Q. How Much Does a Pacemaker Implantation Surgery Cost in India?

A. The average Cost of Pacemaker Implantation Surgery in India is usually between USD 3500 to USD 7000. depends on hospitals location and surgeons practices.

Stay in hospital 2-3 days and outside of the hospital 2 weeks

Pacemaker Implantation Cost in India

What is pacemaker?

✅ A pacemaker is a small device that’s placed under the skin in your chest to help control your heartbeat. It’s used to help your heart beat more regularly if you have an irregular heartbeat (arrhythmia), particularly a slow one. Implanting a pacemaker in your chest requires a surgical procedure.

How Does Pacemaker work?

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An implanted electronic pacemaker mimics the action of your natural electrical system. A pacemaker comprises two parts:

  • Pulse generator. This small metal container houses a battery and the electrical circuitry that regulates the rate of electrical pulses sent to your heart.
  • Leads (electrodes). One to three flexible, insulated wires are each placed in a chamber, or chambers, of your heart and deliver the electrical pulses to adjust your heart rate.

✅ Pacemakers work only when needed. If your heartbeat is too slow (bradycardia), the pacemaker sends electrical signals to your heart to correct the beat.

Also, newer pacemakers have sensors that detect body motion or breathing rate, which signal the pacemakers to increase heart rate during exercise, as needed.

Why is a pacemaker implant performed?

✅ Your doctor may recommend a pacemaker implant to treat a heartbeat. Your doctor may only consider a pacemaker implant for you if other treatment options with less risk of complications have been ineffective. Ask your doctor about all of your treatment options and consider getting a second opinion before deciding on a pacemaker implant.

 

✅ Your doctor may recommend a pacemaker implant to treat:

  • Congenital (present at birth) heart disorders, meaning they are present at birth
  • Heart block, a blockage in your heart’s electrical pathway
  • Heart failure, a condition in which the heart cannot pump enough blood to the body
  • Heart transplant
  • Hypertrophic cardiomyopathy, a complex heart disease characterized by thickened heart muscle and ventricular stiffness
  • Irregular heart beat or skipped heartbeats that occur often
  • Syncope, unexplained fainting

Too rapid or too slow heart beats, called tachycardia (too rapid) and bradycardia (too slow), that happen too often or at abnormal times

Who performs a pacemaker implant?

✅ The following specialists can perform a pacemaker implant in a hospital:

  • Cardiac surgeons specialize in the surgical treatment of conditions of the heart and its blood vessels. Cardiac surgeons may also be known as cardiothoracic surgeons.
  • Cardiac electrophysiologists specialize in diagnosing and treating arrhythmias.

  • Interventional cardiologists specialize in diagnosing and treating conditions and diseases of the heart and blood vessels using nonsurgical, catheter-based procedures and specialized imaging techniques.

  • Thoracic surgeons specialize in the surgical treatment of diseases of the chest, including the blood vessels, heart, lungs and esophagus. Thoracic surgeons may also be known as cardiothoracic surgeons.

What are the Complications and Risks associated with a pacemaker?

✅ Every medical procedure has some Risks. Most risks associated with a pacemaker are from the surgical installation. They include:

  • Bleeding
  • Injection
  • bruising
  • damaged nerves or blood vessels
  • an infection at the site of the incision
  • a collapsed lung, which is rare
  • An allergic reaction to anesthesia
  • a punctured heart, which is also rare

Most complications are temporary. Life-altering complications are rare.

Diagnosis for Pacemaker

✅ Before your doctor decides if you need a pacemaker, you’ll have several tests done to find the cause of your irregular heartbeat. These could include:

  • Electrocardiogram (ECG). In this noninvasive test, sensor pads with wires attached, called electrodes, are placed on your chest and sometimes your limbs to measure your heart’s electrical impulses.
  • Holter monitoring. This is a portable version of an ECG. It’s especially useful in diagnosing rhythm disturbances that occur at unpredictable times. You wear the monitor, and it records information about the electrical activity of your heart as you go about your normal activities for a day or two.
    Some personal devices, such as smartwatches, offer electrocardiogram monitoring. Ask your doctor if this is an option for you.
  • Echocardiogram. This noninvasive test uses harmless sound waves that allow your doctor to see the action of your heart. A small instrument called a transducer is placed on your chest. It transmits the collected sound waves (echoes) from your heart to a machine that uses the sound wave patterns to compose images of your beating heart on a monitor.
  • Stress test. Some heart problems occur only during exercise. For a stress test, an electrocardiogram is taken before and immediately after walking on a treadmill or riding a stationary bike. In some cases, an echocardiogram or nuclear imaging are done.

Types Of Pacemaker Implantation

Types Of Pacemaker Implantation

✅ 1. Single Chamber Pacemaker Implantation: It involves only one lead wire which connects the Pulse Generator to one chamber of the heart. It is mostly used for patients who require pacing support for their right ventricle only.

 

✅ 2.Dual Chamber Pacemaker Implantation: In this surgery, two lead wires are used to connect the Pulse Generator to two heart chambers. It usually connects the right atrium and the right ventricle to Pulse Generator, which helps in coordinating the contraction of both these chambers. It also ensures that the contraction and relaxation of both chambers occur in the right rhythm.

