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Pacemakers
OVERVIEW
A Pacemaker is a medical device that delivers electricity to the heart via small electrodes, triggering the heart to beat. BCS Heart offers pacemaker implantation to those patients who will benefit.

A normal human heart contains an intrinsic pacemaker, termed the sinoatrial (SA) node. This group of cells within the heart generate an electrical impulse usually 60 to 100 times per minute that stimulates the heart muscle to contract. In certain illnesses, or with age, these cells may become diseased or unable to perform their duty on a consistent basis. This results in bradycardia (or slow heart beats) which can be treated with the placement of an artifical pacemaker (see image on the right).

For more detailed information about the procedure, continue reading below.

UNDERSTANDING THE PROCEDURE
Following patient sedation, usually in an operating room or similar setting, a small incision (approximately 2-3 inches) is made beneath the collar bone. Electrodes (termed "leads") are then inserted into the subclavian vein and passed inside this vein to the heart (see image on the right). Electrodes have small screw-like coils on their tips that enable them to be secured into place within the heart muscle. The electrodes are then attached to the pacemaker generator which is placed underneath the skin. The skin surface is closed with sutures.

Following implantation, pacemaker function is closely monitored on follow-up visits. The pacemaker can wirelessly communicate with a device in the office to provide all types of information regarding battery life, heart rhythm analysis, and frequency of required pacing.

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