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Pacemaker Implantation in India
Heart rhythm disorder is a serious medical condition and could lead to problems
ranging from simple palpitations to sudden death. But the modern Electrophysiology
has provided great solution to the patients suffering from heart rhythm problems. The
newer techniques and developments in Electrophysiology have enhanced the quality of
life in these patients to a great extent. Heart hospitals in India have now the best
electrophysiology teams to offer the best treatment for patients with heart rhythm
disorders.
The electrophysiology team – heart specialists, vascular surgeons, electrophysiologists are
all board certified and have enormous experience in electrophysiology studies,
radiofrequency ablations, pacemaker and device implantations and resynchronization
therapy.

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What is a Pacemaker?
A pacemaker is an electrical device that is used to
regulate and normalise the rhythm at which the heart
works. The rate at which the heart works and the
rhythm at which it works are triggered by electrical
impulses generated from within the heart.
Abnormalities in these electrical impulses result in
arrhythmia, where the heart rhythms are too slow, too
fast or irregular.
A pacemaker has two components to it: the electric leads which are connected to the
heart and a pulse generator/computer which detects abnormality in the heart's rhythm
and delivers an electrical impulse to the heart to normalise the rhythm.

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Different Types of Pacemakers:
•Permanent (internal) Heart Pacemaker - This kind of
Heart Pacemaker is implanted in a small pocket under
your skin and is meant to be left in there for the rest of
your life.
•Temporary (external) Heart Pacemaker - This is used
for initial stabilization of the patient during a cardiac
crisis.
•Demand Heart Pacemaker - This kind of Heart PacThis kind of Heart Pacemaker has
an inbuilt sensing device which senses when the heart beat is too slow and turns the
signal on.
Single Chamber Heart Pacemaker - This kind of device has one lead to carry signals to
and from one chamber of your heart, either the right atrium or, more commonly, the right
ventricle.

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How is the Pacemaker Implanted?
The pacemaker is implanted, normally in the upper chest, as part of a surgical procedure
performed under local anaesthesia. The electrophysiologist / cardiologist assisted by
fluoroscopy imaging, implants the leads at the designated locations within the heart, by
threading them through veins leading to the heart. The other end of the leads is connected
to the pulse generator unit which is implanted in the chest region. This procedure will take
upwards of one hour and can sometimes take several hours.
Once the leads are attached to the heart as well as the pacemaker, the cardiologist would
test the device to make sure that electrical impulses are flowing from the pacemaker to the
heart and that the heart rate and rhythm are being read accurately by the pacemaker.

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Medical Conditions When a Pacemaker is Needed
•An effective approach to control the
bradycardia (slow heart beat)
•It will give relief from irregular heart beat.
•Keep the heart beating at a rate that allows
you to continue living a normal life and meet
your body's demand for oxygen whatever
your activity level may be
•Allows you to enjoy a better normal quality
life

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