 

✅ 3. Biventricular pacemaker Implantation: Biventricular pacing, also called cardiac resynchronization therapy, is for people with heart failure with abnormal electrical systems. This type of pacemaker stimulates the lower chambers of the heart (the right and left ventricles) to make the heart beat more efficiently.

Before Pacemaker Implantation

✅ Your Surgeon will explain the procedure to you and offer you the opportunity to ask any questions that you might have about the procedure:

  • You will be asked to sign a consent form that gives your permission to do the Procedure.
  • Tell your surgeon if you are sensitive to or are allergic to any medications, iodine, latex, tape, or anesthetic agents (local and general).
  • You will not eat and drink after midnight before the procedure.
  • If you are pregnant or suspect that you are pregnant, you should tell your doctor.
  • Inform your doctor of all medications (prescription and over-the-counter) and herbal or other supplements that you are taking.
  • Inform your doctor if you have heart valve disease, as you may need to receive an antibiotic prior to the procedure.
  • Inform your doctor if you have a history of bleeding disorders or if you are taking any anticoagulant (blood-thinning) medications, aspirin, or other medications that affect blood clotting. It may be necessary for you to stop some of these medications before the procedure.
  • Based on your medical condition, your doctor may request other specific preparation.

During Pacemaker Implantation

✅ A pacemaker may be performed on an outpatient basis or as part of your stay in a hospital. Procedures may vary depending on patient condition and your doctor’s practices.

Pacemaker Implantation procedure

✅ Generally, a pacemaker insertion follows this process:

  • You will be asked to remove any jewelry or other objects that may interfere with the procedure.
  • You will be asked to remove your clothing and will be given a hospital gown to wear.
  • If there is excessive hair at the incision site, it may be clipped off.
  • An intravenous (IV) line will be started in your hand or arm before procedure for injection of medication and to administer IV fluids, if needed.
  • You will be placed on your back on the procedure table.
  • You will be connected to an electrocardiogram (ECG or EKG) monitor that records the electrical activity of the heart and monitors the heart during the procedure using small, adhesive electrodes. Your vital signs (heart rate, blood pressure, breathing rate, and oxygenation level) will be monitored during the procedure.
  • You will receive a sedative medication in your IV before the procedure to help you relax.
  • The pacemaker insertion site will be cleansed with antiseptic soap.
  • A local anesthetic will be injected into the skin at the insertion site.
  • Once the anesthetic has taken effect, the Surgeon will make a small incision at the insertion site.
  • A sheath, or introducer, is inserted into a blood vessel, usually under the collarbone. The sheath is a plastic tube through which the pacer lead wire will be inserted into the blood vessel and advanced into the heart.
  • It will be very important for you to remain still during the procedure so that the catheter does not move out of place and to prevent damage to the insertion site.
  • The lead wire will be inserted through the introducer into the blood vessel. The doctor will advance the lead wire through the blood vessel into the heart.
  • Once the lead wire is inside the heart, it will be tested to verify proper location and that it works. There may be one, two, or three lead wires inserted, depending on the type of device your doctor has chosen for your condition.
  • Fluoroscopy, (a special type of X-ray that will be displayed on a TV monitor), may be used to assist in testing the location of the leads.
  • The pacemaker generator will be slipped under the skin through the incision (just below the collarbone) after the lead wire is attached to the generator. Generally, the generator will be placed on the nondominant side.
  • The ECG will be observed to ensure that the pacer is working correctly.
  • The skin incision will be closed with sutures, adhesive strips, or a special glue.
  • A sterile bandage or dressing will be applied.

After the procedure

✅ You’ll likely stay in the hospital for a 2-3 after having a pacemaker implanted. Your pacemaker will be programmed to fit your pacing needs. Arrange to have someone drive you home when you’re discharged.

 

✅ Most pacemakers can be checked remotely. Your pacemaker transmits to and receives information from your doctor’s office, including your heart rate and rhythm, how your pacemaker is functioning, and its remaining battery life.

 

✅ Your doctor might recommend that you avoid vigorous exercise or heavy lifting for about a month. Avoid putting pressure on the area where the pacemaker was implanted. If you have pain in that area, ask your doctor about taking over-the-counter medicines, such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others).

Results

✅ Having a pacemaker should improve symptoms caused by slow heartbeat, such as fatigue, lightheadedness and fainting.

 

 

✅Your doctor should check your pacemaker every three to six months. Tell your doctor if you gain weight, if your legs or ankles get puffy, or if you faint or get dizzy.

 

 

✅ Your pacemaker’s battery should last 5 to 15 years. When the battery wears out, you’ll need surgery to replace it. The procedure to change your pacemaker’s battery is often quicker and requires less recovery time than the procedure to implant your pacemaker.

 

✅ Because most of today’s pacemakers automatically adjust your heart rate to match your level of physical activity, they can allow you to resume a more active lifestyle.

