A pacemaker is a small matchbox-sized battery-operated device that is implanted under the skin of your chest to control irregular heartbeat or arrhythmias. However, in some cases, pacemakers are also used in case of heart failure.
In certain conditions, due to problems with electrical signalling that coordinates your heartbeat, your heart either beats too fast or too slow at an irregular pace and out of rhythm. Pacemaker senses this irregular beating of the heart and sends a signal to your heart which makes your heartbeat normally in a rhythm.
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Types Of Pacemakers
Generally, most pacemakers consist of a generator that carries the batteries and the necessary information that aids in controlling the heartbeat. And the leads or electrodes are made up of insulated wires which serve as a connector between the heart and the generator and forward the electrical signals to the heart.
Based on your condition the doctor may implant any of the following pacemakers:
Single Lead Pacemaker– This type of pacemaker sends electrical signals to only one chamber of your heart, that is, either to the right atrium or right ventricle.
Dual Chamber Pacemaker– This pacemaker sends electrical signals to both the right atrium and right ventricle of the heart simultaneously.
Biventricular Pacemaker– These types of pacemakers consist of three leads that simultaneously send electrical signals to the right atrium, right ventricle and left ventricle of the heart thus keeping a synchronization between the two sides of the heart.
Nowadays, wireless pacemakers are also available in which leads and generators are combined in a pill or capsule sized single device which is then implanted into the right ventricle.
Need Of The Pacemaker
A pacemaker is used for people who have irregular heartbeats due to some heart-related problems. The pacemaker prevents their heart from beating too slowly or too fastly. A pacemaker can also be used in case of heart failure or when your heartbeat pauses frequently.
Apart from these the following conditions may indicate arrhythmia or heart failure and require pacemaker implantation:
- Extreme fatigue
- Irregular heartbeat
- Chest pain or angina
- Difficulty in breathing
Pacemakers can be temporary or permanent. Based on your condition the doctor will decide whether you need a temporary pacemaker or a permanent one.
Risks Associated With Pacemakers
Just like any other surgery, the surgery used to implant a pacemaker also may lead to some complications which may include:
- Swelling, bleeding or bruising at the site of pacemaker insertion.
- Formation of blood clots near the side of pacemaker implantation
- Infection or inflammation at the site of incision
- Damaged blood vessels and nerves
- Formation of the scar tissues near the pacemaker site
- Retention of fluid around the heart
- Collapsed lung or pneumothorax, which is quite rare
- Shifting of the leads or device may puncture your heart, however, this is also a rare thing
- Accumulation of blood between the space of lung and chest wall
Besides these complications due to the surgery, it might be possible that malfunctioning of the pacemaker may also lead to some severe complications. A malfunctioned pacemaker can be a result of any of the following situations:
- Error in the programming of the pacemaker
- Leads may be displaced from their position
- Your pacemaker may get damaged due to a strong magnetic field.
- The battery inside the pacemaker generator may have died.
A malfunctioned pacemaker can make your arrhythmia worse which needs immediate medical assistance.
Before The Surgery
Before the surgery, your doctor will evaluate your medical history. He will ask about all the prescription and non-prescription drugs or supplements you are taking.
Before the surgery, the following things need to be considered:
- Maintain proper hygiene. Shower and shampoo well. Wear loose fitted and comfortable clothes.
- The doctor will ask you to fast before the surgery. Probably he will tell you to stop eating or drinking anything after midnight the night before the surgery.
- The doctor will suggest you stop a few medications before the procedure.
Follow all the instructions given by your doctor carefully. In case of any confusion or doubt feel free to talk to your doctor.
During The Surgery
Generally, the wired pacemakers are implanted using the transvenous procedure in the following way which typically takes one hour:
- Firstly the doctor will give a sedative to calm you and local anaesthesia to numb the site where the incision has to be made. You may feel a little unconscious but still, remain awake throughout the surgery.
- Near your collarbone, the surgeon will make a small cut through which they will guide the leads to a major vein.
- With the help of an x-ray machine, the surgeon can guide the leads through the vein to your heart.
- Once the leads reach your heart, the surgeon will make them attached to your heart muscle. Whereas the other end of the leads gets attached to the generator carrying the batteries and electrical information.
- When the whole thing gets assembled, the surgeon will place the generator under the skin of the chest near the collarbone.
- After the surgery is completed and before closing the incision with stitches, the surgeon will check whether the pacemaker is working correctly or not.
After The Surgery
After the surgery your doctor will ask you to take the following necessary precautions:
- Try to avoid being close to the equipment that uses magnets.
- Avoid keeping your cell phone near the pacemaker..
- Avoid placing the headphones on the chest or near the pacemaker.
- Avoid being close to certain electrical equipment like high-voltage transformers, electric fences, or portable car battery chargers.
- He may also ask to stop consuming some specific medicines. As such the functionality of the pacemaker won’t get altered if you are taking pills like vidalista 60. However, precautions need to be taken if you are taking other medicines for treating heart conditions.
Vidalista 60 can interact with nitrates or any other medicine used to treat heart problems and may cause side effects. When consumed with these medicines, vidalista 60 can cause a sudden lowering in your blood pressure leading to dizziness and fatigue. Therefore, for best results, consult with the doctor before consuming any medicine including Vidalista 60.