Pacemaker Implant surgery A pacemaker is an artificial medical device that is electrically-charged and is implanted under the skin to treat irregular heartbeats (arrhythmias). The pacemaker implant device normally consist of two parts, the main part where the battery and the other components that control your heartbeat are situated and the other part is one, or multiple leads that run from the heartbeat generating part of the implant to the heart muscles and are used to send the electrical signals allowing your heart to beat normally. Pacemaker implant surgery is used to treat a heart when it is beating too fast (tachycardia) or too slow (bradycardia). There are specialized pacemaker devices known as ‘biventricular pacemakers/bivents’ that are used to help both the sides of the heart beat in-sync for people suffering from severe heart failure.
Who is an ideal candidate for a Pacemaker Implant surgery?
You are an ideal candidate for a pacemaker implant surgery basically if your heartbeat is too slow or too fast, that cause your blood supplying capacity to get decreased. An adequate blood supply to the different parts of the body results in fatigue, dizziness, shortness of breath, damage to the organs as well as death in some cases. The pacemaker device assists the heart in pumping blood throughout the body using electrical impulses sent to the heart muscles. The device uses the electrical impulses to make the heart contract and thus allow a regular and controlled supply of blood to the different parts of the body. Modern pacemakers help to even track and record your heartbeat for analysis by the doctor. Some pacemakers are temporary and are useful in controlling several conditions. A temporary pacemaker is advised usually after a heart surgery or a heart attack. Pacemakers can also be used in cases where certain medications may slow your heartbeat. Before deciding about the surgery the surgeon/cardiac specialist will check your medical history as well as your overall health to determine if you are physically fit to undergo a pacemaker implant surgery. The most common diagnostic test that helps to determine if you need a pacemaker implant surgery is: Echocardiogram This test uses sound waves to determine the thickness and size of your heart muscles. This test uses sensors fixed to the skin to measure the nearly-imperceptible electrical signals that are generated by your heart with every beat. A Holter wearable monitoring device can also help track the nature of your heart’s rhythm for 24 hours. Stress test might also be recommended to determine your heart rate during exercise as well.
How is a Pacemaker Implant surgery performed?
The pacemaker implant surgery is one of the major surgeries in the cardiac field. The cardiac specialist/doctor will perform a series of pre-surgery tests on you to determine if you are fit to undergo a major surgery such as this. The most common form of procedure to fit a heart pacemaker (or an implantable cardioverter defibrillator) is the transvenous implantation method. This surgery requires the cardiologist to make an incision of around 2 inches below your collarbone on the left side of the chest. This incision is used to insert the leads (wires) of the pacemaker into a vein. The cardiologist will guide the leads through the vein into the required heart chamber while being assisted with live x-ray scans. These leads can be fixed simply to the tissue of the heart. The other end of the leads is then connected to the pacemaker that is fitted into the small space created by the cardiologist between the skin and your chest muscles. This surgical procedure is mostly performed under local anesthesia administered through an injection. This helps numb the chest area so you do not feel the incision at all. Another method of pacemaker implanting is the ‘epicardial implantation’ method. This is not a common procedure but is considered an alternative to the transvenous implantation method. This surgical implanting method requires fixing the leads of the pacemaker to the outer walls of the heart epicardium) through an incision in your abdomen, directly beneath the chest. This is a preferred method of pacemaker implanting in children as well as for people who are undergoing an additional heart surgery besides the pacemaker implanting. The epicardial implantation method is carried out under a general anesthesia to put you unconscious during the major procedure. This implant surgery also requires the cardiologist to make a small pocket between the skin and chest muscles to hold the pacemaker device close to the heart. The recovery time for a transvenous pacemaker implant is significantly less than that required after an epicardial pacemaker implant surgical procedure. After connecting the leads to the heart but before connecting these to the pacemaker device the cardiologist will run a test (pacing) to determine whether the leads are in perfect working conditions. This testing (pacing) is performed by sending electrical impulses into the leads to check if the heart is responding to the electrical signals by contracting and relaxing normally.
What are the complications associated with a Pacemaker Implant surgery?
As seen with major surgeries there are certain complications that are associated with a pacemaker implant surgery as well. These are the complications that are seen in rare cases after the surgery:
- Anesthetic reaction
- Damaged nerves
- Affected blood vessels
- Infection at surgery site
The cardiologist and your doctor will take every possible precaution to avoid these complications.
Connect with Travcure Medical Tourism Consultants for a Pacemaker Implant surgery in India
Travcure Medical Tourism Consultants are one of the most renowned companies in India. Travcure is connected to a wide network of world-class hospitals and cardiology clinics situated in every major city in India. This wide range of specialty hospitals and clinics are equipped with the best and most modern medical and surgical instruments. Travcure offers the pacemaker implant surgery in India at a cost-effective and highly efficient package.