Best Hospitals for Pacemaker Implantation Surgery

If you need to have a pacemaker fitted, a small electrical device called a pacemaker will be surgically implanted in your chest. The pacemaker sends electrical pulses to your heart to keep it beating regularly and not too slow. Having a pacemaker can significantly improve your quality of life if you have problems with a slow heart rate. The device can be lifesaving for some people.

Pacemaker implantation is one of the most common types of heart surgery carried out, with many thousands of pacemakers fitted each year. The procedure to implant a pacemaker does not require open heart surgery, and most people go home within 24 hours. Before the surgery, medication may be given to make you sleepy and comfortable. Generally, the procedure is performed under local anesthesia.

 

 

Treatment and Cost

14

Total Days
In Country
  • 3 Day in Hospital
  • 2 No. Travelers
  • 11 Days Outside Hospital

Treatment cost starts from

USD 4000

174 Hospitals


Parkway East Hospital located in Joo Chiat Pl, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Total capacity for 143 beds
  • Hospital rooms are available- Single room, 2-bedded room (8), 4-bedded room (2), Deluxe room, and Orchid/Hibiscus Suite
  • All rooms are equipped with all ensuite facilities like Free wifi, mini fridge, sofa couch, telephone, in-room safe, TV, etc.
  • Maternity wards- Accredited as a baby-friendly hospital under the World Health Organisations Baby-Friendly Hospital Initiative (BFHI)
  • 1 Neonatal Intensive Care Unit (NICU) with 14 cots
  • Intensive Care Unit
  • 1 Operation Theatre with 5 Operating rooms
  • 1 Nursery with 30 cots
  • 1 Parentcraft room
  • 24-hour walk-in-clinic (for emergency)
  • 24-hour Pharmacy

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14

SPECIALITIES

6+

FACILITIES & AMENITIES


Medanta - The Medicity located in Gurugram, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:

  • 1250 beds facility
  • 800+ professionally trained & experienced Doctors
  • Patient Support Services Team in International Patients Department, assists patients from different nation during their medical travel journey
  • Hotels and Lodging Arrangements
  • International Lounge
  • Medantas own Air-ambulance service can reach you in any part of the world (fully functional ICU at 30,000 feet above the ground)

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62

DOCTORS IN 14 SPECIALITIES

6+

FACILITIES & AMENITIES

USD 4190 - 5320

FOR Pacemaker Implantation Surgery


Venkateshwar Hospital located in New Delhi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • The hospital has the latest healthcare facilities and world class infrastructure.
  • It has a 325 bed capacity and 100 beds for critical care.
  • There are as many as 10 operation theatres.
  • The Intensive Care Unit and blood bank is also present within the hospital.
  • There is complete support for international patients with facilities such as transfers, assistance for visa and accommodation, translators and insurance related assistance.
  • Some of the departments in which medical services are available are Plastic and Reconstructive Surgery, Orthopedics, Gynecology, Cardiology, Neurology and Oncology.
  • The hospital also provides treatment for infertility, weight loss and has physiotherapy and pain management services.

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36

DOCTORS IN 13 SPECIALITIES

6+

FACILITIES & AMENITIES

USD 4160 - 5310

FOR Pacemaker Implantation Surgery

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Gleneagles Hospital located in Napier Road, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • 270+ bedded medical facility, which includes suites, single rooms, two-bedded, four-bedded rooms and maternity wards (9 delivery rooms)
  • 12 operating rooms
  • Surgery ward with 40 beds
  • State-of- the-art intensive care unit (ICU) with 16 beds
  • State-of- the-art neonatal intensive care unit (NICU) with 14 cots
  • Separate transplant unit
  • Endoscopy Centre (VIP room)
  • 24-hour accident and emergency (A&E) and outpatient Unit
  • Accommodation availability for the patients
  • The Hospital has a dedicated Patient Assistance Centre, which is to cater to multi-faceted needs of international patients. It provides services like air evacuation and repatriation, visa application and extension, language interpretation assistance, etc.

