Temporary Pacemaker Insertion

A temporary pacemaker is a small electrical device that sends electric pulses to the heart to ensure it keeps beating properly. As the name suggests, it is a temporary arrangement done until a better, more permanent treatment plan is devised and executed.

Why Is A Temporary Pacemaker Needed?

If you have a life-threatening heart condition, a temporary pacemaker can buy you some time as you sort out your treatment preferences. In fact, at times, it can even be the treatment for the condition. Below are some instances when a temporary pacemaker can be inserted:

  • If your natural pacemaker malfunctions
  • During surgeries that involve anesthesia, especially in patients with a weak heart
  • After a heart attack
  • If you have heart failure
  • If you have consumed certain drugs that can disrupt the heart for medicinal or recreational purposes or by accident

Temporary pacemakers are even used as a treatment option for managing heart conditions like bradycardia, arrhythmia, etc.

How Is A Temporary Pacemaker Inserted?

Inserting a temporary pacemaker is usually an outpatient procedure. However, you may be advised to fast before the procedure, avoid certain medications, and lead a stress-free day. 

  • At the hospital, you will lie down on the exam table and they will clean and sterilize the site of insertion. You will also receive some sort of pain medication or sedative to calm your nerves.
  • A small incision is made on your chest through which the cardiologist will insert the pacing lead. It is guided into the vein and the heart using real-time imaging. A bit of discomfort or pressure can be expected at this stage.
  • The other end of the pacing lead is attached to an external pacemaker device.
  • At this stage, the pacing lead is tested to ensure that it is functioning properly.
  • Then the external pacemaker device is calibrated to deliver the appropriate rate and intensity of electrical impulses.
  • All through the process, the cardiologist will closely monitor you to ensure your heart rate and rhythm are stable and to watch for any complications. When all looks fine, you can go back and talk to your doctor regarding a more permanent sort of treatment.