Pacemaker Implant Treatment in India

Pacemaker Implant Treatment Cost in India

Cost of Treatment Including Tests / Investigations $ 3200
Cost of Stay & Meals for 8 days (For 2 persons) $ 00
Cost of Taxi, Phone, Internet for 11 days $ 33
Medical Visa Cost For One person $ 0 0
Flight Cost Return Airfare Book Online
Total Cost (All Inclusive)
$ 00
Total cost
Total Days
Days in Hospital
Outside in hspital

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Top Doctors for Pacemaker Implant

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Dr. Ganeshakrishnan Iyer


Lead Consultant - CTVS Surgery

25 years of experience

Dr. Prashanth Y M


Consultant - CTVS Surgery

16 years of experience

Dr. Anup Charles


Consultant - Paediatric Cardiac Surgery

18 years of experience

Dr. Sweta Mohanty


Consultant - Paediatric Cardiology

15 years of experience

Dr Abhijit Vilas Kulkarni


Sr. Consultant - Cardiology

10 years of experience

Dr Girish B Navasundi


Sr. Consultant - Cardiology

25 years of experience

Dr. U.Ilayaraja



10 years of experience

Dr. Mahadevan


Cardiothoracic Anaesthesiologist.

16 years of experience

Dr. B. Ramamurthy



37 years of experience

Dr. S.Shanmugasundaram



37 years of experience

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Top Hospitals for Pacemaker Implant

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Columbia Asia, Pune
Apollo Indraprastha Hospital, Delhi - NCR
Fortis Hospital, Bannerghatta, Bangalore
Max Hospital, Saket, Delhi - NCR
Apollo Hospital, Chennai, Chennai
Continental Hospital, Hyderabad
Kokilaben Dhirubhai Ambani Hospital, Mumbai
Medanta Hospital, Delhi - NCR
BLK Hospital, Delhi - NCR
Paras Hospital, Delhi - NCR
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Frequently Asked Questions About Pacemaker Implant

A pacemaker is a small appliance placed under the skin of your chest to control your heartbeat. It is used to help your heartbeat more regularly if you experience an irregular heartbeat, especially a slow heartbeat. Implanting a pacemaker in your chest requires a surgical procedure. 

The pacemaker is made of the following three parts: electrode leads (one or more than encase the electrode) and a pulse generator. The pulse generator is a small metal case that houses the electronic circuitry with a small computer and a battery that can regulate the impulses that are sent to the heart.

The leads are basically insulated wire that is connected on one end of the pulse generator and the other end terminates inside of the chambers of the heart. In order to enable the lead to run through a large vein in the chest which leads to the heart, it is always placed. The electrical impulse is received by the heart via the leads. The electrode on the lead touches the heart wall and delivers an electrical signal to the heart. The electrical activity of the heart is also sensed, and this information is passed to the pulse generator. Pacemaker leads can be positioned either in the ventricle or atrium depending on the medical condition.

Another new kind of pacemaker known as the biventricular pacemaker is employed in case of heart failure. Two ventricles stop functioning in a normal way in heart failure and pump blood abnormally, this condition is called dysynchrony. Less blood is pumped in this condition and the above pacemaker resumes its function to take care of this condition and increases the blood pumped. This therapy is called cardiac resynchronization therapy or CRT.

Whether a patient requires a pacemaker or not can be diagnosed through a series of test and they are:

  • Halter monitor
  • Electrocardiogram
  • Signal averaged ECG,
  • Chest X-Ray
  • Cardiac catheterization
  • Computed Tomography of chest
  • Electrophysiology
  • Echocardiography
  • Magnetic resonance imaging of the chest
  • Myocardial perfusion scan (stress and resting)
  • Cardiac CT scan
  • Radionuclide angiography

Pacemaker installation is needed when the heart beats at a slower rate which causes trouble that cannot be corrected with non-invasive methods and medications. The heart is not able to pump a sufficient amount of blood to the body because of sluggish beating. When the rate of the heart is slow the blood is also pumped very slowly. On the other hand, if it is too fast or irregular then the heart chambers are not able to fill up with enough blood to pump them with the beats. When the body is not receiving the blood it requires, then the patient will experience symptoms like fatigue, dizziness and chest pain or may faint in demanding conditions.