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14

SPECIALITIES

6+

FACILITIES & AMENITIES


Medicana International Istanbul located in Istanbul, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:

  • Covers an indoor area of 30.000 m
  • Capacity of 191 beds
  • 34 ICUs
  • 8 NICUs
  • 8 Operation Theatres
  • Inpatient Floors
  • Outpatient Floors
  • Internal and Surgical Intensive Unit Care
  • Cardiovascular Surgery Intensive Care Unit
  • Coronary Intensive Care Unit
  • Neonatal Intensive Care Unit
  • Patient comfort CIP, VIP and Standard Patient Rooms
  • Intensive care patient rooms
  • Technology Advancement- PET-CT, ERCP, BT/MR 1.5 Tesla

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27

DOCTORS IN 10 SPECIALITIES

6+

FACILITIES & AMENITIES


Memorial Antalya Hospital located in Antalya, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • 114 patients and 28 intensive care beds
  • 5 Operating theatres
  • Radiology Department with advanced technology
  • Intensive care units
  • Interventional Radiology Unit
  • Chemotherapy and Art Center
  • The Hospital uses advanced technologies like Hydra Facial, Cardiac MR, Heart Tomography-Coronary CT Angiography and many more
  • Patient rooms and living spaces with all the 5-star hotel features

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24

DOCTORS IN 11 SPECIALITIES

6+

FACILITIES & AMENITIES


Apollo Hospitals located in Hyderabad, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:

  • A premier multi-specialty hospital with 477-bed capacity
  • More than 50 specialties, super-specialties
  • 12 Centers of Excellence
  • The Institutes for Heart Diseases, Neurosciences, Cancer, Emergency, Orthopaedics, Renal Diseases, and Transplants
  • Centers of Excellence are known for patient care, training and research
  • Doctors with years of truly global experience in healthcare delivery

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37

DOCTORS IN 14 SPECIALITIES

6+

FACILITIES & AMENITIES

USD 4260 - 5350

FOR Pacemaker Implantation Surgery


Star Hospitals located in Hyderabad, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • The bed capacity of Star Hospitals, Hyderabad, India is 130.
  • The hospital has Intensive Care Units which are upgraded with the latest technologies.
  • International patient care services are applied to make the process of medical travel easier for international patients.
  • Centres of Excellence across disciplines such as Cardiac Sciences, Renal Sciences, Critical Care, ENT, Spine Surgery etc.
  • A radiology centre which has been digitised.
  • There are Centers of Excellence for prominent specialties such as cardiac care and neurosciences, there are a total of six.

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28

DOCTORS IN 12 SPECIALITIES

6+

FACILITIES & AMENITIES

USD 4260 - 5280

FOR Pacemaker Implantation Surgery


The Hospital has world-class infrastructure with a capacity of over 1000 beds and much more-

  • 265 Licensed beds
  • 13 Operation Theatres
  • 24*7 Cath Lab
  • 24*7 available Blood Bank
  • 24*7 Emergency Department
  • 24*7 Open Pharmacy

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32

DOCTORS IN 14 SPECIALITIES

6+

FACILITIES & AMENITIES

USD 4140 - 5480

FOR Pacemaker Implantation Surgery


Mount Elizabeth Hospital located in Singapore, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • 345 bedded Hospital
  • Maternity wards
  • The Mount Elizabeth Patient Assistance Centre (MPAC)
  • 1 major operating unit with 12 operating rooms and 1 operating theatre dedicated to in vitro fertilisation (IVF)
  • Intensive Care Unit
  • High Dependency Unit (HDU)
  • Neonatal Intensive Care Unit (NICU)
  • Accident & Emergency Department
  • Rooms are categorized as Single rooms, 2-bedded rooms, 4-bedded rooms, Executive deluxe suite, Daffodil/Magnolia suite, VIP Room, and Royal Suite
  • All patient rooms are equipped with electric safe, LCD, sofa cum bed, wardrobe, radio channels, and much more
  • Parking lot

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14

SPECIALITIES

6+

FACILITIES & AMENITIES


Primus Super Speciality Hospital located in New Delhi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • There are as many as 130 hospital beds.
  • The total number of hospital beds is inclusive of the 18 ICU Beds in Primus Hospital.
  • Operation theatres in the hospital have been equipped with the latest technologies.
  • There is 24/7 hour emergency and trauma response and care.
  • 64 slice spirals as well as Cardiac CT Scan are present.
  • International patient care facilities are available such as accommodation, flight booking, airport transfer, and interpreters.

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26

DOCTORS IN 13 SPECIALITIES

6+

FACILITIES & AMENITIES

USD 4300 - 5470

FOR Pacemaker Implantation Surgery


Fortis Malar Hospital located in Chennai, India is accredited by ISO, NABH. Also listed below are some of the most prominent infrastructural details:

  • Fortis Malar Hospital has outstanding healthcare infrastructure and it is equipped with the latest cutting edge equipment.
  • The hospital has around 650 employees in addition to the 160 consultants.
  • The bed capacity of the Fortis Malar Hospital is 180.
  • There are as many as 60 ICU beds in the hospital.
  • There are 4 modern fully equipped operation theatres.
  • It also has a digital flat panel Cath lab.

