Interventional Cardiology Journal Open Access

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Commentary - (2023) Volume 9, Issue 6

Guiding the Heart: Divulging the Complexities of Manufactured Pacemaker Surgery
Jessi Pink*
 
Department of Internal Medicine, Beth Israel Deaconess Medical University, USA
 
*Correspondence: Jessi Pink, Department of Internal Medicine, Beth Israel Deaconess Medical University, USA, Email:

Received: 31-May-2023, Manuscript No. IPIC-23-17540; Editor assigned: 02-Jun-2023, Pre QC No. IPIC-23-17540 (PQ); Reviewed: 16-Jun-2023, QC No. IPIC-23-17540; Revised: 21-Jun-2023, Manuscript No. IPIC-23-17540 (R); Published: 28-Jun-2023, DOI: 10.21767/2471-8157.9.6.53

Description

The human heart, a marvel of biological engineering, is responsible for orchestrating the rhythmic beats that sustain life. However, for millions around the world, disruptions in the heart's natural rhythm can lead to a host of health complications. Enter artificial pacemaker surgery, a medical intervention that has revolutionized the treatment of cardiac arrhythmias. In this article, we delve into the world of artificial pacemakers, exploring the surgery's intricacies, its significance in modern medicine, the benefits it offers, potential risks, and ongoing advancements. The heart's rhythm is meticulously orchestrated by the body's electrical system. Disruptions to this system can result in cardiac arrhythmias, irregular heartbeats that may lead to a range of symptoms, from dizziness and fatigue to life-threatening complications such as heart failure and stroke. These arrhythmias stem from problems in the heart's electrical signals, causing the heart to beat too fast (tachycardia), too slow (bradycardia), or irregularly. Artificial pacemakers are electronic devices designed to restore and regulate the heart's natural rhythm. These devices work by sending electrical impulses to the heart muscle, stimulating contractions and maintaining an appropriate heartbeat rate. The artificial pacemaker consists of several key components, including a pulse generator, leads, and sensing mechanisms. Artificial pacemaker surgery, also known as pacemaker implantation, is a carefully orchestrated procedure that requires a skilled medical team. The surgery is typically performed by a cardiologist or a cardiac electrophysiologist and involves the following steps: Before the surgery, the patient undergoes a comprehensive evaluation to determine the type of pacemaker needed and assess the overall health of the patient. This involves Electrocardiograms (ECGs), echocardiograms, and possibly other tests to pinpoint the specific arrhythmia and its severity. The surgery is performed under local anaesthesia, often with sedation to keep the patient comfortable. An incision is made, usually in the upper chest, and the surgical area is prepped and draped. Thin, insulated wires called leads are threaded through a vein, typically the subclavian vein, and guided into the heart's chambers. These leads are equipped with electrodes that can sense the heart's electrical activity and deliver appropriate impulses. A small pocket is created beneath the skin, usually just below the collarbone. This pocket serves as a housing for the pacemaker's pulse generator. The leads are connected to the pulse generator, and the entire system is tested to ensure proper functioning. The surgeon may induce arrhythmias during this phase to determine the pacemaker's effectiveness in correcting them. The pulse generator is placed in the pocket, and the incision is carefully closed using sutures or adhesive strips. The wound is dressed, and the patient is monitored in a recovery area before being discharged. Patients with persistent arrhythmias often experience debilitating symptoms such as fatigue, dizziness, and shortness of breath. Pacemakers can alleviate these symptoms, allowing patients to resume their normal daily activities. By maintaining a steady heart rate, pacemakers can significantly reduce the risk of life-threatening complications associated with arrhythmias, including fainting spells and sudden cardiac arrest. Modern pacemakers are designed to have a long battery life, reducing the need for frequent replacements and improving patient convenience.

Acknowledgement

None.

Conflict Of Interest

The author’s declared that they have no conflict of interest.

Citation: Pink J (2023) Guiding the Heart: Divulging the Complexities of Manufactured Pacemaker Surgery. Interv Cardiol J. 9:53.

Copyright: © 2023 Pink J. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.