Pacemaker Implantation

Pacemaker is a device that sends small electrical impulses to the heart muscle to maintain a suitable heart rate or to stimulate the lower chambers of the heart (ventricles). A pacemaker may also be used to treat fainting spells (syncope), congestive heart failure and hypertrophic cardiomyopathy.

You may need a temporary (short-term) or permanent (long-term) pacemaker. A temporary pacemaker is normally inserted through a vein in the neck and remains outside your body. A permanent pacemaker is placed in your chest or abdomen. This topic focuses on permanent pacemakers.

Many people with pacemakers can return to their regular activities within a few days. You may need to avoid certain electrical devices or devices that have strong magnetic fields.

Factors causing them to be higher risk for standard treatment

  • Symptoms of coronary ischemia but have no signs of large vessel blockages Dr Amit Singhal cardiologist and heart surgeon’s work together with other specialists as needed to develop an individual plan of care that offers you the best outcomes possible.
  • Poor heart function (low ejection fraction) due to prior heart attacks
  • Other medical conditions (multivessel disease, severe valve disease, or other medical conditions) that increase the risk of treatment complications
  • Multiple blockages and are not good candidates for bypass surgery
  • Coronary artery disease and are interested in a hybrid (minimally invasive coronary artery bypass surgery (CABG) and percutaneous coronary intervention (PCI)) treatment approaches
  • Severe symptoms despite having all standard treatments. These patients may benefit from enhanced external counterpulsation (EECP)

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