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Biventricular Pacemaker Essay

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Biventricular Pacemaker Implantation

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
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○ Chest X-rays.
• Plan to have someone take you home after the procedure.
• If you go home right after the procedure, plan to have someone with you for 24 hours.

PROCEDURE
• To reduce your risk of infection:
○ Your health care team will wash or sanitize their hands.
○ Your skin will be washed with soap.
○ Hair may be removed from your surgical area.
• An IV tube will be inserted into one of your veins.
• You will be given one or more of the following:
○ A medicine to help you relax (sedative).
○ A medicine to make you fall asleep (general anesthetic).
○ A medicine that is injected into your spine to numb the area below and slightly above the injection site (spinal anesthetic).
○ A medicine that is injected into an area of your body to numb everything below the injection site (regional anesthetic).
• An incision will be made in your upper chest, near your heart.
• The leads will be guided into your incision, through your blood vessels, and into your ventricles. Your surgeon will use an X-ray machine (fluoroscope) to guide the leads into your heart.
• The leads will be attached to your heart muscles and to the pulse