Cardiac Pacemaker Installation

Cardiac Pacemaker Installation

Cardiac Pacemaker - Surgery, Risks and Cost in India

A pacemaker insertion involves a treatment where an electrically-charged medical device, called pacemaker is implanted in your body to deal with irregular heartbeats called arrhythmias. During an arrhythmia, the heart is not able to pump an adequate amount of blood to the body. This causes several body symptoms such as tiredness, breathing problems, or fainting. If the arrhythmias are severe, the body's vital organs can be damaged and may even cause loss of consciousness or death.

Pacemakers generally treat two types of arrhythmias:

  • Tachycardia, when the heartbeat is very fast.
  • Bradycardia, when the heartbeat is very slow.

Normal ageing of the heart may sometimes interrupt your heart rate, leading to slow heartbeats. Heart muscle damage resulting from a heart attack is another common cause of disruptions of your heartbeat.

Other factors also govern your heart rate. Intake of some medications also interferes with your heartbeat. Genetic conditions are also responsible for causing arrhythmia. Regardless of the underlying cause of an abnormal heart rate, a pacemaker insertion may fix it.

Pacemaker Device

Pacemakers are electronic devices that may be implanted in a person's body, most often via surgical procedures, to maintain the electrical system that is found in the heart. They can normalize irregular cardiac rhythms and avoid issues that have the potential to disturb your life or put your life in jeopardy.

The chambers of your heart are each equipped with an electrical system that informs them when it is their time to contract and squeeze the blood out of the arteries. When there is a problem with the electrical system in your heart, your heart's chambers may contract incorrectly or not be strong enough to supply your body with the necessary amount of blood. Electrical impulses are the primary tool that pacemakers use to restore normal heart rhythm.

How does a pacemaker work?

A pacemaker installation is regulated the entire body’s electrical system, thereby controlling your heart rhythm. As every heartbeat is made, an electrical impulse is transmitted throughout the body, from your heart, sending signals to your heart’s muscles to contract.

A pacemaker insertion is also capable of tracking and recording your heartbeat. A record can help your doctor to analyze your arrhythmia better. Pacemakers may contain one to three wires which are planted in the different chambers of your heart to carry out several functions.

  • The wires planted in a single-chamber pacemaker: These wires transmit electrical pulses from the generator to the lower right chamber of your heart.
  • The wires present in a dual-chamber pacemaker: These wires transmit the electrical pulses to the upper right chamber of your heart and the right ventricle.
  • The wires planted in a biventricular pacemaker: These wires are responsible for transmitting pulses from the generator to an atrium and both ventricles.

Symptoms of Arrhythmia

It's possible that someone with a heart Arrhythmia won't have any symptoms or indicators. When a doctor examines you for another reason related to your health, they can detect that you have an erratic heartbeat. In general, the following are some of the indications and symptoms that may be associated with Arrhythmias:

  • There was a palpitation in the chest.
  • A sluggish beating of the heart (bradycardia).
  • A rapid beating of the heart (tachycardia).
  • Uneasy and shallow breaths
  • Aching in the chest

Other possible symptoms include the following:

  • Anxiety.
  • A feeling of lightheadedness or vertigo.
  • Fatigue.
  • Syncope is sometimes known as passing out or coming dangerously close.
  • Sweating.

Why do I need a pacemaker insertion?

You need a heart pacemaker surgery or a pacemaker insertion if your heart is pumping blood very fast or very slowly. Because in both cases, your body is not able to get enough blood. This condition can cause:

  • Fatigue
  • Fainting/lightheadedness
  • Shortness of breath
  • Damage to vital organs
  • Eventual death

Best Cardiac Pacemaker Installation Doctors in India

1. Dr. T S Kler


2. Dr. Ashok Seth


3. Dr. Naresh Trehan


4. Dr. Kewal Krishan

Dr Kewal Krishan - Heart Transplant and LVAD Heart Surgeon in India

Best Treatment for Arrhythmia

Arrhythmias may be treated with a vast number of different medications. Since each person is unique, you may need to experiment with several various drugs and dosages before finding the one that is most effective for you. Several different medications are utilized, including:

