Cardiovascular Services

Pacemaker Implants

A cardiac pacemaker is a device that is implanted under the skin to help control an individual's heart beat. This device is often used in people who have an arrhythmia, or abnormal heart beat, or in people whose heart beats too fast or too slow. A cardiac pacemaker sends signals to the heart that help it to beat at the correct and healthy pace. A cardiac pacemaker helps to track the heartbeat and maintain an adequate heart beat frequency to allow oxygen and nutrients to flow through the body.

Candidates for a Pacemaker

The heart pumps blood through the body in a continuous cycle through a steady heartbeat. The heart rate is controlled by signals sent from the body's natural pacemaker, called the sinoatrial (SA) node. These signals change as the body goes from rest to physical activity or an excited state. When the heart does not beat properly, it can reduce the amount of blood and oxygen that is pumped through the body, and to the brain and other organs, resulting in symptoms that may include lightheadedness, fatigue, fainting, and shortness of breath.

An implanted electronic cardiac pacemaker mimics the action of the natural pacemaker within the body. A cardiac pacemaker is a small, battery-operated device that is implanted under the skin, below the left collarbone, to help maintain a regular heartbeat. The pacemaker sends electronic signals to the heart to help it pump properly when needed. Types of cardiac pacemakers include:

  • Single-chamber pacemakers
  • Dual-chamber pacemakers
  • Biventricular pacemakers

The Pacemaker Implantation Procedure

A cardiac pacemaker is surgically implanted by a doctor. The pacemaker usually has two parts: the pulse generator and the leads. The pulse generator contains the battery and the information to control the heartbeat, and the leads are the wires that connect the heart to the generator and transfer the electrical messages to the heart.

Complications of Pacemaker Implantation

Although rare, complications of a cardiac pacemaker implant may include infection, bleeding or puncture of the heart or lung.

Results of Pacemaker Implantation

A cardiac pacemaker is an effective device for controlling and regulating heart rate. A pacemaker battery lasts an average of 7 to 10 years and should be checked regularly and replaced by a doctor when necessary.


Cardiac Defibrillator Implant

An implantable cardioverter defibrillator (ICD) is an electronic device that is implanted under the skin, and is used to detect an abnormal heartbeat. An ICD is often implanted in individuals with irregular heartbeats or heart arrhythmias. This device uses electrical impulses to control dangerous arrhythmias that may lead to heart attack or sudden cardiac arrest. If an abnormal heartbeat is detected, the ICD will deliver an internal electric shock to the heart, restoring a normal heart beat as needed.

An implantable cardioverter defibrillator use electrical pulses or shocks, to treat life-threatening arrhythmias that occur in the ventricles, or lower chambers of the heart. When ventricular arrhythmias occur, the heart cannot properly pump the blood. This may cause a person to lose consciousness within seconds and die within minutes if not treated. To prevent these dangerous results, heart arrhythmias must be treated right away with an electric shock to the heart, a treatment known as defibrillation. Individuals at risk for life-threatening ventricular arrhythmia may include people who have:

  • Congenital heart disease
  • Brugada syndrome
  • Existing ventricular arrhythmia
  • Experienced cardiac arrest

Individuals who have had a previous heart attack are at risk for ventricular arrhythmia and may be candidates for an implantable cardioverter defibrillator.

How an ICD Works

An ICD is a small, battery-operated device that is implanted under the skin, below the left collarbone, to help maintain a regular heartbeat. The ICD sends electronic signals to the heart to help it pump properly when needed. The ICD consists of two flexible parts: the lead and the pulse generator. The lead monitors and treats the heart, while the generator contains a battery and tiny computer. When a very fast or abnormal heart beat is detected, the ICD sends energy to the heart to shock it and help it return to a normal rhythm.

The ICD Implantation Procedure

A cardioverter defibrillator is surgically implanted and the procedure is performed in a hospital. A small incision is made under the collarbone, and the lead is placed in a vein and led to the heart chamber, while the generator remains attached to it and is placed under the skin of the upper chest. After the ICD is implanted, the doctor programs it to treat the individual's specific heart rhythm problem. Although rare, complications of an ICD implant may include infection, bleeding, damage to veins or puncture of the heart or lung.

Patients should avoid strong electric or magnetic fields after the implantation of the cardioverter defibrillator. An ICD battery lasts an average of 7 to 10 years and should be checked regularly and replaced by a doctor when necessary.

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