Procedure guide · Cardiac electrophysiology
A pacemaker is a small device placed under the skin of the chest that sends electrical signals to keep the heart beating regularly. The NHS lists heart block, other rhythm problems and heart failure among the reasons it may be fitted. A cardiologist in India reviews your ECG and rhythm recordings before advising whether you need one.
What is pacemaker implantation?
The NHS describes a standard implant done under local anaesthetic, sometimes with sedation. A small cut is made on the left side of the chest. Leads are guided through a vein into the heart. The device itself sits under the skin near the collarbone. The cut is closed with stitches or glue and most people stay in overnight.
A leadless pacemaker is a newer option sometimes offered for a slow heartbeat. According to the NHS it is guided straight into the heart through a vein. It needs no chest cut or leads, and people can usually go home the same day.
Who may need a pacemaker?
Pacemakers treat rhythms that are too slow or that do not pass properly through the heart. The NHS names heart block, arrhythmias and heart failure. Symptoms that lead to tests can include dizziness, fainting, breathlessness or tiredness. Not every slow heart rate needs a device. A cardiologist or electrophysiologist decides after looking at your recordings and your symptoms.
Which reports does a cardiologist usually ask for?
The NHS says the assessment before an implant may include blood tests, a chest X-ray or an echocardiogram. For a remote opinion it also helps to send rhythm evidence. Ask whether the hospital needs:
- ECGs, especially any taken during symptoms
- Holter monitor or event recorder reports
- a recent echocardiogram
- a chest X-ray
- a list of medicines, particularly blood thinners and rhythm drugs
- details of any previous device, if this is a replacement
How do I plan a pacemaker trip?
The trip is usually shorter than for heart surgery, but you still need time for assessment, the implant and a wound and device check before flying. Your cardiologist decides when you can travel. The NHS notes that driving, heavy lifting and some arm movements are restricted for a time after the implant. Pack light so you do not lift heavy bags.
Follow-up is lifelong. The NHS describes a check about six weeks after the implant, another a few months later and then at least once a year. Before you leave India confirm the make and model of the device and that a clinic at home can check it. The NHS says a pacemaker battery usually lasts six to seven years, so plan for future replacement. Carry the pacemaker ID card. At airport security you can ask for a hand search because staff should not hold a handheld metal detector over the device.
What should I ask the hospital before booking?
- Which type of pacemaker do you recommend for me and why?
- Is a leadless pacemaker an option in my case?
- Can a clinic in my country check and programme this make of device?
- Will I receive the ID card and device details before I leave?
- When will the wound be checked and when are stitches removed?
- Can remote monitoring be set up with my clinic at home?
Who decides
IndiaMedica does not give medical advice. Your treating specialist decides whether this procedure suits you, the treatment plan, how long you stay and when it is safe to fly.
Questions people ask
Can I go through airport security with a pacemaker?
Yes. The NHS advises that staff must not use a handheld metal detector over your pacemaker and that you can ask for a hand search instead. Show your pacemaker ID card at security and keep it with you throughout the journey.
Who will check my pacemaker after I return home?
You need a cardiology or pacing clinic that can read your make of device. Ask about this before the implant, not after. Bring the device details and discharge summary to your first appointment. The NHS describes regular checks for as long as you have the pacemaker.
Sources
General information, not medical or legal advice. Rules change: confirm with the official source. Your treating specialist decides on suitability, treatment and length of stay. How we write and check.