Artificial Pacemakers

An artificial pacemaker consists of a lithium battery, a pulse generator, and a wire which connects the pacemaker to the heart. Artificial pacemakers are used to treat arrhythmias by replacing the natural electrical impulses created by the S-A node.

Find out more about the natural pacemakers of the heart, or see the electrical activity of the heart during the cardiac cycle (requires flash).

Installation

Installation of a pacemaker is a relatively easy and short operation. First, the wire which connects the pacemaker is usually inserted from a neck vein. The pacemaker itself is fitted in between the skin and muscular layer either beneath the collar bone or in the abdomen, connected to the wire and stitched closed. The entire procedure usually only takes about half an hour and the patient can return home within the next few days.

Different Types

Some pacemakers are on all the time and simply override the electrical impulses that the heart generates. Other pacemakers let the heart beat naturally unless it skips a beat or begins to beat at an abnormal rate. Some pacemakers, called programmable pacemakers, can be adjusted to do either. Newer pacemakers have the ability to adjust their rate to the need of the patient, beating quickly during exercise and slowly during rest.

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