How is cardiac pacesetter implanted?

Cardiac pacemakers are implanted through a minimally invasive surgical procedure. Here's a general overview of the steps involved:

Pre-procedure preparation:

1. The patient undergoes a thorough medical evaluation to assess their overall health and determine the need for a pacemaker.

2. The specific type of pacemaker and procedure plan are determined based on the patient's condition and requirements.

Procedure (Implantation):

1. The procedure is typically performed in an electrophysiology laboratory or a cardiac catheterization lab.

2. The patient receives local anesthesia to numb the area where the pacemaker will be implanted, usually on the left or right side of the chest, below the collarbone.

3. Under sterile conditions, a small incision is made in the skin.

4. A pocket is created under the skin to accommodate the pacemaker.

5. Insulated electrical leads are inserted through a blood vessel and carefully guided to the heart.

6. The leads are then connected to the electrodes (usually on the heart's right ventricle or atrium), allowing them to monitor and regulate the heartbeat.

7. The pacemaker is placed in the pocket under the skin and connected to the leads.

8. The incision is closed with sutures or surgical glue.

9. The procedure typically takes about 1-2 hours to complete.

Post-procedure:

1. After the implantation, the patient is monitored in a recovery room to ensure their vital signs are stable and there are no complications.

2. Antibiotics and pain medication may be administered as needed.

3. Follow-up appointments and regular check-ups with a cardiologist are scheduled to ensure the pacemaker is functioning properly and make necessary adjustments to its settings.

It's important to note that the procedure may vary slightly based on the individual's condition and the type of pacemaker being implanted. The procedure is relatively low risk, and the vast majority of pacemaker implantations are successful.