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Heart Surgery India
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Pacemaker Clinic

Max Institute of Cardiac and Vascular Sciences
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Every year, more than 180,000 new patients get implanted pacemakers and defibrillators, according to the American Heart Association.

Besides pacing your heart, your pacemaker monitors your natural heart rhythm (sensing) by receiving the electrical signals generated by a naturally occurring heartbeat. Therefore, the pacemaker is able to help your heart when it is not beating normally and leave your heart alone when it is. During the pacemaker check-up, sensing is verified in either the atrium or ventricle for single chamber pacemakers, or both the atrium and the ventricle for dual chamber
pacemakers. The physician (Electrophysiologist) will check the program settings of your pacemaker.

Since pacemaker and device batteries only last from about 6 to 10 years,

a pacemaker clinic is essential which checks for:




  • battery status/depletion
  • lead integrity/malfunction
  • pulse generator malfunction
  • pacemaker pocket erosion
  • extract diagnostic information
  • elective replacement time

Pacemakers & Devices should be tested about every 6 months.

Hence, rather than farming out this responsibility, we follow our patients through the Pacemaker Clinic. Besides checking the device, a patient may have conditions that require follow up and the clinic helps us do that.

 

The Pacemaker Clinic is a full-service follow-up clinic with the ability to serve patients with a state-of-the-art computerized database and multiple programmers to check all types of pacemakers and/or defibrillator.

Any changes that are necessary in the way your particular pacemaker or defibrillator operates can be programmed into your device at that time.  


If it is beneficial, your pacemaker settings can be changed to address changes in your lifestyle or your medical condition. If you have a rate responsive pacemaker, you may be asked to perform a physical activity.

The periodic comprehensive in-office pacemaker check is best suited to determine if your pacemaker is programmed for delivering the best therapy for you.

 

 In our pacemaker clinic patients are managed and evaluated by a well trained electrophysiologist

(At other places this job is done by a technician)

 

We have introduced a computer based data analysis for our patient follow up which will give us the complete analysis data of every follow up of our patient since the data of implantation of the device. This programme is unique for our pacemaker clinic.

 

Our pacemaker clinics offers group educational and support sessions for patients and families of patients with pacemakers and/or devices.

Patient devices are checked via a combination of office visits (Pacemaker Clinic) and remote monitoring, including transtelephonic monitoring (TTM). For TTM, a patient uses equipment at home which transmits his heartbeat over the phone for the implanting doctor to evaluate.

Remote monitoring can take a full reading of information of a device and send it into a manufacturer's web site from where we access the information about the device and if we see problems, we can contact the patient or take appropriate action. Even though much of the pacemaker testing is moving into the home, the doctor gets strips in the office and can interpret the data.

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