Sometimes once we know a patient needs a pacemaker we will briefly discuss the matter and refer the patient to an electrophysiologist (EP). He/she is a specialized cardiologist who deal strictly with the electricity that causes your heart to beat.
The procedure of actually having a pacemaker implanted actually goes rather quickly in experienced hands (less than one hour). I absolutely would not allow a device to be implanted unless it is with a physician who specializes in these procedures (not a general surgeon).
A small incision (3-4 inches) is made below you collar bone of your non-dominate hand. A pocket to accomodate the device about the size of a credit card and as thick as two silver dollars is made between the skin and above the muscle. A small incision is made in your subclavian artery and the leads are advanced down and into your heart. Usually one lead is on the top of the heart (atria) and the one lead is sent to the bottom of the heart (ventricle). The leads have a small corkscrew-like end and it is twisted into the side of the heart to anchor it. The leads are connected to the device and it is tested to be sure it is working as it is supposed to. The device is then sealed (often with glue to avoid sutures and infection) inside the pocket. You will be restricted in raising your arm affected arm above your shoulder for about 4 weeks after the procedure.
Patients in our practice stay over night in the hospital after a new device is implanted on telemetry (monitoring of your heart) to ensure the device is functioning as it should. The are discharged the next morning. We have them back in the office at one week for a wound check and to verify the device continues to work as it should.
The surgeon or one of his/her assistants will tell you more specific details if you are inclined to want to know more.
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my sister s heart rate is different on the top part of her heart than the rate on the bottom half of her heart.she has a pacemake and defibulator now. they are going to go in and seperate her heart and put another pacemaker and defibulator to work the other part of her heart. can you explain this procedure to me.
Hi, im a 20 year old female. I just went and had a my second tilt table test today. the results of this one where scary. i didnt really walk out of the hospital assured that id be fine. my last TTT was feb of last year. i passed out after 8 min with a reading of 76/46. i was then diagnosed with NCS. all well and good. ive been on mididorine for 6 months and my cardio said he wants to meet again but wanted another TTT before to see how the new med was working. this time i made it all the way to the nitro admin. within the first few min after that i passed out with a reading of 78/46. i was slow to come around this time and they recorded what they called a second degree heart block. when i asked questions about it all the doctor said was not to worry, that i was too young for a pacemaker. but he didnt really answer any of my questions on it. im looking for some info on what exactly this is. how it will effect me at 20 and why on earth would i need a pacemaker. thank you.
My dad is 92 and he has a pacemaker which they say is not working. Currently his heart is working at 45% he is larthigic and weak . He had a build up of fluids took him to hospital. No he has a fever they want to send him to a nursing home to build his strength once the fever is gone to get him to use his walker. Before going to hospital he always sleeps a lot but walk to his bedroom and the bathroom. So my question is should they not treat the symptoms so he can ask for what he wants before nursing home. How do I know of he is dying or just needs a particular treatment
Atrial fibrillation with RVR. 82 year old white male. History of mini-strokes. Diagnosed with SSS- went in for an AV pacemaker. Came out with AFib with RVR. Now afib is at a rate 50% of the time at 100-120. and 2 % of the time up to 180. He is on lopressor XL bid 150mg. What would you suggest next?
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My 90 year old father is completely pacemaker dependent, but has had a stroke, is wheelchair bound and now has dementia. Difficult to get him to a cardiologist office. What will happen to him if the battery gets low?
My husband has a low heart rate, 42, and is feeling nauseous. His normal heart rate is 55 or so. His doctors tell him he will end up w a pacemaker someday but no official diagnosis has been made beside the fact that he has a heart murmur. Should I take him to the ER NOW
My grandmother is 80 years old and is int he hospital. Throughout the night her heart would stop and start again. The Cardiologist is coming to evaluate her today but the nursing staff are saying she will need a pacemaker. First, I thought pacemakers were for irregular heartbeats and Secondly, what condition could she have to cause this because her heart has always been very healthy?
Age 84, pace maker, de-flib installed, pace maker installed, by-pass surgery 9 years ago, and now on cardiologist appropriate drug regimen, I note cold fingers when moving around, blue finger nails at base, as I resume quiet body activity coldness...
I am a patient with a condition called Left Bundle Block. A relatvely new drug was used to treat my condition with promising sucess called Levosimendan at the American Hospital in Paris It is hoped That further treatment with Levosimendan may help...
Dear Sir/ Madam, My father has been diagnosed with Bifascicular Block and Sinus Bradycardia . He is 72 years old, and had an angioplasty with stenting, some 4 years back. His ECG readings are as follows - QRS: 142 ms QT/ QTc: 440/ 409 ms PR:198 ms...