Pacemaker Implantation Surgery cost in Singapore

A pacemaker stabilizes the heartbeat of a person. A pacemaker is required when there is a blockage in the heart and the natural pacemaker isn't capable of stabilizing the heartbeat. There are risks when the surgery is being performed by your doctor. Precautions are taken while implanting the device within your heart. Your doctor will check everything before he proceeds for the surgery. In fact, he will also have a word with you before he actually proceeds. Though there is only a 1% risk involved if any then will certainly explain the entire scenario to you.

Pacemaker Implant Surgery in Singapore

Before the pacemaker implant surgery in Singapore takes place, local anaesthesia would be used. The entire area would be made numb so that the patient does not feel any kind of discomfiture during the surgery. The patient will have a sleeping effect due to various medications. The surgery is not open-heart surgery. The surgery will be performed within 90 minutes maximum. While the device is being implanted into the chest it would be checked by the doctor. Your stay in the hospital totally depends on your body. Usually, patients are admitted a day before the operation. They are released on the same date of the surgery. If your surgery has complexities then you'll have to wait for your doctor’s advice. If you are taking any sort of medications then your doctor will advise you what you must do.

Cost Trend

In a public hospital, you can be charged between US$ 10,000 and US$ 12,900. On the other hand, a private hospital can charge you between US$ 18,100 and US$ 19,900.

Treatment and Cost

14

Total Days
In Country

2 No. Travelers

3 Day in Hospital

11 Days Outside Hospital

Treatment cost starts from

USD 24000

Hospitals

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.

Patient Stories

More Related Information

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Pacemaker Implantation Surgery in Indraprastha Apollo Hospital, Delhi, India8615 USDBook Now

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Most searched Hospitals for Pacemaker Implantation Surgery in Other Destinations are:

Frequently Asked Questions

What are the factors affecting the cost of Pacemaker Implantation Surgery in Singapore?

Different hospitals have different pricing policy when it comes to the cost of Pacemaker Implantation Surgery in Singapore. There are many hospital that cover the cost of pre-surgical investigations of the patient in the treatment package. The comprehensive Pacemaker Implantation Surgery package cost includes the cost of investigations, surgery, medicines and consumables. Extended hospital stay, complications after the surgery or new diagnosis may affect the overall cost of Pacemaker Implantation Surgery in Singapore.

Which are some of the best clinics in Singapore for Pacemaker Implantation Surgeryt?

Many hospitals in Singapore perform Pacemaker Implantation Surgery. Some of the most renowned hospitals for Pacemaker Implantation Surgery in Singapore include the following:

  1. Gleneagles Hospital
  2. Mount Elizabeth Novena Hospital
  3. Thomson Medical Center
  4. Mount Elizabeth Hospital
  5. Parkway East Hospital
  6. Farrer Park Hospital
How many days does it take to recover post Pacemaker Implantation Surgery in Singapore?

The recovery of the patient many vary, depending on several factors. However, on an average, patient is supposed to stay for about 14 days in the country after discharge. This period is important to conduct all the follow-up tests to ensure that the surgery was successful and the patient can go back to the home country.

Which are some of the other popular destinations for Pacemaker Implantation Surgery?

Singapore is one of the most popular countries for Pacemaker Implantation Surgery in the world. The country offers the best cost of Pacemaker Implantation Surgery, best doctors, and advanced hospital infrastructure. Some of the other destinations that are popular for Pacemaker Implantation Surgery include the following:

CountryCost
CzechiaUSD 6000
IndiaUSD 4500
IsraelUSD 12500
LithuaniaUSD 11500
MalaysiaUSD 7500
PolandUSD 5000
South AfricaUSD 12500
ThailandUSD 14500
TunisiaUSD 3600
TurkeyUSD 9000
United Arab EmiratesUSD 6000
How much are the other expenses in Singapore apart from the cost of Pacemaker Implantation Surgery?

There are certain expenses additional to the Pacemaker Implantation Surgery cost that the patient may have to pay for. These are the chanrges for daily meals and hotel stay outside the hospital. The per day extra expenses in Singapore per person are about USD 50 per person.

Which are the best cities in Singapore for Pacemaker Implantation Surgery Procedure?

There are many cities that offer Pacemaker Implantation Surgery in Singapore, including the following:

  1. Singapore
How many days does one have to spend in the hospital for Pacemaker Implantation Surgery in Singapore?

The patient is supposed to stay at the hospital for about 3 days after Pacemaker Implantation Surgery for monitoring and care. This phase is important to ensure that the patient is recovering well and is clinically stable. During this time, several tests are performed before the patient is deemed suitable for discharge.

What is the average rating of Hospitals in Singapore offering Pacemaker Implantation Surgery?

The average rating for Pacemaker Implantation Surgery hospitals in Singapore is 2.7. This rating is automatically calculated on the basis of several parameters such as the infrastructure of the hospital, quality of services, nursing support and other services.

How many hospitals offer Pacemaker Implantation Surgery in Singapore?

There are more than 6 hospitals that offer Pacemaker Implantation Surgery in Singapore. Such clinics have the required infrastructure and a dedicated unit where patients can be treated. Also, these hospitals follow the necessary guidelines as required by the medical associations for the treatment of Pacemaker Implantation Surgery patients.

Who are the best doctors for Pacemaker Implantation Surgery in Singapore?

