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Pacemaker Implantation
Find the best hospitals for Pacemaker Implantation on the Bajaj Finserv Health platform.
Minimum Cost
₹2,40,000
Average Cost
₹2,65,000
Maximum Cost
₹4,40,000
- pacemaker implantation cost in India depends on factors like the city, hospital and doctor.
- You can convert your pacemaker implantation cost into easy, no-cost EMIs with Bajaj Finserv Health.
Quick links
- What is Pacemaker Implantation Surgery?
- Types of Pacemaker Implantation Procedures
- When is pacemaker implantation operation required?
- How to prepare for pacemaker implantation surgery?
- What happens before pacemaker implantation surgery?
- What happens during pacemaker implantation operation?
- Methods/Techniques used for performing pacemaker implantation procedure
- Post Procedure details
- Risks and complications associated with pacemaker implantation surgery
- Why Bajaj Health?
What is Pacemaker Implantation Surgery?
Pacemaker implantation surgery is a medical procedure that involves the placement of a small, battery-operated device called a pacemaker into the chest. This device helps regulate the heart's rhythm by sending electrical signals to the heart; this ensures the correct pace of beats. Pacemakers are most commonly used to treat a condition known as arrhythmia, which is characterized by an irregular heartbeat. During the procedure, a small incision is made in the chest, and the pacemaker is inserted beneath the skin. The pacemaker is connected to the heart through one or more wires, known as leads, which carry the electrical signals from the pacemaker to the heart. Once the pacemaker is in place, it constantly monitors the heart's rhythm and adjusts its electrical signals as needed to ensure the heart is beating at the correct pace. The need for a pacemaker can be determined by a cardiologist, based on a patient's symptoms and the results of various heart tests. Symptoms that may indicate a need for a pacemaker include fatigue, dizziness, shortness of breath, fainting spells, and palpitations. Pacemaker implantation is generally a safe procedure, but it has some risks like infection, bleeding, and complications related to the anesthesia.
Types of Pacemaker Implantation Procedures
Single Chamber Pacemaker Implantation
This type of pacemaker has one lead that connects the pacemaker to one of the heart's chambers. The lead can be placed in the right atrium or the right ventricle, depending on the patient's specific heart condition. This is a less common type of pacemaker, as it is generally less effective at coordinating the heart's rhythm than dual chamber pacemakers.
Dual Chamber Pacemaker Implantation
This is the most common type of pacemaker. It has two leads: one is placed in the right atrium and the other one is placed in the right ventricle. This allows the pacemaker to better coordinate the contractions of the upper and lower heart chambers, enabling the heart to pump blood more efficiently.
Biventricular Pacemaker Implantation
This type of pacemaker, also known as a cardiac resynchronization therapy (CRT) device, has three leads: one each in the right atrium, the right ventricle, and the left ventricle. It is used in patients with heart failure, as it helps the left and right ventricles to contract at the same time, improving the heart's ability to pump blood.
When is pacemaker implantation operation required?
A pacemaker implantation operation is required when a person's heart rate is too slow, too fast, or irregular. This condition is known as arrhythmia. The pacemaker helps control the heartbeat and maintain a normal heart rhythm.
People with heart failure may also need a pacemaker. Heart failure happens when the heart is unable to pump sufficient blood to supply your body's needs. A special kind of pacemaker called a biventricular pacemaker can help improve the symptoms of heart failure.
Furthermore, a pacemaker may be required if a person has had a heart attack which damaged the heart's electrical system, or if they have other conditions that influence the heart's electrical activity such as long QT syndrome or Brugada syndrome.
In some cases, certain medications used to treat heart problems or high blood pressure can slow down the heart rate too much. If these medications are essential and cannot be changed, a pacemaker may be needed to help regulate the heart rate.
Lastly, a pacemaker might be required if a person experiences frequent fainting spells due to a slow heart rate. These fainting spells are often caused by a condition called sick sinus syndrome; in this, the heart's natural pacemaker (the sinus node) does not work properly.
How to prepare for pacemaker implantation surgery?
Before the surgery, you will have a thorough medical exam and blood tests. Your doctor will review your medications and may ask you to stop taking certain drugs before the procedure.
You will be asked to fast for a certain period before the surgery, usually overnight. This is because anesthesia is used during the procedure and having food or liquid in your stomach can increase the risk of complications.
Make sure to inform your doctor about any allergies you have, especially to any medications. This is to avoid any allergic reactions during the operation.
