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Why Are Permanent Pacemakers Necessary, and what to expect during surgery?

Why Are Permanent Pacemakers Necessary, and what to expect during surgery?

Updated at: 11 Sep 2023


A permanent pacemaker can be a life-saving solution for those who are struggling with an irregular heartbeat. It is an electronic device that helps maintain a regular heart rhythm. The best cardiac surgeon in Hyderabad implants in the chest to keep a normal heartbeat without beating too fast or too slow. Here, we will discuss how a permanent pacemaker surgery works and what will happen during the pacemaker implantation procedure.

What is the main role of a Permanent Pacemaker?

If somebody has been experiencing irregular heartbeats for a long time, then there is a need for pacemaker surgery. That pacemaker surgerys main role is to reduce the chances of heart failure with hypertrophic cardiomyopathy. 

The electrical impulses in the heart stimulate the heart muscle. Because of this, the heart beats normally. These pulses originate from the sino-atrial node, triggering the contraction and the subsequent pumping of blood to the ventricles, lungs, and body.

However, if your heart experiences complications that disrupt these regular impulses or interrupt their timing, the solution is a permanent pacemaker. 

How does a pacemaker work?

A pacemaker is an incredible device that sends regular electrical signals to your heart, ensuring it pumps at a normal rate. It looks like a small battery-powered box. It is permanently implanted into the chest, with insulated wires delivering precise electrical impulses to keep your heart in rhythm.

Whether you are experiencing heart rhythm problems or simply want to maintain a healthy heartbeat, a pacemaker is a good option for you. With this amazing technology, you can regain an active, vibrant lifestyle that heart issues may have impacted. Patients often report a surge of energy and vitality after having a pacemaker implant.

Also read: Pacemaker surgery and its types

What are the different types of Pacemakers?

When it comes to heart pacemaker surgery, there are mainly two options. Such as: temporary pacemakers and permanent pacemakers.

  • What is a temporary pacemaker?

From the name you can guess that, it is for a short period of time. They are attached to the heart muscle through a small wire via a vein or chest. These temporary pacemakers typically stabilize the heart rate in the short term. That may be due to physical trauma, infection, a heart attack, heart surgery, or while waiting for a permanent pacemaker.

  • What are permanent pacemakers?

If you have long-term heart issues, a permanent pacemaker is necessary. This type of pacemaker is implanted during the pacemaker surgery and is designed to provide ongoing support and regulation for the heart.

Is a pacemaker right for you? Here are the signs to look out for.

If your hearts rhythm is disrupted, you might need a pacemaker. This could mean your heart beats too fast, slow, or irregularly. This is commonly known as arrhythmia.

Below are the symptoms of heart rhythm problems:

  • Dizziness

  • Fatigue

  • Shortness of breath

  • Fainting

If you are visiting a cardiologist for an arrhythmia, it does not mean you need a pacemaker. Various types of arrhythmias are there. Some are harmless and do not require pacemaker treatment to restore rhythm.

The top Cardiologist in Hyderabad will check your symptoms and guide you towards the best treatment options for your arrhythmia.

How do pacemakers operate and differ?

When it comes to pacemakers, there is a range of options available. The best cardiac surgeon in Hyderabad will determine the most suitable type for your specific needs of pacemaker surgery. Pacemakers can have one, two, or three leads, depending on your heart condition.

The main types are as follows:

  • Single chamber:

With a single lead, it connects to an upper or lower chamber of the heart.

  • Dual chamber: 

This type features two leads, connecting to both the top and bottom chambers.

  • Biventricular: 

Utilizing three leads, it connects to the right atrium, right ventricle, and left ventricle. This biventricular is often prescribed for advanced heart failure treatment.

What are the Potential Risks of a Permanent Pacemaker Procedure?

Permanent pacemakers are widely used in every heart hospital. Just like any medical procedure, they come with potential risks and complications. These may include infection at the incision site, swelling, bruising or bleeding, blood clots near the pacemaker, damage to blood vessels, collapsed lung, and movement of the leads.

Above all the risks, a pacemaker implantation procedure is generally considered a safe procedure. If you have any worries or concerns, then consult with the best cardiologist in Hyderabad.

Also read: Pacemaker surgery cost in Hyderabad

The Impact of Pacemakers on Your Life:

A pacemaker can regulate your hearts rhythm. It is important to note that it does not stop any heart disease. However, maintaining your overall health is still crucial.

Follow these general guidelines for living with a pacemaker:

  • Regular check-ups: 

Schedule yearly check-ups to ensure your pacemaker is functioning properly. These check-ups are non-invasive and can be done wirelessly. The battery life of your pacemaker typically lasts between five and 15 years, and your doctor will notify you well in advance when it needs to be replaced.

  • Carry a card: 

Keep a card in your wallet or bag indicating that you have a pacemaker, just in case of emergencies.

  • Inform healthcare professionals: 

If you need to undergo surgery, tests, or scans, always inform your healthcare provider about your pacemaker. Magnetic resonance imaging (MRI) and CT scans can interfere with its functionality.

  • Mobile phone precautions: 

Avoid placing your mobile phone near your chest and holding it to the ear opposite the pacemaker while talking. This reduces any potential interference.

  • Electrical equipment: 

Stay away from electrical generators and high-voltage equipment to prevent any disturbances or complications with your pacemaker.

  • Job considerations: 

If your job involves operating heavy machinery or driving, make sure to inform your doctor about it.

  • Lifestyle activities:

Your pacemaker wont impact your ability to play sports or engage in sexual activities. However, it is advisable to be cautious with high-contact sports.


Implantation of pacemakers provides a reliable and effective way to treat cardiac arrhythmias. The surgery can be done quickly by an interventional cardiologist. Patients usually do not experience any major side effects from the procedure. Knowing this, if you or someone you know is suffering from an irregular heartbeat, make sure to seek medical advice as soon as possible. If you are looking for the best cardiologist in Hyderabad, then consult with Dr Asif. With proper knowledge in hand and skilled care, the future of cardiac health can be bright!




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