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20

DOCTORS IN 9 SPECIALITIES

6+

FACILITIES & AMENITIES

USD 4290 - 5390

FOR Pacemaker Implantation Surgery


Artemis Hospital has reported outstanding results in pacemaker implantation in India by bringing three several specialties together The hospital uses an endocardial transvenous approach for a pacemaker implant in which a local anesthetic is given to numb the area The procedure is strictly monitored by cardiologist and vascular and cardiothoracic surgeons

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51

DOCTORS IN 14 SPECIALITIES

6+

FACILITIES & AMENITIES

USD 4190 - 5400

FOR Pacemaker Implantation Surgery


Sterling Wockhardt Hospital located in Mumbai, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • The bed capacity of Sterling Wockhardt Hospital is 50.
  • Critical care and complex cases resolution is done with excellent results.
  • Emergency departments with 3 beds capacity and Intensive Care Unit with 10 beds capacity.
  • The healthcare delivery focus of the hospital is both on prevention as well curing the conditions.
  • Diagnostics are well developed with the latest technological developments.
  • Pharmacy, operating rooms, lab services are at par with the best in the country.
  • 24/7 ambulance services to cover healthcare requirements in Panvel and Vashi.
  • Accommodation, airport transfers, flight bookings and translation services are all available for international patients.

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16

DOCTORS IN 14 SPECIALITIES

6+

FACILITIES & AMENITIES

USD 4070 - 5320

FOR Pacemaker Implantation Surgery


Medicana International Samsun Hospital located in Samsun, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:

  • International Samsun Hospital provides services in a closed area of 30.000 m2
  • 9 elevators with pressure control have been designed for you in the hospital with 3 blocks, two of which are 11 floors and the other 10 floors
  • Capacity of 249 beds
  • 7 Operating Theatres
  • 109 Intensive Care beds (19 Newborn, 7 Paediatric, 20 Coronary, 8 CVS, and 54 General)
  • Laboratories - Biochemistry, Pathology, Hormone, Microbiology, Sleep Lab
  • IVF Center
  • Oncology Center
  • The Hospital serves patients with a team of about 99 specialists and academicians in 40 branches and 631 employees
  • Medicana International Samsun uses advanced technology & modern equipment such as BT/MR 1.5 Tesla, 3d Conformal, Thermal Welding, Holmium Laser, 4D Ultrasonography, Color Doppler Ultrasonography, Mammography, and Radiotherapy; in order to perform safe, authentic and quick treatment
  • All kinds of rooms are available for the patients- Single, Suite and VIP Rooms. Patient rooms are equipped with the latest technology and comfort
  • Amenities provided in the room for patients and their relatives- TV and Minibar in each room, 24-hour interrupted Cafeteria service, central air-conditioning ventilation system in each room, Internet access, phones in rooms, and much more
  • Cafeteria/Restaurant
  • Pharmacies on Duty
  • Parking lot with a capacity for 50 vehicles

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31

DOCTORS IN 11 SPECIALITIES

6+

FACILITIES & AMENITIES

About the Pacemaker Implantation Surgery

How does a Pacemaker Implant work?

Pacemaker implantation is a common surgery and it significantly improves the quality of life led by the patient.  The blood-pumping organ, heart, is essentially made of a few groups of muscles. These muscles are controlled by electrical signals to ensure that the heart beats naturally and effectively to circulate blood to all parts of the body. When this electrical signal gets disrupted due to some reason, then an individual may experience tachycardia (where hear beats abnormally slow), heart block, arrhythmia (irregular heartbeat), or a cardiac arrest (abrupt and sudden stopping of the heartbeat).

The contractions happen as a result of triggered electrical pulses generated by sinoatrial node or the SA node. It acts like a pacemaker of the heart. This electrical pulse is then sent to the atrioventricular node or the AV node for relaying the pulse to the ventricles. Pacemaker implantation is suggested when this electrical signaling network is disrupted.The faulty functioning of the natural pacemaker of the heart may lead to the following:

Sick sinus syndrome: It is characterized by a slow heartbeat (bradycardia) or fast heartbeat (tachycardia) or a combination of both. It can happen due to age, a previous history heart attack, and thyroid problem, too much of potassium accumulation in blood, heart surgery, or sleep apnea.

Heart Block

In this case, the impulse is either delayed or absent.

Cardiac arrest

The heart can stop beating. It may result because of the presence of coronary artery disease and muscle problems in the heart, which can happen after the age of 35.

Symptoms

Some of the symptoms observed in patients requiring pacemaker implantation are:

  • Bradycardia
  • Tachycardia
  • Uncontrollable fatigue
  • Dizziness experienced throughout the day
  • Shortness of breath
  • Acute chest pain
  • Palpitation and fluttering of the heart (arrhythmia)

What is a pacemaker implant?

