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Pacemaker is implanted in patients who have symptomatic bradycardia and heart block .The symptoms may be dizziness, light headedness, pre syncope (chakkar), and syncope. The procedure is done under local anesthesia, preferably through the left or the nonworking side .A small incision is made just below the collar bone and pacemaker wire is positioned in the right sided chambers through the subclavian vein. The generator is then attached and site sutured. The patient is discharged within 72 hours. The local site needs care for about 10 days and the patient is back to work soon.
MBBS, MD, DM (Cardiology)
MBBS, MS, MCh