About Pacemaker Implantation
A pacemaker is a small battery-powered device that keeps the heart beating at a safe rate. It is placed under the skin below the collarbone, with one or more leads that sense the heart's rhythm and send tiny electrical signals when the heart beats too slowly or pauses.
AKG Hospital offers both temporary pacing for emergencies and permanent pacemaker implantation, performed in the Cath Lab by our cardiology team.
Also known as: Permanent pacemaker, PPI, temporary pacing
Who is it recommended for?
Your doctor may recommend this if you have:
- Slow heart rate (bradycardia) causing dizziness, tiredness or fainting
- Complete or high-grade heart block
- Sick sinus syndrome
- Heart rhythm pauses detected on ECG or Holter monitoring
- Temporary pacing after a heart attack or drug toxicity
How is it done at AKG Hospital?
- Evaluation ECG, Holter monitoring and echocardiography confirm the need for pacing and the device type.
- Local anaesthesia The area below the collarbone is numbed; mild sedation may be given.
- Lead placement Leads are passed through a vein to the heart chambers under X-ray guidance.
- Device placement The pacemaker is connected to the leads and placed in a small pocket under the skin.
- Programming The device is tested and programmed to suit your heart's needs.
How to prepare
- Fasting for about 6 hours
- Blood thinners may need to be stopped or adjusted — follow your doctor's advice
- Inform the team about allergies and diabetes
- Wear loose, front-opening clothing on the day of discharge
Recovery & aftercare
You will usually stay in hospital for 1–3 days. Avoid lifting the arm on the pacemaker side above shoulder level and heavy lifting for about 4–6 weeks so the leads settle. Keep the wound dry until it heals, carry your pacemaker ID card, and attend regular device checks.
Benefits
- Prevents fainting and dangerously slow heart rates
- Improves energy and quality of life
- Minimally invasive with quick recovery
- Modern devices last many years before battery change
Risks & when to seek help
Possible complications include wound infection, bleeding or bruising, lead displacement and, rarely, a collapsed lung. Contact us if you have fever, redness or swelling at the wound, or recurrent dizziness.
Frequently asked questions
Can I use a mobile phone with a pacemaker?
Yes. Keep the phone at least 15 cm away from the device and use the ear on the opposite side.
How long does a pacemaker battery last?
Typically several years depending on the device and how often it paces. Battery replacement is a minor procedure.
Is a temporary pacemaker different?
Yes. A temporary pacemaker is used for short periods in emergencies and is removed once the heart rhythm recovers or a permanent device is placed.
This page gives general information to help you understand Pacemaker Implantation. It does not replace a consultation — your doctor will advise what is right for you.
