: weakness, fast heartbeat, shortness of breath, and chest discomfort Since a pacemaker may stop arrhythmias, it is recommended in certain circumstances. A pacemaker may steady, accelerate, or slow the heartbeat, depending on the circumstances. Pacemakers may alleviate arrhythmia-related issues such as: • weariness • dizziness • a generally healthy way of living many pacemaker kinds The following kinds are depending on the patient’s condition: A single chamber pacemaker typically delivers electrical impulses to the heart’s right ventricle. In either the upper or lower chamber of the heart, it employs a single lead. Dual-chamber pacemakers: they assist in regulating the heart’s two chambers’ respective contraction times. It makes use of one lead in the heart’s upper chamber and one lead in its bottom chamber. Biventricular pacemaker: a pacemaker used in patients with heart failure who have faulty electrical systems; also known as cardiac resynchronization treatment. This kind of pacemaker increases heart rate efficiency by stimulating the heart’s bottom chambers. Three leads are used, including one in the right atrium. 2. The ventricle on the right 3. the left ventricle Leadless pacemakers are specialist pacemakers. prior to procedure Several tests are performed to identify the causes of an irregular heartbeat before the doctor determines if pacemaker surgery is necessary. these might include an electrocardiogram (ECG), an echocardiogram, a stress test, and holter monitoring, which is particularly useful for diagnosing irregular heartbeats that happen at random periods. It is a portable electrocardiogram (ECG) that collects data on the electrical activity of the heart during regular daily activities. It’s possible that local anesthetic will be used for the procedure, which is advantageous for completely unconsciousing the surgical site. As a result, the patient will probably remain conscious for the whole surgical process. An intravenous line is inserted so that sedatives may be given to induce relaxation. Following preparation and cleaning of the incision site, the surgical operation is carried out. After the surgery, one will probably need to spend the night in the hospital to recuperate. In this period, the pacemaker will be modified based on an analysis of the patient’s pacing requirements. Though a few days of recuperation are required, one may return to their regular schedule after that. modifications: Daily activities will need to be adjusted for someone who has a pacemaker. among them are: • It’s crucial to keep up physical exercise, but doing so also requires knowing when to quit before becoming too exhausted. • Refrain from applying force on the pacemaker. • examining the lower and top boundaries of the pacemaker and making sure the cardiac rhythm remains within them. • Steer clear of areas where gadgets that might disrupt pacemakers are present. For instance, cell phones and microwave ovens • speaking with the doctor about using over-the-counter painkillers in the event that pain develops during the surgery or anyplace nearby. Additionally, routine examinations are suggested in case an issue develops. extra warnings The pacemaker’s ability to work is either little affected by electrical interference or not at all. Nevertheless, it’s wise to use some caution: mobile phones: Given the importance of mobile phones in today’s technologically advanced world, it’s critical to understand the safety measures that should be taken. Talking on a mobile phone is safe as long as it is kept at least 6 inches (15 cm) away from the pacemaker. It is recommended against carrying a phone in a shirt pocket. medical equipment: It’s important to confirm that the dentist and physicians you see for follow-up visits are aware that you have a pacemaker. this is due to the possibility that many medical treatments, including MRIs, CT scans, radiation therapy for cancer, and many others, might interfere with the pacemaker. Other potential dangers include of: • an adverse response to the dye used during surgery; infection at the site of implantation • Swollen lungs • a response to medicine or anesthesia • Damage to blood vessels or nerves Pacemaker implantation is not a difficult surgical procedure. Open cardiac surgery is not necessary for it. • Within 24 hours after surgery, the patient may return home if no problems occur. • Local anesthetic is usually used throughout the process. Consequently, it is possible to prevent the problems brought on by the use of general anesthetic. • The majority of pacemakers are remotely monitorable. This function is crucial since it eliminates the need for numerous medical visits in periods like COVID-19. • The pacemaker may communicate with the doctor’s office to exchange data on the patient’s cardiac rhythm and heart rate, the pacemaker’s operation, and how much battery life is left. • The quality of life is excellent and problems after pacemaker operation are rare. • In some cases, the patient may have an allergy to the fluoroscopic dye or the anesthetic. This may result in some difficulties. Hospitals for pacemaker surgery in India: greams road fortis escorts and heart institute saifee hospital jaslok hospital bombay hospital & medical research centre; saket bgs gleneagles global hospital nanavati super speciality hospital apollo hospital s l raheja; fortis hospital apollo hospitals; Sir Ganga Ram Hospital; Manipal Hospital Kims — Krishna Institute of Medical Sciences max super speciality hospital;

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