Pacemakers

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The insertion of a permanent pacemaker is performed to help regulate the heart’s rhythm. A pacemaker is a small, battery-operated device designed to send electrical signals to the heart when its natural rhythm is too slow, irregular, or when it misses beats.

The procedure typically begins with the administration of a local anesthetic to numb the area where the pacemaker will be inserted, usually in the upper chest. Sedatives may also be given to help the patient relax. 

A small incision is then made in the chest, through which the pacemaker’s leads (wires) are threaded into a vein and guided to the heart with the help of real-time X-ray images. The leads are positioned to sense the heart’s electrical activity and deliver impulses to stimulate the heart when necessary. 

The other end of the leads are connected to the pacemaker device, which is then placed in a pocket created under the skin of the chest. The incision is stitched closed, and a dressing is applied.

The procedure typically lasts 1 to 2 hours. After the surgery, the pacemaker’s settings can be adjusted as necessary using a special programming device that communicates with the pacemaker through the skin. 

Patients are usually able to return home the same day or the next day following the procedure. They will need to avoid heavy lifting and vigorous physical activity for a short period of time. Regular follow-ups are required to monitor the function of the pacemaker and to make any necessary adjustments.

The insertion of a permanent pacemaker can significantly improve a patient’s quality of life by helping to maintain a regular heart rhythm, reducing symptoms such as fatigue and fainting, and allowing for increased physical activity. The risks and benefits of the procedure should be discussed in detail with the healthcare provider.

The transvenous pacemaker procedure can significantly improve a patient’s quality of life by maintaining a regular heart rhythm and reducing symptoms like dizziness, fatigue, and shortness of breath. The benefits and risks of this procedure should be discussed in detail with the healthcare provider.