Best TAVI Doctor & Heart Specialist in Mumbai

Pacemaker Insertion

Dr. Ankur Phatarpekar, renowned for their expertise in TAVI/TAVR procedures. Our specialists have extensive experience in performing these complex procedures TAVI/TAVR is a minimally invasive procedure used to treat aortic valve stenosis, a condition where the heart’s aortic valve becomes narrowed, restricting blood flow. During the procedure, a new valve is implanted within the diseased valve using a catheter, without the need for open-heart surgery. This innovative approach reduces recovery time and offers a less invasive alternative for patients who may not be suitable candidates for traditional surgery.

What is a pacemaker?

A pacemaker is a device made up of three parts: a pulse generator, one or more leads, and an electrode on each lead, which signals the heart to beat in cases of abnormal heartbeats (too slow or irregular) is known as a pacemaker.

When is pacemaker insertion recommended?

Bradycardia: Heart beat is too slow due to sinus node.
Tachy-brady syndrome: Alternating fast and slow heartbeats.
Electrical Heart block: Delayed or blocked electrical signal from upper chambers of heart to lower chamber.

What Post-procedurecare should be taken?

Medication regimen should be followed to prevent complications
Dietary intervention
Prevent overhead abduction of the arm (Movement you use to comb your hair or to reach out to objects kept at a height)

When should you notify your doctor immediately post-surgery?

Notify your doctor in case of any of the following warning signs:

Fever and/or chills
Nausea and/or vomiting,
Dizziness and/or fainting
Breathlessness
Increased pain
Redness or/and swelling at pacemaker site
Bleeding or any other drainage from the site of insertion
Chest pain/pressure and/or palpitations

What are the complications which can occur after a Pacemaker insertion?

Pneumothorax – Air accumulation outside the lungs compressing it making it difficult to breathe. Treatment – Usually resolves by conservative methods like high flow oxygen but in severe cases might require a tube to be inserted to remove the air from the chest
Pericardial Tamponade – The wire inserted in the heart can cause trauma to the heart leading to blood accumulation around it. Treatment – Removal of Blood and replacement of leads.
Dislodgement of leads – The leads might get dislodges which requires refixation of leads
Infection of the pacemaker – A complication which requires hospitalization for antibiotics and sometimes removal or explant of the pacemaker.
Twiddler syndrome – As the pacemaker is just under the skin some patients might fiddle with the device which might inadvertently lead to dislodgement of the wire.

What are types of pacemakers

Steps followed in diagnosis is as follows:

Physical examination, to check for the pulse, heart rate and rhythm.
If abnormality suspected: Electrocardiogram (ECG) to confirm diagnosis.
Further 24 hours ECG (Holter Monitory) is done to get required information.
Further tests like echocardiogram (echo), blood tests, chest x-ray, stress test, and coronary angiograph can be done as per the clinical judgement of the treating cardiologist.

What are the treatment modalities?

Treatment of rhythm disturbances includes the following:

Medications to normalize the heart rate
Cardioversion: Shock Therapy
Electrophysiology study and Ablation: An invasive study conducted to identify reasons for the abnormal heart rate and to deliver therapy via radio frequency waves to damage (ablate) a small spot of heart tissue, which helps to create an electrical block along the pathway causing arrhythmia.This is done in case of abnormal fast rhythms.
Pacemaker Insertion:

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