Permanent Pacemaker Implantation: PART - 1

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A pacemaker is also named a cardiac pacing device.


Pacemakers can be specified as devices that are placed in your body by surgery to support the electrical system in your heart. It is generally used to stabilize irregular heart rhythms and prevent life dangering or disrupting odds. Single-chamber pacemakers use a single wire connected to one chamber of your heart, whereas Dual-chamber pacemakers use two wires. 


A pulse generator is a small metal case that contains an electronic circuit with a small computer and battery that regulates the pulses sent to the heart.


A lead is an insulated wire that connects to the pulse generator at one end and is placed in one of the heart chambers at the other end. Leads are most often placed through large veins in the chest that lead directly to the heart. An electrode at the tip of the lead contacts the heart wall. The leads send electrical impulses to the heart. It also senses the heart's electrical activity and sends that information back to the pulse generator. Pacing leads are placed in the atrium (superior atrium), ventricle (inferior atrium), or both, depending on the medical condition.


A new type of pacemaker called a biventricular pacemaker is now used to treat certain types of heart failure. Heart failure can cause the two ventricles to malfunction. Ventricular dyssynchrony is a general term used to describe this abnormal pumping pattern. When this happens, less blood is pumped out of the heart. A biventricular pacemaker stimulates both ventricles simultaneously to increase the volume of blood pumped out of the heart. This type of treatment is called cardiac resynchronization therapy (CRT).


After your pacemaker is placed, you will have regular appointments to make sure your pacemaker is working properly. Your doctor uses a special computer called a programmer to check your pacemaker's activity and adjust settings as needed.





Accounting for complete experience and practice, Dr. Aritra Konar is a Consultant Interventional Cardiologist at Apollo Gleneagles Hospital, Kolkata. He has been deemed one of the best cardiologists and heart surgeons in Kolkata for his expertise lies in Coronary (femoral & radial routes) angiography, Coronary angioplasty (including primary angioplasty), Peripheral angiography and angioplasty, Permanent pacemaker, ICD, CRT implantation, BMV, BPV, Right heart catheterization and so on, in procedural skills. His guidance is trusted and so are his skills.

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