Once the lead has been positioned, the doctor will make a two- to three-inch incision in the skin, creating a small "pacemaker pocket." The leads will be connected to the pulse generator, which is then placed into the pocket. The leads are connected to the pacemaker and closed under the skin. After the area is numb, the doctor will guide the leads through the vein and into the heart's right-side chambers using fluoroscopy (X-ray monitors).Īccess to the vein under the collar bone is obtained and one or more leads (thin wire-like tubes) are advanced to the heart.
#Pacemaker av sequential ekg skin
The doctor will give a local anesthetic to numb the skin and tissue at the site of the pacemaker implantation. Patients will receive some sedation intravenously to help with relaxation during the procedure. The upper chest will be scrubbed and shaved (if needed) and patients will be covered with sterile sheets. The entire procedure usually lasts about two hours.ĭuring the procedure, patients will lie flat on a table for the duration of the implantation. Procedures may vary depending on a patient’s condition and the doctor's practices. The treatment is known as cardiac resynchronization therapy because it resynchronizes the ventricles’ pumping action.Ī pacemaker implantation procedure may be performed on an outpatient basis or as part of a stay in a hospital. Our doctors program the biventricular pacemaker to coordinate the contractions of the ventricles, so that they both pump together.Ĭoordinating the ventricles’ contractions helps your heart pump blood more efficiently and can relieve your heart failure symptoms. We use the biventricular pacemaker to treat people with arrhythmias caused by advanced heart failure.įor many people with heart failure, the left and right ventricles do not pump at the same time. This pacemaker, also known as a cardiac resynchronization therapy (CRT) device, has three leads connected to the right atrium and both ventricles. The contractions allow blood to flow properly from the right atrium into the right ventricle.ĭepending on the pacing needs of your heart, a dual-chamber device may be an appropriate option for you. This pacemaker helps the two chambers work together, contracting and relaxing in the proper rhythm.
The doctor programs the dual-chamber pacemaker to regulate the pace of contractions of both chambers. With two leads, this device connects to both chambers on the right side of your heart, the right atrium and the right ventricle. Depending on your symptoms and the type of pacing you need, we connect the lead to your right atrium (upper heart chamber) to stimulate the pacing in that chamber.
#Pacemaker av sequential ekg generator
This type of pacemaker has one lead that connects the pulse generator to one chamber of your heart.įor most people, we use the single-chamber pacemaker to control heartbeat pacing by connecting the lead to your right ventricle (lower heart chamber). After our diagnostic evaluation, we discuss our recommendations with you to choose the right pacemaker for your needs. The type of pacemaker you may need depends on your symptoms and the specific heart condition you have.
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