Overview
A pacemaker is a small device placed under the skin below the collarbone that sends gentle signals to keep the heart beating at a safe rate. It is used when the heart's natural electrical system is too slow or blocked.
Cardiac resynchronisation therapy (CRT/CRT-D) helps both sides of a weak heart pump in step, improving symptoms of heart failure. An implantable cardioverter-defibrillator (ICD) watches for life-threatening rhythms and corrects them instantly.
Dr. Senthilnathan performs temporary and permanent pacemaker, CRT, CRT-D and ICD implantation, and runs regular device-check clinics.
Who may need it
- Slow heartbeat or heart block causing giddiness, fainting or fatigue
- Heart failure with low pumping function and electrical delay (CRT)
- Survivors of cardiac arrest, or patients at high risk of dangerous rhythms (ICD)
What to expect
- Performed under local anaesthesia with light sedation, usually in about an hour.
- Thin leads are passed through a vein into the heart and connected to the device placed in a small pocket under the skin.
Recovery & aftercare
- Usually 1–2 days in hospital. Avoid raising the arm on the device side above shoulder level for 4–6 weeks.
- Keep mobile phones at least 15 cm away from the device and carry your device ID card. Attend regular device checks.