and healthcare needs. In addition to running E-Magazine, Dr. Mohammad Afzal also serves as Delhi-state coordinator in Foundation of Healthcare and Wellness Promotion focused on bringing India’s Healthcare closer to the world and smoothen world’s access to Indian Healthcare.