Pacemaker Insertion


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  • What is a pacemaker?
  • When is pacemaker insertion recommended?
  • What Post-procedurecare should be taken?
  • When should you notify your doctor immediately post-surgery?
  • What are the complications which can occur after a Pacemaker insertion?
  • What are types of pacemakers
  • What are the treatment modalities?
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:

    What is pacemaker insertion?

    A pacemaker insertion is the process of implantation of a small electronic device into the chest wall thathelps to regulate arrhythmia or cardiac rhythmic disturbances in the heart and ensures that the heartbeat does not slow to low rate which could be dangerous. » Read More On Pacemaker Insertion…

    • Automated Implantable Cardioverter-Defibrillator (AICD): In cases of life threatening ventricular arrhythmias a battery-powered pulse generator is implanted often just below the collarbone. It acts as a pacemaker when heartbeats are slow and gives defibrillation (stopping too rapid and irregular contractions of the heart muscle fibers which causes lack of synchronism between heartbeat and pulse) shock when heart rate is too rapid or irregular.

Frequently Asked Questions

  • What should be avoided after a pacemaker surgery?
  • What is the length of the hospital stay after the surgery?
What should be avoided after a pacemaker surgery?

Following should be avoided after the surgery:

  • Close or prolonged contact with electrical devices (microwave ovens).
  • Devices with strong magnetic fields (cell phones and MP3 players)
What is the length of the hospital stay after the surgery?

Usually the stay in the hospital is for one to two days.

At Care For Your Heart we provide comprehensive cardiac treatment to all our patients.


heart specialist in mumbai


Heart Specialist In Mumbai




heart specialist in mumbai

Heart Specialist In Mumbai





For Interventions :
Wockhardt Heart Institute (Mumbai Central), Fortis Raheja Hospital (Mahim), Breach Candy Hospital (Peddar Road), Masina heart institute (Byculla), Somaiya Superspeciality Hospital (Sion)








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