  • Anti-arrhythmic medicines are medications that are used to either convert an irregular heartbeat to sinus rhythm, often known as a normal heartbeat or to prevent an Arrhythmia from occurring.
  • Anticoagulant or antiplatelet treatment refers to using medications, such as warfarin (which thins the blood) or aspirin to lower the risk of developing blood clots or stroke.
  • Medicines used to regulate the heart rate are referred to as heart-rate control drugs.
  • Medications are used to treat associated illnesses, which may be the root cause of an irregular heart rhythm.

You must be aware of:

  • Which drugs are you now taking, and their names?
  • What purpose do they serve?
  • How often and when exactly should you take them?

Pacemaker Surgery

Pacemaker installation generally takes about 1 to 2 hours. Before the Pacemaker insertion surgery, you will be injected with a local anaesthetic on the site where the incision will be made. This is done in order to ensure a painless surgery. A small incision is made around the shoulder by the surgeon. A small wire is then passed through the incision leading to the major vein which is near your collarbone area. After this, the surgeon guides this wire through your vein to finally your heart. During this entire Pacemaker installation procedure, an X-ray machine is used which guides the surgeon with the wiring. Using the wire, your surgeon attaches an electrode to your heart’s right ventricle. The ventricle is the biological term for the lower chamber of the heart. The wire on the other end is attached to a pulse generator which consists of the battery and electrical circuits. The generator is generally implanted under your skin near your collarbone. In case you are getting a biventricular pacemaker installation, the second lead is attached to your heart’s right atrium. The atrium is the upper chamber of the heart.

When the surgery is completed, the surgeons stitch the incision area.

Cardiac Arrhythmia Treatment

The treatment of Arrhythmias of the heart varies depending on whether the patient is experiencing a rapid heart rate (tachycardia) or a sluggish one (bradycardia) (bradycardia). While some cardiac Arrhythmias need medical attention, others do not. It's possible that your doctor would advise you to see them frequently to check on your progress.

Most people with heart Arrhythmia don't require therapy unless the abnormal heart rhythm severely interferes with their quality of life or puts them at risk for other cardiac issues. Arrhythmias in the heart may be treated with medication, therapy (such as vagal movements), cardioversion, catheter operations, or even surgery.


Heart Arrhythmias are treated with different medications based on the specific kind of Arrhythmia and any associated risks. Most patients diagnosed with tachycardia are given medications to slow their heart rate and return to a normal rhythm. Blood thinners are sometimes administered for people with atrial fibrillation to reduce the risk of stroke and heart attack caused by blood clots. To lessen the likelihood of difficulties, taking the prescription as prescribed is crucial.


Vagal maneuvers and cardioversion are two treatment options for patients experiencing an irregular heartbeat due to cardiac Arrhythmias.

1. Vagal maneuvers: Supranuclear tachycardia causes a rapid heart rate. Hence this treatment may be suggested by a doctor. Because of its effect on the vagus nerves, which regulate heart rate, vagal maneuvers are commonly used to help patients feel better. Arrhythmias may be halted by various measures, including holding your breath and putting pressure on your chest, immersing your face in cold water, or coughing. Not all Arrhythmias can be treated with vagal movements.

2. Cardioversion: Medication or surgeries are both viable options for this way of resetting the heart's rhythm. If you have Arrhythmia like atrial fibrillation, your doctor may suggest this therapy.

Pacemaker Surgery Recovery

Post your Pacemaker installation surgery, your surgeon may discharge you the same day or make your stay in the hospital overnight.

Before you are discharged, your surgeon will make sure of the pacemaker's placement is done properly along with its proper programming so that your heart functions properly. At the follow-up appointments, your surgeon may reprogram the pacemaker according to the needs.

