Shortness of breath, a quick pulse, weakness, and chest discomfort are some of the symptoms of . As a rescue remedy to arrhythmias, a pacemaker is recommended in these kinds of circumstances since it is a rescue treatment. A pacemaker may either slow down, speed up, or steady the heartbeat, depending on the situation that the patient is experiencing. Pacemakers have the ability to alleviate issues that are the result of arrhythmias, including as tiredness. • episodes of fainting • a lifestyle that is mostly healthy many kinds of pacemakers According to the state of the patient, the following categories are used to categorize the types: A pacemaker with a single chamber is typically responsible for delivering electrical impulses to the right ventricle of the heart. The upper or lower chamber of the heart utilizes a single lead for this procedure. A dual-chamber pacemaker is a device that assists in the regulation of the sequencing of contractions that occur between the two chambers of the heart. In order to do this, it employs one lead in the upper chamber of the heart and one lead in the lower chamber. Additionally known as cardiac resynchronization treatment, the biventricular pacemaker is a kind of pacemaker that is used for patients who are suffering from heart failure and have faulty electrical circuits. In order to improve the efficiency of the pulse, this particular kind of pacemaker works by stimulating the lower chambers of the heart. It employs three leads that are positioned in the right atrium. right ventricle (second) 3. of the left ventricle the leadless pacemaker is a specific kind of pacemaker. prior to the surgery Several tests are performed in order to determine the causes of an irregular heartbeat before the physician decides whether or not the patient requires surgery to implant a pacemaker. Some examples of these include the electrocardiogram (ECG), the echocardiography, the stress test, and the holter monitoring, which is a diagnostic tool that is specifically used in situations when rhythm problems occur at unforeseen times. It is a portable version of the electrocardiogram that collects information relating to the electrical activity of the heart during actions that are similar to those that occur in everyday life. It is possible that the operation might be carried out under local anesthetic, which is advantageous since it helps to anesthetize the region going to be operated on. There is a high probability that the patient will be awake during the whole of the surgical operation. An intravenous line is inserted, and medicine that is intended to induce relaxation may be given via this line by the doctor. After the incision site has been cleansed and prepped, the remainder of the surgical operation will be carried out. After the operation and recuperation that follows the procedure, it is probable that the individual will remain in the hospital for the night. In the course of this period, the pacemaker will be modified in accordance with the pacing requirements that have been evaluated. Despite the fact that a time of relaxation is required, it is possible for a person to return to their regular routine within a few days. adjustments: It will be necessary to make certain adaptations to your day-to-day activities if you are living with a pacemaker. Among them are the following: • In order to maintain a healthy level of physical activity, it is essential to be aware of when it is appropriate to cease engaging in the activity before becoming too exhausted. • prevent the pacemaker from being subjected to any pressure. • doing a thorough examination of the lower and higher limits of the pacemaker and ensuring that the cardiac rhythm remains within these limitations. • Stay away from any equipment that might potentially disrupt the proper functioning of the pacemakers. cell phones and microwave ovens are two examples. • in the event that you have discomfort in the location of the procedure or anyplace else in the vicinity of it, see your physician about the consumption of over-the-counter medications for the purpose of pain reduction. In the event that any issues emerge, it is recommended that you undergo routine checkups. exceptional safety measures: There is either a little or nonexistent impact that an electrical interference has on the operation of the pacemaker. Nevertheless, it is recommended to take the following safety measures: cellular phones. Because mobile phones have become such an integral part of our lives in this technologically advanced day, it is essential that we be aware of the safety measures that are associated with them. It is permitted to communicate using a mobile phone; however, the distance between the pacemaker and the mobile phone must be at least six inches (15 cm). It is strongly recommended that the phone not be kept in the pocket of the garment. For the purpose of medical equipment, it is essential to make certain that the dentists and physicians who are visited for subsequent consultations are aware of the existence of a pacemaker. It is possible for the pacemaker to be disrupted by a variety of medical treatments, including magnetic resonance imaging (MRI), computed tomography (CT) scans, radiation therapy for cancer, and many other similar medical operations. Other potential dangers include the following: • an allergic response to the dye that was used during a surgical operation which caused an infection at the site of implantation • a breach in the lungs • an adverse response to the drug or the anesthetic • harm to the nerve receptors and blood vessels The process of implanting a pacemaker is not a particularly difficult surgical operation. There is no need for open-heart surgery to be performed. Within twenty-four hours following the operation, the patient may be discharged from the hospital if there are no difficulties. The treatment is often carried out under the influence of local anesthetic. As a result, it is possible to completely avoid the difficulties that are brought about by the administration of general anesthetic. It is possible to remotely monitor the majority of pacemakers. Given the current state of affairs, this characteristic is of utmost significance since it eliminates the need for the patient to make frequent trips to the physician. • the pacemaker is equipped with the capability to send and receive information from the physician’s office on the rhythm of the heart and the heart rate, as well as the functioning of the pacemaker and the amount of battery life that is still available. Through the use of pacemaker surgery, the risk of problems is reduced, and the patient’s quality of life is improved. • There are certain circumstances in which the patient can be allergic to the fluoroscopic dye that is used or the anesthetic that is administered. There may be some issues as a result of this. pacemaker surgery hospital in india fortis hospital blk super speciality hospital sir ganga ram hospital manipal hospital kims — krishna institute of medical sciences max super speciality hospital, saket bgs gleneagles global hospital nanavati super speciality hospital apollo hospital s l raheja fortis hospital apollo hospitals, greams road fortis escorts and heart institute saifee hospital jaslok hospital bombay hospital & medical research centre