DDD pacemaker implantation

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DDD Pacemaker Implantation is a medical procedure that involves the placement of a small electronic device, called a pacemaker, into the chest to regulate the heart rhythm. The DDD pacemaker is a dual-chamber device that can detect and respond to both natural and too slow heartbeats in the atria and ventricles, the upper and lower chambers of the heart respectively.

The procedure is usually performed under local anesthesia along with mild sedation. An incision is made in the upper chest, usually on the left side, and one or more leads (insulated wires) are threaded through this incision into a vein and guided to the heart with the help of fluoroscopic imaging. The leads are attached to the heart muscle and the other end is connected to the pacemaker. 

The pacemaker itself, a small metal case that contains the battery and electrical circuitry, is then inserted into a small pocket created under the skin of the chest, and the leads are connected to the pacemaker. The device is then programmed by the physician to deliver electrical pulses to stimulate the heart if it is beating too slowly or if it misses a beat.

Once the pacemaker is working properly, the incision is closed with stitches. The entire procedure typically takes a few hours. After the procedure, patients are closely monitored to ensure the device is functioning correctly and that they are recovering well. Patients will need to have regular follow-ups to check the pacemaker and adjust its settings if necessary. The device can significantly improve the quality of life for individuals with certain types of heart rhythm disorders.