Pacemaker implantation

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Infobox Medical Procedure
Name Pacemaker Implantation
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ICD-9-CM [[ICD-9-CM|]]
MeSH [[Medical Subject Headings|]]
OPS-301 code
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Pacemaker implantation is a medical procedure used to treat certain heart conditions by implanting a pacemaker device. A pacemaker is a small electronic device that helps regulate the heart's rhythm by sending electrical signals to the heart muscles. This procedure is typically performed by a cardiologist in a hospital setting.

Indications[edit | edit source]

Pacemaker implantation is indicated for individuals with certain heart conditions that result in an abnormal heart rhythm or arrhythmia. Some common indications for pacemaker implantation include:

  • Bradycardia: A slow heart rate, usually defined as less than 60 beats per minute.
  • Heart Block: A condition where the electrical signals in the heart are delayed or blocked, leading to an irregular heartbeat.
  • Sick Sinus Syndrome: A condition where the heart's natural pacemaker, the sinus node, does not function properly, resulting in an irregular heart rhythm.

Procedure[edit | edit source]

The pacemaker implantation procedure is typically performed under local anesthesia and takes about one to two hours to complete. The steps involved in the procedure are as follows:

1. Preoperative Preparation: The patient is prepared for the procedure by cleaning and sterilizing the surgical site, usually the chest area. Electrodes are placed on the patient's chest to monitor the heart's electrical activity during the procedure.

2. Incision: A small incision, usually about two to three inches long, is made in the chest to create a pocket for the pacemaker device.

3. Lead Placement: Thin, insulated wires called leads are inserted through a vein near the collarbone and guided to the heart. These leads are then attached to the pacemaker device.

4. Pacemaker Implantation: The pacemaker device is placed in the pocket created earlier and connected to the leads. The device is then tested to ensure proper functioning.

5. Closure: The incision is closed using sutures or surgical staples, and a sterile dressing is applied to the site.

Recovery and Follow-up[edit | edit source]

After the pacemaker implantation procedure, the patient is usually monitored in a recovery area for a few hours. Most patients can go home the same day or the following day, depending on their condition. It is important to follow the cardiologist's instructions regarding post-operative care, which may include:

  • Avoiding strenuous activities for a few weeks after the procedure.
  • Taking prescribed medications as directed.
  • Regular follow-up visits with the cardiologist to monitor the pacemaker's function and make any necessary adjustments.

Complications[edit | edit source]

While pacemaker implantation is generally considered safe, there are potential complications associated with the procedure. These may include:

  • Infection: The surgical site may become infected, requiring antibiotics or, in rare cases, removal of the pacemaker.
  • Bleeding: Excessive bleeding at the incision site may occur, requiring medical intervention.
  • Lead Dislodgement: The leads may become dislodged or move out of position, requiring repositioning or replacement.

Conclusion[edit | edit source]

Pacemaker implantation is a commonly performed procedure to treat certain heart conditions. It involves the implantation of a pacemaker device to regulate the heart's rhythm. While the procedure carries some risks, the benefits of pacemaker implantation in managing heart rhythm disorders are well-established. If you or a loved one has been recommended for a pacemaker implantation, it is important to consult with a cardiologist to discuss the potential benefits and risks specific to your situation.




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Contributors: Prab R. Tumpati, MD