A heart pacemaker is a sophisticated medical device designed to regulate and maintain a steady heartbeat, particularly in individuals with certain heart rhythm disorders or bradycardia (a slow heart rate). Comprising a small, battery-operated pulse generator and leads, a pacemaker is implanted during a minor surgical procedure.
The pulse generator, often placed under the skin near the collarbone, emits electrical impulses through leads that are threaded into the heart's chambers. These electrical signals monitor the heart's rhythm continuously. If an irregularity or pause in the heartbeat is detected, the pacemaker intervenes by delivering precisely timed electrical pulses, ensuring a consistent and appropriate heart rate.
There are various types of pacemakers tailored to address specific cardiac conditions. Single-chamber pacemakers involve one lead in either the upper (atrium) or lower (ventricle) heart chamber. Dual-chamber pacemakers have leads in both chambers, allowing for more synchronized contractions. Biventricular pacemakers, also known as cardiac resynchronization therapy (CRT) devices, coordinate contractions between the ventricles, often used in heart failure cases.
Regular check-ups are crucial for individuals with pacemakers to monitor device function and adjust settings as needed. The devices are programmable, allowing healthcare professionals to customize parameters such as heart rate and response to physical activity.
While pacemakers significantly improve the quality of life for those with certain heart conditions, precautions are necessary. Individuals with pacemakers are advised to avoid strong magnetic fields and carry identification cards or wear bracelets to inform healthcare providers about their device during emergencies.