
How Do Pacemakers Work, and Who Needs One?
A healthy heart beats in a rhythm that’s steady and regular, which helps to keep you energized and your organs working the way they should. But in some people, this natural rhythm can be too slow, too fast, or irregular and cause fatigue, dizziness, and even spells of fainting. These symptoms can significantly impact daily living and sometimes indicate an underlying heart problem that needs to be addressed by a doctor. In such cases, doctors frequently prescribe a pacemaker, a small but powerful device used to treat erratic heart rhythms. In this blog, we will explain how pacemakers work and who exactly needs one. This blog helps you understand all things.
What is a pacemaker?
A pacemaker is a small device that doctors use to help control an irregular or slow heart rhythm. It is used in certain patients with abnormal heart rhythms to help maintain a normal heart rhythm. A pacemaker for heart patients is frequently advised for patients showing symptoms such as dizziness, fatigue, or fainting on account of irregular heartbeats. Comparison: A pacemaker implantation is viewed as a long-term management strategy for patients with certain heart diseases. It is ordered by a cardiologist following the patient’s history and heart rhythms.
Who needs a pacemaker?
Before understanding how a pacemaker works, we need to understand who needs a pacemaker. The following reasons are:
- Slow Heartbeat
- Irregular Heartbeat
- Heart Failure
- After Heart Surgery or Heart Attack
- Fainting Without Known Cause
- Heart Block
- Age-Related Heart Changes.
How do pacemakers work?
Monitoring the Heartbeat:
You have a pacemaker that is wired into your heart via leads. These leads track the heart’s natural electrical signals 24/7. The device continuously monitors the heart to see if it is beating at the optimal rhythm.
Detecting Abnormal Rhythms:
If the heart is beating too slow, missing beats, or not beating with the proper rhythm, the pacemaker detects these types of irregularities as early as possible.
Sending Electrical Impulses:
The pacemaker needs to intervene once an irregular heartbeat is sensed, and it will deliver small and painless electric impulses to the heart. These signals assist the heart in contracting and help in producing a heartbeat.
Maintaining Normal Rhythm:
These pulses are precisely timed to coincide with the body’s rhythm. The aim is to gently maintain a steady rhythm in your heartbeat, whether you’re at rest, asleep, or moving around.
Working Only When Needed (On-Demand Function)
That is, current pacemakers operate on an as-needed basis. The pacemaker remains dormant in the background, not giving any pulses, if it detects your natural heart rhythm. It is only active when it feels there is an issue.
Response to Physical Activity (Rate-Responsive Pacemakers):
Some pacemakers are sophisticated enough to detect physical activity or stress. For instance, if you begin walking or working out, they pump up your heart rate, which is automatically to keep pace with your body’s requirements.
Battery and Device Operation:
The pacemaker runs on a tiny internal battery that lasts from 5 to 15 years, depending on how much it is used. The device, which operates silently inside your chest, feels like nothing.
Regular Tracking & Monitoring of Progress:
Once it’s implanted, your doctor will monitor the pacemaker at regular intervals to make sure it’s working well. Adjustments can be made externally using a programming device, without the need for surgery.
What is the pacemaker implantation procedure?
- You are taken to the hospital and given some routine tests—probably an ECG and a blood test.
- The doctor injects local anesthesia around your collarbone. And you are awake, but you don’t feel any pain.
- Implant the pacemaker with a small incision just beneath your collarbone.
- Leads are passed to the heart through a vein in the groin using X-rays.
- The leads are linked to the pacemaker box.
- The pacemaker is implanted under the skin in a small pouch.
- The doctor checks to see whether the pacemaker is working properly.
- Sutures or surgical glue are used to close the incision.
- You’ll be closely watched for a few hours after you’re done.
- By the end of the procedure, nearly all patients go home the same day or the next with a detailed list of instructions for care.
- The process typically lasts one to two hours.
Conclusion
Today’s pacemaker is becoming one of the needs for an irregular heartbeat. But before taking any decision, it is important to consult with a trusted Dr. Rahul Sharma, a heart doctor in Jaipur, for personalized treatment and expert guidance.