Pacemaker Implantation Cost in Dubai

A pacemaker is a device that is implanted in the chest to regulate an abnormal or irregular heartbeat. It consists of two components a pulse generator that helps in generating the electric pulse to stimulate the heart and a lead which helps in carrying the electrical impulse to the required chambers of the heart. Pacemakers recommended for people having a slow heartbeat which can lead to symptoms of dizziness, blackouts, feeling lethargic or feeling breathlessness.

Pacemaker Implantation in Dubai

Dubai has become one of the most searched destinations for medical tourism. It offers a unique opportunity for medical tourist to blend healthcare, wellness, and leisure in a single trip. Pacemaker surgery in Dubai is one of the commonly performed cardiology procedures by a team of skill cardiologist. Dubai offers a myriad of world-class medical treatment, advanced technology, and highly qualified doctors. Dubai Health Authority monitors the healthcare segment very carefully, hence advancement and quality check is an ongoing procedure in Dubai.

Cost Comparison

Dubai is one of the most searched tourist destinations in Asia and is now budding as the most sought medical tourism destination. Pacemaker implant cost in Dubai along with quality assurance and safety measures are comparable to some of the most chosen medical tourism destinations like Germany, Turkey, India, Singapore. Treatments offered in Dubai including the cost, facilities, accommodation, and sight-seeing are almost one-sixth to the total cost available to US or UK.

Treatment and Cost

7

Total Days
In Country

2 No. Travelers

3 Day in Hospital

4 Days Outside Hospital

Treatment cost starts from

USD 6000

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

Frequently Asked Questions

What is the health care infrastructure of the United Arab Emirates / Why should opt for the United Arab Emirates as a destination for your medical treatment?
The United Arab Emirates is counted among the most developed countries in the world in terms of healthcare benefits. UAE is home to some of the most progressed states and cities in the world which are praised for embracing modern advancements with open arms. Apart from the various other developments, the healthcare benefits, including the professionals and the infrastructure, are astounding. In contrast to the other major countries, the United Arab Emirates, however, does not charge an exorbitant fee in return for necessary treatment, which is why thousands of people opt UAE as their primary medical treatment destination. Besides, it is well-connected to various corners of the world which also makes it easily accessible by candidates all around.
What are the conditions of the hospitals in the United Arab Emirates? Are they JCI certified? What is the quality of the support staff in the hospitals?
The hospitals in the United Arab Emirates are known for providing exemplary services to the visitors. A high number of these hospitals and clinics are known for their incomparable patient interaction as well as infrastructure. The hospitals are very well-maintained and thus, pose least threat to survival. A large number of hospitals are known to be JCI approved as they have accomplished every infrastructural requisites as well as maintained a healthy medical environment to serve international tourists for healthcare purposes. Though there are several JCI approved hospitals in UAE, here are five popular ones among them:
  • American Hospital Dubai
  • International Modern Hospital
  • Dubai Hospital- DOHMS
  • Rashid Hospital- DOHMS
  • Oasis Hospital
One of the primary reasons for the hospitals bagging JCI accreditation is the quality of staffs working there. Not only the doctors and the surgeons serving patients, but also the support staffs are well-rounded to handle all kinds of situations to ensure quality support required by the candidates.
Are the doctors/surgeons in the United Arab Emirates of the best quality?
The doctors and surgeons in the United Arab Emirates are globally recognized for their service towards the medical field. Furnished with degrees from reputed universities and decades of training and experience, the doctors have earned high success rates throughout their professional career.
What is the process for obtaining a medical visa in the United Arab Emirates?
Certain countries allow visitors to enjoy visa-free entry for a period of 30 days, 90 days or 180 days, varying upon the country and the rules followed. In the UAE, the Patient Companion Visa and the UAE Medical Treatment Visa might be required, depending on the period of staying for medical purposes. Although the visas are arranged by the hospitals (in most cases) where treatment in being availed, yet the candidate must posses the following documents necessary for travelling and availing medical benefits from UAE:
  • Two passport size pictures of the candidate not older than six months
  • Valid passport (original and photocopy) which should not have expiration at least 6 months beyond the stipulated stay of the candidate
  • Valid proof of medical insurance showing the financial credibility
  • Medical certificate issued by the registered medical practitioner treating the candidate, clearly stating the requirement and the cause of the travel.
  • Acceptance letter from the medical practitioner to whom the candidate is being referred to.
What support services does MediGence provide in the United Arab Emirates?
Candidates availing treatment in a different country goes through high speculations. Besides the urgency and the immediate need for treatment, there are several other hassles, dealing which becomes tough for the individuals. Keeping in mind such dilemma, MediGence takes complete responsibility and provides umpteenth care so as to relieve the candidate from unnecessary exhaustion. Thus, the services provided are:
  • On-Ground Support
  • Teleconsultations
  • Visa Assistance
  • Accommodations Assistance
  • Free Airport to Hospital Transfer
  • Rehabilitation and recovery services
Which are the best cities in the United Arab Emirates for medical treatment?
The United Arab Emirates is known for housing some of the most advanced metropolises in the world. However, among them only a handful are renowned for the medical treatment facilities offered. Hence, some of the best cities for medical treatment in the United Arab Emirates are:
  • Dubai
  • Abu Dhabi
  • Sheikh
  • Sharjah

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