For the first few months post your Pacemaker installation surgery, you should avoid heavy exercising and heavy lifting. For discomfort, you may be prescribed over-the-counter medications. Every few months, you’ll attach your pacemaker up to a phone line. The unique gadget will be provided to you by your surgeon. This gadget will allow your surgeon to receive information from your pacemaker saving you the hospital visit.

Pacemaker Insertion Surgery Risks

Pacemaker insertion surgery is generally is a safe procedure without any complications or risks. If risks do occur, they may include:

  • Swelling, bleeding, bruising, or infection.
  • Blood vessel or nerve damage
  • A collapsed lung
  • A bad reaction to the medicine used during the procedure

Pacemaker Implantation Cost

The typical cost of a pacemaker is about $6,700 (ranging from roughly $5,200 to $10,800). The overall cost of implantation of a pacemaker may vary anywhere from around $9,600 to $20,000, with the average cost being approximately $14,300. The operation is often protected by insurance. However, insurance and the amount that you are personally responsible for paying may vary from person to person.

Cardiac Pacemaker Surgery FAQs

Is it an essential condition to have Arrhythmia?

The majority of individuals have had at least one episode of Arrhythmia, often known as an irregular heartbeat. While Arrhythmias are primarily harmless, having one may sometimes raise your chance of developing a more severe cardiac issue. Most Arrhythmias are entirely safe, but some types may indicate a more severe form of cardiac disease or need medical treatment.

Is it possible to treat Arrhythmia?

On the other hand, ablation techniques can potentially cure some kinds of Arrhythmia, while drugs are used to regulate irregular cardiac rhythms. Most people who have problems with their cardiac rhythm can resume their typical activity levels after their condition has been addressed, whether by ablation or continuous medication.

Is it possible for anxiety to produce Arrhythmia?

Could anxiety be a factor in the development of Arrhythmias? Yes. As was said before, our hearts interpret this as an imminent danger when we are concerned or stressed out. This sets off our "fight or flight" reaction, which causes adrenaline to be produced. This, in turn, may set off Arrhythmia, which in turn sets off an extra release of adrenaline.

Can a blood test detect an irregular heartbeat?

Examination of the Blood To identify cardiac Arrhythmia, doctors may also choose to perform blood tests. The heart's electrophysiological function depends on the levels of calcium, potassium, and magnesium in the body, all of which are shown by the tests.

What is the cause of irregular heartbeat?

Many factors lead to irregular heartbeat (arrhythmia), among which the most frequent is atrial fibrillation. It leads to a fast and irregular heartbeat. The factors that cause arrhythmia are previous heart attacks, congenital heart problems, smoking, and stress. Further, some medicines or substances can also cause irregular heartbeat.

Does anxiety cause tachycardia?

Anxiety may lead to tachycardia which is the fastening of the heartbeat. In severe cases, anxiety can increase the risk of a heart attack.

What is an irregular heartbeat?

An irregular heartbeat means the heart's beating is too slow (below 60 bpm) or too fast (above 100 bpm). It is a palpitating sensation in the breast area or the bypassing of the heartbeat. An irregular heartbeat is due to unstable electrical impulses.

Is arrhythmia dangerous?

Although arrhythmia is not dangerous, it can increase your chance of more severe heart problems. While your arrhythmia may be harmless, it can cause heart failure, stroke, and sudden death. So, it is necessary to treat your arrhythmia, for which pacemaker installation is an optimum solution.

What is the cause of tachycardia?

Tachycardia is a rise in heart rate due to some reason. It can be caused by exercise or stress. Also, you may have tachycardia due to an irregular heartbeat (arrhythmia).

How do I find out about an irregular heartbeat?

The basic awareness you get about your irregular heartbeat can be through palpitation. Your feeling can tell you about your heart, whether it is fluttering, racing or thumping. You may feel this sensation in your neck or your chest.

Looking for a pacemaker?

If you have an irregular heartbeat, you should have a pacemaker installed. It doesn't cost you more than XXX USD. Further, this cost also involves the implantation fees and other necessary tests. Also, it requires follow-up visit costs and additional charges.