Some of the best doctors for Pacemaker Implantation Surgery in Singapore are:

  1. Dr. Eric Chong
  2. Dr. Maurice Choo
  3. Dr. Wong Poo Sing
  4. Dr. Brian Khoo
  5. Dr. Peter Robless
  6. Dr. Ruth Kam

FAQ's Related to Singapore

What healthcare accreditation standards are followed in Singapore?

The accredition of hospitals in Singapore is done by Joint Commission International as an international accredition agency. Healthcare quality and patient safety parameters are assessed by the Joint Commission International or JCI. Any hospital in Singapore that has been apprised by and approved on Organisation management by the Joint Commission International is the one which is really sought after by all. Hospitals in Singapore are given the accredition by Joint Commission International post stringent assessment measures.

Which are the popular multispecialty hospital groups in Singapore?

The popular multi specialty hospital groups in Singapore are as follows

  1. Mount Elizabeth Hospital
  2. Raffles Hospital
  3. National University Hospital
  4. Gleneagles Hospital
  5. Singapore General Hospital
  6. Changi General Hospital
  7. Johns Hopkins Singapore International Medical Centre
  8. Tan Tock Seng Hospital
  9. Parkway Hospitals Singapore

The high standards of medical care provided by the popular multispecialty hospitals in Singapore ensures that a truly international patient population frequents them. A wide coverage of specialties and the best of medical specialists looking after the patients is a benchmark of the popular multispecialty hospitals in Singapore. The patient community loves the popular Singapore multispecialty hospitals because here you get the best of treatment in really less waiting times.

Why should I opt for healthcare in Singapore?

Healthcare in Singapore is identified with world class healthcare infrastructure and this gives you a strong reason to opt for treatment in Singapore. The healthcare community and healthcare providers in Singapore are best known for providing the best of clinical care and aiming for the highest clinical outcomes. The high service levels with which patients are being treated in the hospitals in Singapore is the reason for its popularity as a medical tourism destination. Singapore is being increasingly chosen by medical travellers owing to its association with great access to quality healthcare and its high ratings as an easy to travel to destination.

What is the quality of doctors in Singapore?

It is important to know that with immense practical knowledge in their specialisation and being thorough professionals, doctors in Singapore are among the chosen few. Precision and efficiency of treatment are the focus areas of the doctors in Singapore and assessed on these parameters Singapore can be said to have great quality of doctors. The doctors in Singapore are treating patients from different nationalities and cultures on a daily basis giving them a true international experience. The quality of doctors in Singapore can be defined by the fact that they have been educated from the best of the institutions in the world and are very skilled in their work.

When traveling to Singapore for medical treatment, what essential documents do I need to carry along?

We bring to you the list of documents needed for your medical travel to Singapore:

  1. Medical Records and Reports describing your medical condition
  2. Communication from the hospital and/or the doctor that has referred you
  3. Passport
  4. Treatment Plan and Frequency of treatment
  5. Fit to travel confirmation
  6. To and Fro travel tickets
  7. Visa relevant to your visit as a medical traveller to Singapore
  8. Proof of financial means for travel and treatment
  9. Credit Card/Debit Card/Valid internet banking account in Singapore

Kindly create a checklist of documents as you prepare your journey to Singapore for your medical travel. The documents that you need to carry for your medical treatment to Singapore will be consisting of your financial standing, your travel related documents and the ones that are related to your medical condition. It is essential to make sure that your travel documents align with your medical travel visa requirements making your treatment, stay and travel back a seamless process.

What are the popular procedures available in Singapore?

The popular procedures available in Singapore are as follows.

  1. Dentistry
  2. Orthopedics
  3. Cardiology
  4. Cosmetic/Plastic Surgery
  5. Ophthalmology

Cardiology procedures have long been the forte of healthcare providers in Singapore owing to their expertise stemming from the best of education and training in performing these procedures. Cardiology procedures have long been the forte of healthcare providers in Singapore owing to their expertise stemming from the best of education and training in performing these procedures. There are may popular cosmetic surgery procedures which are regularly done in clinics and hospitals in Singapore such as:

  1. Liposuction
  2. Rhinoplasty
  3. Face Lift
  4. Breast Augmentation
  5. Blepharoplasty
What are the other facilities provided by hospitals in Singapore?

The major hospitals in Singapore ensure that the stay is comfortable not just for the patient but even the people accompanying them by providing a number of additional facilities. Hospitals in Singapore are constantly putting efforts in making your travel and transfer seamless by providing you facilities such as:

  1. Accommodation
  2. Flight Booking
  3. Airport Transfers
  4. Interpreter

It is pertinent to note that hospitals in Singapore are always seeking to make your medical travel to Singapore easy by enabling private payment gateways and the wide availability of private insurance. Whether it be providing health screening, dietitians and pharmacies presence in the hospitals in Singapore, everything is done in line with the patient centric care practiced by the hospitals.

What is the procedure for obtaining medical visa for Singapore?

Please check the visa requirements for your country before applying for a medical visa for Singapore as their are relaxed visa norms for many countries. Here are the requirement documents for a Singapore medical visa.

  1. Passport with the required time validity
  2. Completed application form
  3. LOI or Letter of Introduction from a local contact in Singapore
  4. A recent passport size photograph
  5. Bio data page photocopy of the passport of the applicant
  6. Covering letter and forwarding letter

It is good to note that it takes a minimum of five working days for the processing of your medical visa (exceptions maybe additional time during peak periods and due to incomplete visa applications). Do check the required visa fee from your country for Singapore medical visa. Please make sure that you submit your original bank statement with your visa application to get your Singapore medical visa.