A pacemaker is a small medical device used to regulate the heartbeat. It's implanted under the skin, typically in the chest, and connected to the heart with thin wires called leads. It helps manage arrhythmias, which are irregular heart rhythms, by sending electrical impulses to prompt the heart to beat at a normal rate.
Types of Pacemakers
1.Single-Chamber Pacemaker: Has one lead connected to either the right atrium or right ventricle of the heart.
2.Dual-Chamber Pacemaker: Has two leads, one in the right atrium and one in the right ventricle, helping coordinate timing between them.
3.Biventricular Pacemaker (Cardiac Resynchronization Therapy): Has three leads to stimulate both ventricles and improve synchronization in cases of heart failure.
How It Works
* When the pacemaker detects that the heart is beating too slowly (bradycardia) or irregularly, it sends electrical pulses to stimulate the heart muscles.
* Modern pacemakers are programmable and can adjust their functioning based on the patient’s activity levels and needs.
Reasons for a Pacemaker
* Bradycardia (slow heart rate)
* Heart block (disrupted signals between the upper and lower chambers of the heart)
* Atrial fibrillation with a slow ventricular response
* Heart failure (with a biventricular pacemaker)
* Congenital heart defects or other conditions affecting heart rhythm.
Components of a Pacemaker
Pulse Generator: Contains the battery and circuitry to create electrical signals.
Leads/Electrodes: Wires that deliver electrical impulses to the heart and relay information back to the generator.
Battery: Typically lasts 5-15 years, depending on usage and type.
Procedure
Pacemaker implantation is a minimally invasive surgery performed under local anesthesia. Recovery is generally quick, and most patients can resume normal activities within a few weeks.
Living with a Pacemaker
* Regular follow-ups ensure the device is functioning correctly.
* Avoid strong electromagnetic fields, as they can interfere with the pacemaker.
* Some restrictions apply to certain activities or medical procedures, such as MRI scans, unless the pacemaker is MRI-compatible.