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What is Cardiac Pacemaker Implantation Surgery?

Cardiac Pacemaker Implantation Surgery is medical implantation of a small electronic device to help regulate slow electrical problems with the heart.

Operation is performed through a small incision made in the upper chest. A lead is guided through the vein into the heart. Lead is then connected to the pacemaker and following the device's programming by the surgeon, pacemaker is inserted beneath the skin tissue. Pacemaker Implantation should not be confused with an open heart surgery.

What does Cardiac Pacemaker Do?

Pacemaker increases the heart rate to healthy levels and regulates the rhythm. Heart rate and rhythm problems that pacemaker implantation can fix include:

  • bradycardia (sinus node causing heart to beat slowly)
  • tachy-brady syndrome (unstable heartbeating)
  • heart block (electrical signal being blocked after leaving SA node)

Risks of the Surgery?

Some of the possible risks of pacemaker include the following:

  • Bleeding from the incision or catheter insertion site

  • Damage to the vessel at the catheter insertion site

  • Infection of the incision or catheter site

  • Pneumothorax. If the nearby lung is inadvertently punctured during the procedure, leaking air becomes trapped in the pleural space (outside the lung but within the chest wall); this can cause breathing difficulties and in extreme cases may cause the lung to collapse.

Additional risk could be involved. Patients are strongly recommended to consult to the doctor prior to making any decision.

The aim of this article is to give you a general information about the surgical intervention in question. You need to make more research about possible complications and risks of this selected procedure in order to make an informed decision. Please note that complications occur more frequently with patients who are obese, smoke, and have a history or lung or other chronic underlying medical conditions.


Smokers are recognized to have a significantly higher risk of post operative wound healing problems with a subsequently higher potential of infection as well as operative and post operative bleeding. Patients should discontinue smoking for two weeks before and two weeks after surgery. Although it helps to stop smoking before and after surgery, this does not completely eliminate the increased risks resulting from long term smoking. Smoking also has a long term adverse effect on the skin and ageing process.


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