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Pacemaker / AICD Implantation

A pacemaker or Automated Implantable Cardioverter Defibrillator (AICD) is a life-saving medical device. These devices help regulate heart rhythm and prevent sudden cardiac arrest. They provide long-term solutions for patients with arrhythmias and other heart rhythm problems.

Pacemaker

A pacemaker is a small electronic device placed in the chest. It uses electrical signals to keep the heartbeat steady. Doctors recommend it for patients with bradycardia or heart block. With advanced technology, modern pacemakers are smaller, safer, and more effective.

AICD

An AICD is similar to a pacemaker but more advanced. It monitors heart rhythm continuously. When it detects life-threatening arrhythmias, it delivers a shock. This shock restores normal rhythm and prevents cardiac arrest. AICDs are essential for people with a high risk of sudden heart failure.

Who Needs Pacemaker or AICD Implantation?

Patients with slow heart rates or blocked electrical signals often require pacemakers. On the other hand, those with ventricular tachycardia or fibrillation may need an AICD. Doctors assess patient history, symptoms, and test results before recommending implantation.

The Implantation Procedure

The implantation process is safe and minimally invasive. The doctor makes a small incision near the collarbone. Leads are guided through veins into the heart chambers. The device is then placed under the skin and connected to the leads. Most procedures take one to two hours under local anesthesia.

Recovery After Implantation

Patients usually stay in the hospital for one or two days. Recovery time is short, but doctors advise avoiding heavy lifting for a few weeks. Regular follow-ups ensure the device works correctly. Patients should keep their arm movements gentle to allow healing.

Benefits of Pacemaker and AICD Implantation

  • Reduce the risk of sudden death from arrhythmias
  • Improve heart function and energy levels
  • Enhance quality of life
  • AICDs can prevent fatal arrhythmias instantly
  • Early implantation ensures better outcomes for high-risk patients

Risks and Complications

Although rare, complications may occur. These include infection, bleeding, or device malfunction. Sometimes leads may shift from their position. However, with modern techniques, these risks are minimal and manageable.

Living With a Pacemaker or AICD

Patients can live normal lives with these devices. Regular medical checkups are important. Devices should be checked for battery life and function. Patients must avoid strong magnetic fields, but most daily activities remain safe. Traveling, exercising, and working are possible with proper care.

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Dr. Saurabh Biswas

MBBS, MD General Medicine
DrNB Cardiology, FSCAI
Consultant Interventional Cardiologist

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