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Best Pacemaker Surgery Hospitals In India

Pacemaker Surgery In India

  • 2021-01-19

Find Cardiac Pacemakers at affordable cost, purpose, candidate, types of cardiac pacemakers, procedure, surgery, pre-treatment, post-treatment care, risk, and hospitals in India.

We live in an era, where every generation of our population is troubled by some health issue. From infants to the elderly, all suffer from illnesses prevalent in their age group. Heart disease in its various forms has affected all people from different generations, lifestyles, and geographical areas. Every year almost 15% of deaths are caused by cardiovascular diseases and the prevalence rate of these diseases is around 1,3 to 4.6 million in our country. Cardiac Arrhythmia is one such heart condition that has been invading people’s lives and has created havoc.

What is the solution to the cardiac arrhythmia condition? The answer is Pacemaker Surgery. Every year 20,000 pacemaker surgeries are performed in India. The main reasons behind doctors suggesting a pacemaker surgery to patients are Tachycardia and Bradycardia. Pacemaker surgery is a minor surgery, which reduces the apprehension of undergoing heart surgery.

To begin with, let’s understand what exactly is a pacemaker? A pacemaker is a battery-operated, tiny electronic device that is placed beneath the heart. The pacemaker is supposed to make the heart function normally, that is beat properly and at a normal rate at

regular intervals. The surgeon places the device beneath the skin of the heart, which helps the heart to beat at a normal rate when there is a condition of the irregular heart rate which is also called ‘Arrhythmia’. The device rouses the ventricles and maintains a regular heart rate by sending electrical signals. It can also help to treat Tachycardia and Bradycardia. Bradycardia is when the heart beats too slow (heart rate below 40 beats/minute), which may occur due to aging, which leads to weakening of the muscles and thereby makes the heartbeat slower. Tachycardia is a condition when the heart beats too fast (heart rate faster than 100). There might be various reasons behind these conditions, one of them being medications. A pacemaker can also record your heart rate which will in return help your doctor to keep track of your heart’s condition. Not every pacemaker is permanently placed, some are temporarily placed according to the condition of the patient.

Reasons Why A Pacemaker Surgery Is Suggested By A Doctor

1. Aging- Aging is one of the primary reasons for performing a pacemaker surgery.

When you age, with time the muscles of your heart become weak, and they make the heartbeat slower than normal.

2. Bradycardia- When the heart rate is lower than 40 beats/minute.

3. Tachycardia- When the heart rate is faster than normal and goes above 100 beats/minute.

4. Cardiac Arrhythmias

5. Syncope or fainting-spells.

6. Heart failure- the treatment for heart failure is also called cardiac resynchronization therapy (CRT).

7. When the oxygen supply in the blood circulated is low. Low oxygen supply in the blood would often lead to difficulty in breathing, light-headedness, fatigue and all this would lead to damage to the vital organs of the body and ultimately lead to death.

 8. A pacemaker is recommended after conducting arterial fibrillation for the treatment of arrhythmias, to make sure the heart rate goes back to normal.

9. In some cases of congenital heart syndromes or defects.

10. In patients who are on beta-blockers which is usually prescribed for blood pressure problems. Beta-blockers tend to lower down the heart rate and hence, the pacemaker would help in regulating the heart rate.

11. Hypertrophic cardiomyopathy- It’s a condition in which the heart muscle gets

thickened which leads to trouble in pumping out blood by the heart.

12. A few patients who have undergone a heart transplant, might sometimes need a pacemaker for normal functioning of the heart.

13. Patients with QT syndrome. Types Of Pacemaker

1. Single-chamber pacemaker- The lead of the pacemaker is placed on the right ventricle of the heart, and the pacemaker would send electric impulses to pace the heart.

2.  Dual-chamber pacemaker- The leads pf the device is attached to the right ventricle

and the right atrium of the heart by carrying electrical signals which help control the timing and synchronization of the contractions between the above-said chambers.

3. Biventricular pacemaker- CRT also called Biventricular pacing, is for patients with heart failure and abnormal electrical signals. This device will help pace the heart rate of the heart.


Let’s talk about the various aspects of the surgery

• The surgery (endocardial approach) does not need for the patient to go under general anesthesia. A local anesthetic like Lidocaine or Bupivacaine is injected to block the functions of the nerve impulses in the surgical area, and medications will be given through IV to help the patient relax throughout the surgery. The patient would feel dizzy but would not fall asleep. The less preferred epicardial approach needs for the patient to go under general anesthesia and is usually preferred for kids.

• The patient is monitored every few minutes during the procedure and is also connected to various monitors, which help the surgeon and the nurses to monitor the patient’s vitals. The various monitors that are required during the surgery are:

A Defibrillator would be present to help the surgeon and nurses keep check on the pace of the heart. The nodes of the defibrillator would be stuck on the patient’s chest and one on the back. It would help increase the pace of the heart in case it slows down.

A Blood Pressure Monitor would be used to keep a check on the blood pressure of the

patient through the BP cuff wrapped around the patient’s arm.

An electrocardiogram or ECG will help in checking the electrical impulses that travel to the heart and through it. Sticky electrode patches or nodes are placed inside your heart as well as on the chest.

An oximeter machine with the help of the clip on the finger would help in keeping a check on the oxygen level of the patient.