On the day of the surgery, you should arrive at the hospital or surgery center well ahead of the scheduled time. This will give you plenty of time to complete any necessary paperwork and prepare for the procedure.
You will be provided with a hospital gown to wear and will be asked to remove any jewelry or other valuables. Your chest area where the pacemaker will be implanted will be shaved and cleaned to reduce the risk of infection.
Finally, an IV line will be placed in your arm or hand. This is used to deliver medications and fluids during the procedure.
What happens before pacemaker implantation surgery?
Before you undergo pacemaker implantation surgery, your doctor will do a complete medical examination to evaluate your overall health. This typically includes blood tests, a chest X-ray, an electrocardiogram (ECG), and an echocardiogram. These tests aid the doctor in understanding your heart condition and determining the most suitable type of pacemaker for you.
Next, your doctor will explain the procedure, its benefits, and potential risks. You will be asked to sign a consent form, granting permission for the surgery.
It is crucial to inform your doctor about your current medications, if any, as some of these may need to be stopped before the surgery. This includes anticoagulants (blood-thinning medications) and certain other drugs.
In order to prepare for the surgery, you will be asked to fast for a certain period. Generally, patients are asked to refrain from eating or drinking anything after midnight on the night before the surgery.
On the day of surgery, you will be given a hospital gown to wear. A nurse will initiate an intravenous (IV) line in your arm or hand. This line is used to deliver medications and fluids during surgery.
What happens during pacemaker implantation operation?
Once you are in the operating room, you will be connected to several monitors that track your heart rate, blood pressure, and oxygen levels throughout the surgery. You will then be given a local anesthetic to numb the area where the pacemaker will be inserted, usually in the chest.
The surgeon will make a small incision, usually on the left side of your chest. Lead (a flexible, insulated wire) is threaded through a vein and guided to your heart with the help of fluoroscopy, a type of X-ray. The lead's tip attaches to your heart tissue, while the other end connects to the pacemaker device.
The pacemaker is connected to the lead(s) and programmed. It's placed under the skin in the chest, and the incision is shut off with stitches or staples.
The entire process typically takes one to two hours. However, the duration may vary depending on the complexity of your case and the type of pacemaker being implanted.
Most pacemaker implantation surgeries are done under local anesthesia; thus, you shall be awake but will not feel any pain in the surgical area. However, you may be given a sedative to help you relax during the procedure.
Methods/Techniques used for performing pacemaker implantation procedure
A pacemaker implantation procedure is a minimally invasive surgery in which a small electronic device is placed in the chest for regulation of heart rhythms. The process begins with the following steps:Preparation:
The patient is given a local anesthetic to numb the area. Sedation may also be provided to ensure the patient is relaxed and comfortable.
Incision:
A small cut is made in the chest where the pacemaker will be placed.
Lead placement:
One or two leads, thin insulated wires, are passed through the vein into the heart. The leads carry electrical signals from the heart to the pacemaker.
Pacemaker placement:
Once the leads are in place, the pacemaker is connected to the leads and placed under the skin.
Testing:
The pacemaker is tested to ensure it is working properly and the incision is closed.
Post Procedure details
After the procedure, the patient is moved to a recovery area for monitoring. Details of the post-procedure include:Observation:
The patient's heart rate and blood pressure are closely monitored. In some cases, a chest X-ray may be done to check the position of the pacemaker and leads.
Recovery time:
Most people can go home within a day of having a pacemaker implanted. Full recovery typically takes about a week.
Follow-up:
Regular follow-up appointments are necessary to check the pacemaker and adjust its settings if necessary. The battery usually lasts between 5 to 15 years.
Risks and complications associated with pacemaker implantation surgery
The potential risks and complications of pacemaker implantation may include:Infection:
There's a small risk that the skin around the pacemaker could become infected.
Bleeding or bruising:
These complications are rare and usually minor.
Damage to nerves or blood vessels:
This is a rare complication of this surgery.
Pacemaker malfunction:
• Pacemaker malfunction:
Other complications:
These may include allergic reactions to anesthesia, blood clots, or puncture of the heart or lung.
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DisclaimerThe cost of pacemaker implantation depends on the following factors: the city, the hospital that is selected, the complexity of the procedure and the room chosen by the patient. The price range mentioned here is an approximation of the surgery cost; Bajaj Finserv Health does not claim that these prices are an exact estimate. For exact information about surgery charges, it is best inquire at the selected hospital.