Pacemaker precautions

✅ The following precautions should always be considered. Discuss the following in detail with your doctor, or call the company that made your device:

  • Always carry an ID card that states you have a pacemaker. In addition, you may want to wear a medical identification bracelet indicating that you have a pacemaker.
 
  • Let screeners know you have a pacemaker before going through airport security detectors. In general airport detectors are safe for pacemakers, but the small amount of metal in the pacemaker and leads may set off the alarm. If you are selected for additional screening by hand-held detector devices, politely remind the screeners that the detector wand should not be held over your pacemaker for longer than a few seconds, as these devices contain magnets and thus may affect the function or programming of your pacemaker.
  • You may not have a magnetic resonance imaging (MRI) procedure (unless you have a specially designed pacemaker). You should also avoid large magnetic fields such as power generation sites and industrial sites such as automobile junkyards that use large magnets.
 
  • Abstain from diathermy (the use of heat in physical therapy to treat muscles).
  • Turn off large motors, such as cars or boats, when working close to them as they may create a magnetic field.
  • Avoid high-voltage or radar machinery, such as radio or television transmitters, electric arc welders, high-tension wires, radar installations, or smelting furnaces.
  • If you are having a surgical procedure performed, inform your surgeon that you have a pacemaker well before the operation. Also ask your cardiologist’s advice on whether anything special should be done prior to and during the surgery, as the electrocautery device that controls bleeding may interfere with the pacemaker. Sometimes the pacemaker’s programming will be temporarily changed (using a magnet) during the surgery to minimize the possibility of interference from the electrocautery.
  • When involved in a physical, recreational, or sporting activity, protect yourself from trauma to the pacemaker. A blow to the chest near the pacemaker can affect its functioning. If you are hit in that area, you may want to see your doctor.
  • Always consult your doctor when you feel ill after an activity, or when you have questions about beginning a new activity.
  • Always consult your doctor if you have any questions concerning the use of certain equipment near your pacemaker.

Frequently Asked Questions about Pacemaker Implantation

Q. What is the success rate of pacemaker implantation?

A. Pacemaker implantations are extremely successful, with rates greater than 99 percent. For a 3-lead pacemaker system, the success rates are about 97 percent. The risks of major complications from a pacemaker implant are low.

Q. What is the recovery time for a pacemaker implant?

A. You’ll usually be able to do all the things you want to do after around 4 weeks. The time you need off work will depend on your job. Your cardiologist will usually be able to advise you about this. Typically, people who have had a pacemaker fitted are advised to take 3 to 7 days off.

Q. How long does pacemaker surgery take?

A. The procedure usually takes between 1 and 2 hours, but it can take longer if you’re having other heart surgery at the same time

Q. Is pacemaker implantation major surgery?

A. Pacemaker surgery is generally a minor surgery that may take around 1-2 hours to complete. Pacemaker surgery is generally a minor surgery that may take around 1-2 hours to complete. The pacemaker is implanted under the skin of the chest, and there is no need for open-heart surgery.

Q. How long does it take to recover from pacemaker surgery?

A. You may be able to see or feel the outline of the pacemaker under your skin. You will probably be able to go back to work or your usual routine 1 to 2 weeks after surgery. Pacemaker batteries usually last 5 to 15 years. Your doctor will talk to you about how often you will need to have your pacemaker checked.

Q: Will my pacemaker get affected by electrical components?

A: Many ordinary household electric equipment is safe to use and will not interfere with your pacemaker

  • Mobile telephones: It is safe to use a cell phone, but be certain to maintain it longer than 15 centimeters out of the pacemaker
  • MRI scans: MRI scanners are not usually used for individuals with pacemakers since they create powerful magnetic fields; MRI-safe pacemakers and implantable cardioverter defibrillators (ICDs) are becoming more prevalent;
  • TENS machine: It should not be used without consulting your pacemaker practice or maker
  • Lithotripsy: This remedy for kidney stones have to be prevented if you’ve got a pacemaker fitted
  • Prevent wearing magnetic bracelets and magnets close to your chest.

Top Pacemaker Surgeons in India

  1. Dr. Naresh Trehan
  2. Dr. Ashok Seth
  3. Dr. Ajay Kaul
  4. Dr Y K Mishra
  5. Dr Manoj Luthra
  6. Dr. Nikhil Kumar
  7. Dr. Ganesh K. Mani
  8. Dr. Sanjay Mittal
  9. Dr Anil Bhan
  10. Dr. Gourishankar Ramesh
  11. Dr. Rajnish Sardana

Best Hospital for Pacemaker Surgery in India

  1. Fortis Escorts Heart Institute, New Delhi
  2. Medanta – The Medicity, Gurgaon
  3. Indraprastha Apollo Hospital, New Delhi
  4. Fortis Memorial Research Institute, Gurgaon
  5. BLK Super Speciality Hospital, New Delhi
  6. Artemis Hospital, Gurgaon
  7. Max Super Speciality Hospital, Saket, New Delhi
  8. Venkateshwar Hospital, New Delhi
  9. Manipal Hospitals Dwarka, Delhi
  10. Jaypee Hospital, Noida