It is an electronic medical device that sends out small electrical impulses that make a heart beat in a regular rhythm and at a normal speed. Just below the color bone in the chest, the pacemaker is placed.

PURPOSE

Maintaining an adequate heart rate is the main purpose of the pacemaker.

SOME DIAGNOSIS BEFORE IMPLEMENTATION:

• ECG (Electrocardiogram).
• ECHO (ECHOCARDIOGRAM).
• HOLTER MONITORING.
• STRESS TEST

Method of Pacing:

• EPICARDIAL PACING: Epicardial pacing is used in open heart surgery. On the outer wall of the ventricle, electrodes are placed. It maintains cardiac output until a temporary transvenous electrode is inserted.
• BIVENTRICULAR PACING: It is used to achieve CRT (cardiac resynchronization therapy). It can also be placed on both the ventral and septal walls of the left ventricle.
• PEECUSSIVE PACING: It is mainly used on the left lower edge of the sternum over the ventricle (right). Used as a lifesaving procedure, it is an old procedure.
• TRANSCUTANEOUS PACING: This procedure is performed by placing two pads in the patient’s chest.
• TRANSVENOUS PACING: Used as a bridge to permanent pacemaker placement, it can be kept until the pacemaker is placed.

ADVANCE PROCEDURE

There are some advanced procedures:

• Dynamic Pacemaker
• ICDS (implantable cardioverter defibrillators).
• Stim leadless pacemaker (nano).

DURATION

After the surgery, the hospital stay is about 5–7 days. Recovery mostly depends on the health before the surgery. Patients recover more quickly when they do regular exercise, maintain a healthy diet, and have regular checkups.

SUCCESS RATE

The success rate is about 97% for a three-lead pacemaker system. Risks and complications are low.