MHVI Owners Manual . Procedures . Pacemaker Implantation

A pacemaker is an electronic device that is used to control your heart rate if your heart is not able to beat fast enough to meet the needs of your body. A pacemaker has two main parts: the generator that contains the battery and electronics that monitor your heartbeat and create the electrical signals, and the lead(s) that extend from the pacemaker into the heart. These leads carry electrical signals from the generator to the heart when they are needed, causing the heart to beat. Because a pacemaker is small and lightweight, it is placed inside your body by means of a procedure called pacemaker implantation.

During pacemaker implantation, using a local anesthetic, a small incision is made under the collarbone of either your left or right shoulder, creating a little pocket or pouch in which the pacemaker generator fits. The leads are then inserted into a vein near the pocket. They are gently guided by X-ray through the vein into your heart. Once they are properly positioned, the opposite ends are connected to the generator, which is then placed into the pocket. The pacemaker is programmed to fit your specific needs and the incision is closed. During the implant you will receive sedative medicines to make you comfortable. The procedure typically takes between 45 minutes and one hour to complete.

Pacemakers are implanted by a cardiologist who specializes in pacemaker implantation. After discharge from the hospital, your pacemaker is checked periodically by pacemaker nurse specialists. You'll also be given a transmitter to allow your doctor to check your pacemaker over the telephone.

If a pacemaker implantation is ordered for you by your doctor, you will receive more detailed information and instructions when the procedure is scheduled.