A biventricular pacemaker implantation is a procedure to place (implant) a pacemaker into both of the lower chambers (ventricles) of the heart. A pacemaker is a small, battery-powered device that helps control the heartbeat. If the heart beats irregularly or too slowly (bradycardia), the pacemaker will pace the heart so that it beats at a normal rate or a programmed rate. Parts of a biventricular pacemaker include:
• The pulse generator. The pulse generator contains a small computer and a memory system that is programmed to keep the heart beating at a certain rate. The pulse generator also produces the electrical signal that triggers the heart to beat. This is implanted under the skin of the upper chest, near the collarbone.
• Wires (leads). The leads are placed in the left and right ventricles of the heart. The leads are connected to the pulse generator. They transmit electrical pulses from the pulse generator to the heart.
This procedure may be done to treat:
• Symptoms of severe heart failure, such as shortness of breath (dyspnea).
• Loss of consciousness that happens repeatedly (syncope) because of an irregular heart rate.
LET YOUR HEALTH CARE PROVIDER KNOW ABOUT:
• Any allergies you have.
• All medicines you are taking, including vitamins, herbs, eye drops, creams, and over-the-counter medicines.
• Previous problems you or members of your family have had with the use of anesthetics.
• Any blood disorders you have.
• Previous surgeries you have had.
• Any medical conditions you have.
• Whether you are pregnant or may be pregnant.
RISKS AND COMPLICATIONS
Generally, this is a safe procedure. However, problems may occur, including:
• Infection. ...
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The procedure may vary among health care providers and hospitals.
AFTER THE PROCEDURE
• Your blood pressure, heart rate, breathing rate, and blood oxygen level will be monitored often until the medicines you were given have worn off.
• You may continue to receive fluids and medicines through an IV tube.
• You will have some pain. Pain medicines will be available to help you.
• You will have a chest X-ray done. This is to make sure that your pacemaker is in the right place.
• You may have to wear compression stockings. These stockings help to prevent blood clots and reduce swelling in your legs.
• You will be given a pacemaker identification card. This card lists the implant date, device model, and manufacturer of your pacemaker.
• Do not drive for 24 hours if you received a sedative.
ExitCare® Patient Information ©2012 ExitCare, LLC.
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