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Procedure for PPI-Permanent Pacemaker Implant - Single Chamber

Cardiology

PPI-Permanent Pacemaker Implant - Single Chamber

PPI-Permanent Pacemaker Implant - Single Chamber is to implant 'one' pacemaker that may be in the right atrium or right ventricle.

Pacemaker Device

A pacemaker is a small electronic device weighing up to 50g which is fixed in the chest to continuously monitor the heart rhythm, thereby controlling our heart to beat dangerously at a low pace. This consists of 3 parts:

  • Pulse Generator

    Metal case covering a tiny computer, electronic circuitry and battery.
  • Leads

    One or more protected wires joined to the pulse generator and to the heart's chamber.
  • Electrode on Each Lead

    Electrodes are at the ends of leads and touch the heart wall.

Pacemaker Types

Pacemaker implantation procedure could be for one of the following:

  • Single Chamber Pacemaker Insertion:

    One lead in the right atrium or right ventricle.
  • Dual Chamber Pacemaker Insertion:

    Each one lead in both the right atrium and right ventricle.
  • Biventricular Pacemaker insertion:

    An advanced method and uses 3 leads in right atrium, right ventricle and left ventricle, through coronary sinus vein.

Pacemaker Indications

Your heart specialist might recommend you a ppm implant in one of the following conditions:

  • Bradycardia

    The heart beats slow due to some issues in the sinus node.
  • Tachy-Brady Syndrome

    Mostly due to an atrial fibrillation, the heart rhythm is irregular, (either beats too fast or too low).
  • Heart Blockages

    The electrical signal is blocked or postponed due to vein blockages.

Pacemaker Risks

The possible complications of pacemaker insertion procedure are -

  • Over bleeding during the surgery or post-surgery
  • Damages to the blood vessels
  • Blood clots in the vessels
  • Damages to the other adjoining organs such as lungs
  • Infection in the wounded site
  • Lead detachment from the heart
  • Stroke or a heart attack

Pacemaker Precautions

Living with a pacemaker requires little extra care. Discuss with your surgeon for the dos and don'ts. Listed below are few precautions:

  • Keep away from MRI scanners and other magnetic machines
  • Switch off the engines of your vehicles when you are repairing them
  • Keep away from high voltage equipment and machinery
  • Avoid physical therapies using high heat
  • Avoid mobile phones or any electronic device close to the heart

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