A pacemaker implant is a small device that weighs around 20 g to 50 g and is the size of a matchbox. It has a pulse generator with a battery, a tiny computer circuit and a few wires called pacing leads. This system is attached to the heart and it emits signals through the wires. The pacing rate or the rate of electrical impulses can be adjusted as per the requirement of the body and be accordingly programmed. It can sense if a heartbeat is missed or if the heart is beating too slow. Accordingly, it starts sending a steady signal to normalize the beating of the heart. If the beats are normal, then it simply does not send any signal.

How is Pacemaker Implantation Surgery performed?

Insertion of a permanent pacemaker is a minimally invasive procedure. Access to heart chambers takes place as transvenous access to local anaesthesia.  The most common method is via the subclavian vein or the cephalic vein. In rare cases, it is through femoral vein or the internal jugular vein.  Either in an operating room or in a cardiac catheterization laboratory, the pacemaker implant procedure is performed.

In the infraclavicular region, the pacing generator is placed subcutaneously. Via thoracotomy, the pacemaker leads are implanted surgically. The pacing generator is then placed in the abdominal area. Either via left or right pectoral sites, single chamber and dual chamber insertion can be accomplished. The chest is then prepared. Sterile drapes are applied to the incision area to keep it as sterile as possible. Antibiotic prophylaxis is nowadays employed for the implantation. Preoperative antibiotic can reduce the chances of any infection by almost 80 percent. Cefazolin 1g is administered intravenously one hour prior to the procedure. Other antibiotics can be administered if the patient is allergic to cephalosporins, vancomycin, or penicillins.

The central vein is accessed percutaneously. Due to skeletal landmarks being deviated in some patients, there will be a need of fluoroscopic examination to reduce the time and complications in access. At the junction of first rib and the clavicle, the subclavian vein is typically accessed. For the confirmation of deep vein thrombosis, a phlebography is required for visualization of the vein.

Now a guide wire is advanced through the access needle and tip of the guide wire in placed in the right atrium or venacaval area under fluoroscopy. The guide wire is kept in place after the needle is withdrawn.  If required, a second guide wire is also placed. Double wire technique may be employed through a sheath which is then withdrawn. Two separate sheaths can be manoeuvred over the two guide wires. During the lead advancement, some friction can be felt.

An incision of one to two inches is made in the area of the infraclavicle, which is parallel to the middle third of the clavicle and a subcutaneous pocket is made with both sharp and blunt dissection. This is for the implantation of the pacemaker generator. In many cases, surgeons prefer the access later and pocket first.

A peel-like special sheath and dilator are advanced over the guide wire. The guide wire and dilator are withdrawn keeping the sheath in place. A stylet is then inserted in the center channel of the pacemaker lead making it more rigid.  This lead-stylet combination is then inserted into the sheath and advanced to the concerned heart chamber under fluoroscopy.  In order to prevent dislodgement, the ventricular lead is positioned before the atrial lead. For the positioning in the tricuspid valve, a small curve at the tip of the stylet make it more mobile to reach the right ventricular apex. The introducing sheath is peeled once the lead is secured. With a pacing system analyser, the lead impedances are measured after the pacing lead stylet is removed. To prevent diaphragmatic stimulation, the pacing is performed at 10V. 

After the confirmation of thresholds and lead position, the proximal end of the lead is secured to the pectoralis tissue with the help of a non-absorbable suture. This suture is sewn to a sleeve which is located on the lead. This is placed in the right atrium is a second lead is required.  For patients who have already had a cardiac surgery, the lead tip is positioned medially or in the free lateral wall of right atrium. Same process of stylet withdrawal is followed after this. After positioning and testing of leads, the pacemaker pocket is fed with antimicrobial solution and the pulse generator is connected to the leads. To prevent migration or twiddler syndrome, many surgeons secure the generator to the underlying tissue with non-absorbable suture.

Before final confirmation of lead positioning, a look is taken under the fluoroscope. With the help of adhesive strips and absorbable sutures, the incision is closed. A sterile dressing is then applied on the surface. To limit movement for 12 to 24 hours, an immobilizer or arm restraint is applied. The chances of pneumothorax are ruled out with the help of a postoperative chest radiograph.

Recovery from Pacemaker Implantation Surgery

Recovery post a successful Pacemaker Implantation

Usually, a patient is kept under observation for more than a day after the pacemaker implantation surgery. It takes around six weeks before the patient to get used to the implanted device. Heavy works must be avoided initially. One should ensure that the concerned arm is not rendered immobile during this time to prevent a frozen shoulder. A physiotherapist can exactly show the movements that you need to perform to keep your arm healthy. Carry the duly filled pacemaker implant card for emergency to avoid any unwanted situation.

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