Pacemaker Insertion
Pacemaker insertion is a well-established procedure that can
significantly improve quality of life for patients with specific heart
rhythm disorders. The decision to implant a pacemaker should be
made carefully, considering individual patient factors and following established guidelines.
involves making a small incision near the collarbone, threading wires (leads) into the heart via a vein, and placing the pacemaker generator (pulse generator) under the skin.
Who Needs?
- Symptomatic sinus bradycardia, including frequent sinus pauses
- Symptomatic chronotropic incompetence
- Symptomatic second or third-degree AV block
- Congenital complete AV block with specific conditions
- Neuromuscular diseases with symptomatic bradycardia
- Kearns-Sayre syndrome with any degree of AV block
- Some patients with myotonic dystrophy type 1 or lamin A/C gene mutations
Procedure details:
- Performed by a cardiac electrophysiologist or cardiac surgeon
- Usually done under local anesthesia with sedation
- Small incision made below the collarbone
- Leads are threaded through veins into the heart
- Pacemaker generator is placed in a pocket under the skin
- Procedure typically takes 1-2 hours
Equipment used:
- Pacemaker pulse generator and leads
- Fluoroscopy equipment for real-time imaging
- Sterile surgical instruments and supplies
- Cardiac monitoring equipment
- Temporary pacemaker (if needed)
Benefits:
- Eliminates symptoms of bradycardia
- Improves energy levels and reduces shortness of breath
- Restores normal heart rates and proper blood circulation
Long-term considerations:
- Battery typically lasts 5-7 years, requiring eventual replacement
- Some lifestyle adjustments (avoiding strong electromagnetic fields)
- Regular follow-up appointments for device monitoring
Recovery and follow-up:
- Hospital stay of 24-48 hours, sometimes same-day discharge
- Complete healing takes up to 6 weeks
- Restrictions on arm movement and heavy lifting for several weeks
- Regular follow-up appointments for device checks
Risks and complications:
- Infection at the surgical site
- Bleeding or bruising
- Lead dislodgement or malfunction
- Device malfunction
- Inappropriate pacing
What PATIENTS SAYS !!
Vishal Saxena
Heart Patient
I am grateful to Dr Gautam Swaroop for the medical treatment provided to me during my stay at Sahara hospital,when we lost all hopes ...We believe our prayers was answered by competent,composed and caring Dr Gautam swaroop...
Ram Dev Maurya
Heart Patient
I am really happy to quote that generally doctors after doing surgery and operations...immediately after the operation there is poor accessibility of doctors but Dr gautam swaroop is always available for his patient 24*7
Bechan prasad mishra
Heart Patient
30 minutes after my heart attack I was rushed to Sahara hospital Dr. gautam swaroop put a Life saving stent immediately....and i am alive ....whenever I go and meet Dr. Gautam Swaroop for regular checkup I always feel I am in safe hands
Ranjan Kumar singh
Heart Patient
My patient was on ventilator because of heart attack. We were refused from all hospitals in Lucknow including LARI cardiology. We had lost hope. We admitted under Dr Gautam Swaroop. He did Angioplasty on ventilator and he saved my Father’s life. He has got miraculous hand.My whole family is thankful to him. He is next to God for us.
