How is a Pacemaker Installed?
A
pacemaker is a minor device that's positioned (implanted) in the chest to
support and control the heartbeat. It's used to stop the heart from beating too
gradually. Inserting a pacemaker in the chest needs a surgical procedure.
Kinds of pacemakers made by Cardiac Pacemaker
Manufacturers
Reliant
on your condition, you might have one of the following kinds of pacemakers.
The
single chamber kind conveys electrical impulses to the right ventricle of the
heart.
The
Dual chamber kind conveys the impulses to the right ventricle and right atrium
of the heart and assists in controlling the timing of the contractions of the
two chambers.
The
third kind is the Biventricular type, which is used for people with heart
failure and heartbeat glitches. This kind of pacemaker stimulates both the
lower heart chambers and helps the heart beat more efficiently.
Why do patients require pacemaker
implantation?
Doctors
generally recommend the implantation to control the heartbeat, and they could
recommend temporary pacemaker implantation if the patient has a slow heartbeat,
after he has suffered a heart attack, has had surgery done, and is otherwise
expected to recover. The pacemaker may be implanted permanently to correct a
chronic slow or irregular heartbeat.
What does a pacemaker do?
Pacemakers
function when only they are required. If the heartbeat is slow, it directs
signals to the heart to correct the heartbeat. Some of the latest versions of
the pacemakers supplied by cardiac pacemaker suppliers
contain sensors that notice body motion or breathing and signal the machine to
increase the heartbeat during exercise as required.
What are the components of a
pacemaker?
The
pacemaker is comprised of two components
A
pulse generator is a minor metal container that contains the battery and the
electrical circuitry that controls the speed of the electrical pulses sent to
the heart.
It
may contain one to three supple, insulated wires that are positioned in the
chambers of the heart and they transport the pulses to adjust the heartbeat. The
latest pacemakers have no wires and are named leadless pacemakers, that are
embedded straight into the heart muscle.
How do patients get ready for a
pacemaker implantation procedure?
Before
a physician decides that a patient requires a pacemaker, he will get several
examinations done to find the reason for the irregular heartbeat. These
examinations could include
An
ECG-This rapid examination computes the electrical activity of the heart.
Sticky electrodes are positioned on the heart and occasionally on the arms and
legs. Wires connect the electrodes to a computer and display the examination
outcome. The ECG can display if the heart is beating too fast, too slow, or not
at all.
Holter
Monitor- The Holter monitor is a small machine that tracks the heartbeat. The
doctor will require a patient to use the monitor for one or two days, as the
machine will record all his heartbeats. Holter monitoring is particularly
valuable in identifying heartbeat glitches that befall at random times.
Stress
Test- Some glitches in the heart only arise when a person is exercising. For
this investigation, AN ECG is done before and immediately after a patient walks
on a treadmill or rides a stationary bike.
What is the pacemaker implant
procedure like?
What occurs before the procedure?
The
patient shall be mostly awake when the pacemaker is implanted, which could take
a couple of hours. The medical team will implant an IV in his forearm or hand
and give him a tranquilizer to help him relax. His chest will be cleaned with a
special soap. Most pacemakers implant processes are completed using local
anesthesia to numb the part where the cut will be made. Though the amount of
anesthesia given will be contingent on the patient’s specific condition. He
could be awake, slightly sedated, or be given general anesthesia and he is
fully asleep.
What occurs during the process?
One
or more wires are implanted into a major vein underneath the collarbone of the
patient and are guided to the heart using x-ray pictures. One end of each wire
is secured at the precise location in the heart and the other end is connected
to the pulse generator, which is typically embedded under the skin beneath the
collarbone. The leadless pacemaker is generally smaller and needs a less
invasive operation to embed the machine. The pulse generator and other
pacemaker parts are enclosed in a solitary capsule. The doctor implants a
flexible catheter in the vein in the groin and then steers the single component
pacemaker through the catheter to the appropriate position in the heart.
What occurs
after the process?
The
patient would have to spend a day or two in the hospital after the implant. The
pacemaker will be programmed to fit his heartbeat requirements. He would need
somebody to drive him home.

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