A pacemaker is a battery-operated device (generally small in size) that is placed in the chest or abdomen of the patient and helps control abnormal heart rhythms or arrhythmias. Arrhythmia is a condition of the heart where the heart is either beating too slow, too fast, or with an irregular rhythm.
A pacemaker senses when the heart is beating irregularly, and sends low-energy electrical pulses to the heart to restore the normal rate.
Parts of a pacemaker
Pacemakers generally have 2 parts:
- The pulse generator containing the battery
- The leads or wires that carry the electrical signals to the heart
How is a pacemaker implanted?
A pacemaker is implanted beneath the skin under local anesthesia. The implantation procedure takes about 1 hour and the patient is awake during the procedure. A small incision is made, usually on the left side of the chest below the collarbone, and the pacemaker is placed under the skin. The pacemaker generator can also be placed in the abdomen, but this is done in very rare cases. The leads are then inserted into a vein and positioned using the fluoroscopy machine. After this, the leads are tested and programmed. Most people get back to their normal lifestyle within a short period of time.
Who needs a pacemaker?
Pacemakers are used by people who have heart problems that cause their heart to beat too slow or too fast. Having a pacemaker can be lifesaving for many heart patients
People who need a pacemaker:
- Those whose heart beats are too fast (tachycardia), or too slow (bradycardia) and cannot be controlled by medication
- Those with a heart failure, where a defect in the heart’s electrical signals cause the heart to stop beating
- Those having a particular type of heart block, where a delay in the electrical conduction makes the heart beat too slowly
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