Fluoroscopy- An X-ray machine is positioned on top of the patient so that the

surgeons can see the leads during the procedure through the X-ray screen.

 • The surgery usually lasts for 2-5 hours.

• The placement of the pacemaker- Usually an endocardial approach is preferred. In this approach, an incision is first made in the chest area, the leads and the pacemaker are then inserted inside the incision and then the lead is inserted in a vein and is made to travel towards the heart. The movement of the leads is checked on the X-ray screen through fluoroscopy and once the lead approaches the heart, it is then inserted into the heart muscle. While, the other end of the lead, the part which is attached to the pulse generator, is placed in a pocket like an envelope created under the skin in the chest area.

The less preferred approach, the Epicardial approach is usually preferred in kids rather than in adults since the procedure needs for the patient to be under GA and kids would be needed to put under GA because they tend to get more apprehensive during the surgery than adults. The lead top is attached to the heart muscle and the other end which is the pulse generator is placed in a pocket like an envelope under the skin in the abdominal area.

• Now, once the leads are placed, it is essential to check the efficacy of the leads by testing them. the lead is supposed to increase the pace of the heart which is called 

‘pacing’. Small doses of energy are passed through the leads which should contract your heart. Once that is checked, the leads are attached to the pacemaker, and the various settings are then made by the doctor. After the pacemaker implantation procedure, the doctor uses an external device to make final changes.

Before The Procedure

• Before the procedure is conducted, the doctor usually suggests a few tests to be done to check the irregularity of the pace of the heart. These tests are suggested:

ECG checks your electrical impulses of the heart.

Echocardiogram, using sound waves, to help monitor and picture your beating heart. Holter monitoring is a portable form of ECG. It monitors your heart rate and records irregularities at unexpected events for about a day or two, while you go about your day.

Stress Test is used to check the heart functions under stress by asking you to run on a treadmill.

• The patient will be awake during the procedure, and medication will be given to help relax the patient before injecting the LA in the incisional area.

After The Procedure

• The patient is asked to stay back at the hospital for a day or two after the procedure, to keep a check on the functioning of the pacemaker.

• After the discharge, the patient is asked to avoid doing any strenuous activities for the next few days.

• Avoid putting pressure on the surgical area.

• In case of pain, over the counter pain medication is prescribed by the doctor. Recovery & Precautions

• The patient will be able to go back to his/her routine 5-7 days after the procedure.

Though it also depends on the nature of your daily activities.


 • Avoid reaching up on the side of the surgical area for at least 4-6 weeks.

• Strenuous activities to be avoided for the next 4-6 weeks.

• Avoid wetting the surgical area in case of insolvable stitches or suture used, until the stitches are removed.

• Avoid wearing tight clothes that will rub against the wound.

• Avoid exposing the wound to sunlight for at least a year, to avoid darkening the wound.

• Always hold the cell phone on the opposite ear of the implant and make sure the cell phone is at least 6 inches away from the implant.

• Security systems could beep due to the metal in the implant, avoid lingering around such systems unless necessary.

• Stand 6 feet from high power machinery like welding machines, etc.

• Always inform your doctor or dentist about the pacemaker. Pros

• Relieves from the breathlessness issue.

• Prevents strokes and blood clots.

• The need for blood thinners is reduced.

• Improve the quality of life.

• Helps in exercising better and for longer. Cons

• Bleeding around the area where the catheter had been inserted.

• Stroke

• Heart attack

• Hole in the heart

• Oesophageal damage

• Pulmonary vein narrowing




• Infection at the surgical site.

• Damage to the veins and nerves around the surgical area.

• In case the patient is blood thinners could lead to bruising in the area.

• Allergic reactions due to the anesthesia or dye injected.

• Piercing of the heart and creating a hole while performing the procedure.

• Lungs could collapse during or after the procedure.

• Rarely but could lead to life-threatening conditions. Why Choose India For The Procedure

India has managed to become a popular destination for medical tourism, especially for cardiac treatments. India has managed to train and develop the best cardiac team along with acquiring state of art technology which makes the country a hotspot for a cardiac procedure. Even robotic surgeries are conducted which just increases the popularity.

 Cardiac pacemaker surgery in India is conducted by the best professionals with legitimate state of art technology, which increases the success of the surgery and also improves the rate of recovery.


Coming to the most important point, India provides pacemaker surgery at a cost-effective price. Tourists from all over the world come to India to get their pacemaker surgery done because they know the cost is much less in India than in other countries. If we compare the cost of a pacemaker surgery in the US and India, the procedure costs around 14500-15000

USD, while in India it just costs around 1000-1500 USD. With this pricing teamed up with the best professionals and technology, it’s a huge profit for tourists to get the surgery done in India.


1. Types of pacemakers?

Answer- 1. Single-chamber pacemaker- The lead of the pacemaker is placed on the right ventricle of the heart, and the pacemaker would send electric impulses to pace the heart.

2. Dual-chamber pacemaker- The leads of the device is attached to the right ventricle and the right atrium of the heart by carrying electrical signals which help control the timing and synchronization of the contractions between the above said chambers.

3. Biventricular pacemaker- CRT also called Biventricular pacing, is for patients with heart failure and abnormal electrical signals. This device will help pace the heart rate of the heart

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