Insertion of a Pacemaker or Defibrillator Device

What is a Pacemaker or Defibrillator Device?

Also known as Permanent Pacemaker (PPM) or Implantable Cardioverter-Defibrillator (ICD)

A Permanent Pacemaker (PPM) is a small, battery-operated device implanted under the skin, typically near the collarbone. It helps regulate the heart’s rhythm by sending electrical pulses to prompt a normal heartbeat, particularly when the heart beats too slowly (bradycardia) or irregularly.

An Implantable Cardioverter-Defibrillator (ICD) is also a small, battery-operated device implanted under the skin. It continuously monitors the heart’s rate and rhythm and can detect abnormal rhythms (arrhythmias). When a dangerous rhythm is detected, the ICD delivers a corrective shock to restore a normal heart rhythm.

 

Why Would You Need a Pacemaker or ICD?

A pacemaker or ICD may be recommended if you have:

• Chronic slow or irregular heartbeats (Bradycardia)
• Tachy-Brady Syndrome or Sick Sinus Syndrome, with alternating fast and slow heart rates
• Heart Block (typically second- or third-degree), which often requires pacemaker treatment
• History of coronary artery disease or a past heart attack that has weakened the heart

These devices help stabilise heart rhythms, reducing symptoms and risks associated with these conditions.

 

How is a Pacemaker or Defibrillator Inserted at Monash Heart Private?

At Monash Heart Private, our skilled team of cardiologists and cardiac surgeons perform pacemaker and ICD insertions in specialised catheterisation labs at the Victorian Heart Hospital.

Here’s what to expect:

1. Admission and Preparation: Depending on your treatment plan, you may be admitted for a day procedure or an overnight stay. You’ll be shown to a private room and introduced to your bedside nurse, who will assist in preparing you for the procedure.
2. Anaesthesia and Sedation: The procedure is typically performed under local anaesthetic at the insertion site, with a mild sedative provided to help you relax while remaining awake.
3. Pacemaker Insertion:
   • Your electrophysiologist will insert one or more wires into a large vein near the collarbone, using X-ray imaging to guide them to the heart.
   • One end of each wire is positioned in the appropriate area of the heart, while the other end is connected to the pulse generator (the pacemaker device).
   • The pulse generator is then placed under the skin just beneath the collarbone, where it will deliver electrical pulses to maintain a regular heartbeat.
4. ICD Insertion:
   • The electrophysiologist will make a small incision in the chest area to insert one or more flexible wires (leads) into a blood vessel near the collarbone, guided by X-ray imaging to the heart.
   • One end of each lead is attached to the heart, while the other end is connected to the shock generator (the ICD device).
   • The ICD is then positioned under the skin near the collarbone. Once in place, the device is tested and programmed to respond to your specific heart rhythm needs, which may involve briefly speeding up and then resetting the heart rhythm to ensure the ICD functions correctly.

Why Choose Monash Heart Private for Pacemaker or ICD Insertion?

• Expertise and Leading Specialists: Our team includes some of Australia’s top cardiologists and electrophysiologists, ensuring high-quality care.
• Advanced Facilities: Our state-of-the-art catheterisation labs provide a safe and precise environment for device implantation.
• Patient-Focused Care: Monash Heart Private prioritises comfort, providing a supportive, private environment to make your experience as smooth as possible.

 

RECLAIM YOUR QUALITY OF LIFE. Contact us to learn more about pacemaker and ICU insertion and how we can support your journey to a stronger heart. Click here to view the directory.

 

Additional Resources

For more information on heart health and coronary angioplasty, here are a few trusted Australian resources:

• • Heart Foundation Australia: Provides comprehensive information on heart conditions, treatment options, and support resources for patients and families. Heart Foundation
  • Cardiac Society of Australia and New Zealand (CSANZ): Offers guidelines and resources on cardiac procedures and treatments relevant to patients. CSANZ
  • Australian Government Department of Health – Heart Disease: Contains information on heart disease prevention, treatments, and national health initiatives. Department of Health
  • Beyond Blue – Mental Health Support for Chronic Illness: Provides mental health support and resources for individuals coping with chronic conditions like heart disease. Beyond Blue