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Rhythm care

Pacemakers & device implantation

Assessment and device treatment for selected heart rhythm problems.

Illustrative pacemaker generator and leads
Illustrative medical image
Explore this guide

What a pacemaker does

A pacemaker is a small implanted device that sends electrical impulses to help regulate a heartbeat that is too slow. Other cardiac devices have different purposes; the type recommended depends on the diagnosis.

Before a device is recommended

Symptoms and rhythm recordings are reviewed together. Tests may include an ECG and longer-term monitoring. Not every palpitation or episode of dizziness needs a pacemaker.

Implantation and recovery

The team explains the implant, anaesthesia, wound care and activity advice. Follow the specific instructions given at discharge and keep the planned device checks.

Living with a device

Ask about your device identification card, medicines, follow-up and precautions around equipment. Risks of implantation include bleeding, infection and problems with the leads or device. Report concerning wound changes to your clinical team.

Discuss your options

Bring your previous reports and medicine list to a consultation. Ask how this test or procedure would help in your situation, what alternatives are available and what follow-up you may need.

About this guide

General patient information, prepared from practice information and the references below. It does not replace a consultation, diagnosis or your hospital’s instructions.

For a possible medical emergency

New or severe chest pain, severe breathing difficulty or collapse needs immediate emergency care. Call 112 in India. Do not wait for an appointment or a message reply. Do not drive yourself.

Frequently asked questions

Questions about this service.

General answers to support your discussion with the treating team.

Have another question?

Further reading: NHS: pacemakers

Does every slow heartbeat need a pacemaker?

No. Symptoms, rhythm recordings and the cause of the slow rate are assessed together before a device is recommended.

Do all implanted heart devices do the same thing?

No. Different devices address different rhythm or heart function problems. Ask which device is proposed and why it is appropriate for you.

Will I need checks after implantation?

Yes. Keep the device follow-up arranged by your team and follow their wound care and activity instructions. Ask about your device identification card.

Take the next step

A conversation about
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Arrange a consultation to understand your symptoms, discuss your reports and plan your next steps.

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