Pacemaker implantation is a procedure to place a small electronic device that helps regulate slow heart rhythms. At Livasa Hospital, permanent pacemakers are implanted for patients with symptomatic bradycardia or heart block, helping to prevent dizziness, fainting and heart failure symptoms.

What is a Pacemaker?

A pacemaker is a small device placed under the skin, usually below the collarbone, that sends electrical impulses to the heart to maintain an adequate heart rate. It consists of:

• A pulse generator (battery and electronics)

• One or more leads (wires) that deliver impulses to the heart chambers

Indications for Pacemaker

Common indications include:

• Symptomatic sinus node dysfunction (sick sinus syndrome)

• Advanced atrioventricular block (second-degree Mobitz II or complete heart block)

• Slow heart rate causing syncope or near syncope

• Certain neuromuscular diseases with conduction disease

• Post-surgical or post-procedural conduction disturbances

Types of Pacemakers

The Implantation Procedure

1. Pacemaker implantation is usually done under local anaesthesia with mild sedation.

2. A small incision is made below the collarbone.

3. Leads are advanced through a vein into the heart under X-ray guidance.

4. Leads are tested for stability and electrical parameters.

5. The pulse generator is connected to the leads and placed in a pocket under the skin.

6. The incision is closed and dressing applied.

The procedure typically takes 45–90 minutes.

Post-Procedure Care

• Monitoring overnight or as advised by the cardiologist.

• Arm movements on the side of implantation are restricted for a short time.

• Wound care instructions are given, and stitches are removed after healing.

• Device checks are scheduled periodically to assess battery life and function.

Long-Term Follow-Up

Pacemakers can last 5–12 years depending on usage and device type. Regular follow-up includes:

• Device interrogation with programmer

• Checking battery status and lead performance

• Adjusting settings based on patient symptoms and heart rhythm

Why Livasa Hospital?

• Experienced pacing and electrophysiology team

• Access to modern pacemaker and CRT devices from reputed manufacturers

• Dedicated follow-up program for device patients

• Integrated management of associated cardiac conditions

NAP – Contact Details

Livasa Hospital Mohali
Sector 71, Sahibzada Ajit Singh Nagar (SAS Nagar)
Mohali, Punjab – 160071
Phone: +91-80788 80788
Website: www.livasahospitals.com

Call +91-80788 80788 to discuss whether pacemaker implantation is appropriate and to arrange an evaluation.