Some of the medical conditions in which pacemaker can be implanted are:

  • Bradycardia- a condition when the sinus node is causing the heart to beat very slowly
  • Tachy-Brady syndrome where heartbeats in an alternate pattern of fast and slow beats
  • Heart Block is a condition when the signal received by the heart gets delayed or blocked due to many kinds of heart barrages.

Apart from the above, there can be other medical conditions for which a surgeon may recommend pacemaker implantation.

Pacemaker implantation is a heart surgery that can be performed on an outpatient basis. The procedure can be a bit different depending on the patient’s condition and the practices adopted by the surgeon.

The urinary bladder will be completely emptied before the procedure and excessive hair shall be removed from the site of the incision. An intravenous line is started in the arm or hand for the administration of fluids and medication as and when required.

The patient is made to lie on their back on the procedure table. The patient will be connected to an electrocardiogram or ECG/EKG monitor that aims to record the activities of the heart with the help of adhesive and small electrodes. The vital signs like blood pressure, heart rate, breathing rate and oxygenation levels of the blood are kept track of the procedure.

On the back and front of the chest, large electrode pads are kept. The patient will be given a mild sedative but most likely they will stay awake during the procedure.

After the pacemaker insertion site will be cleansed with antiseptic soap, sterile towels and sheets are placed around the region. A local anesthetic is injected at the site of insertion around the collar bone.

A small incision of 5 to 6 cm is now made in the region and a sheath or introducer is gradually put inside the blood vessel underneath the collar bone. The pacer lead wire is inserted into the blood vessel via the plastic tube or the sheath to access the heart. The patient is kept totally still to ensure that the catheter does not move out of the place and prevent any damage to the site of insertion.

The lead wire is now slowly inserted into the blood vessel through the introducer, and the surgeon must advance the lead wire further to enter the heart.

After the lead wire has reached the heart, it will be tested for the verification of the proper location to ensure it works. Depending on the type of device that is chosen by the surgeon as per patient’s condition there maybe 1, 2 or even 3 lead wires inserted in the heart. For the testing of the location of the leads, a special type of X-Ray called fluoroscopy where the advances can be checked on a monitor and can be employed.

Under the skin through the incision below the collarbone, the pacemaker generator is gradually slipped after the lead wire is attached to the generator. The location of the generator is so chosen that it stays in the non-dominant side of the patient’s body (suppose if the patient is left-handed then it will be placed on the upper right chest and vice versa).

The leads are placed in the outer surface of the heart called the epicardium. The generator box is placed in a special pocket made under the skin in the abdomen.

The working of the pacer has to be monitored via the ECG displays. Once confirmed of its working the skin incision is closed with sews, special glue or adhesive strips. After this sterile bandage and dressing shall be applied.

Some of the alternatives to the implantation of the pacemaker include:

Medication: calcium channel blockers or beta-blockers are used to restore a normal heartbeat. The side effects include impotence, low blood pressure, and coldness of feet for which it is avoided.

Cardiac catheter ablation: In this method, the surgeon gets rid of the tissue that is responsible for the generation of improper impulses.

Implantable cardioverter-defibrillator: This is suggested to those patients who are under the risk of cardiac arrest or have earlier suffered a cardiac arrest. It is quite similar to a pacemaker, except for the fact that it sends small electric shocks if the heart fails to generate impulses.

Before the surgery a patient is expected to have a very hearty conversation with their healthcare provider where he or she will in detail discuss the medical history, clearly indicate if they have any known allergy to latex, anesthetic agent or iodine. Women should notify if they are pregnant.

All other medications that the patient is following should be discussed with the doctor so that he or she can advise the patient on the intake, reduction or absolute discontinuation of any medicines prior to the surgery.

Pacemaker surgeries are performed on an outpatient basis. Usually, patients can leave a day after once their conditions have been stabilized. It takes a while to return to normal life. But after insertion of a pacemaker, the following must be observed:

  • Always carry an ID card issued so that in places where   screening has to be done, officials get to know that the   individual has a pacemaker
  • If the patient is undergoing any other surgery, they must inform the surgeon about the pacemaker.   
  • Never should one carry mobile phones in the breast pocket.
  • If ever hit during any sport near the chest always ensure   to visit a doctor to check the functionality of the pacemaker
  • High voltage machinery, welders and transmitters must be avoided in close proximity.
The price of a pacemaker procedure in India is around $4800 depending on the medical condition of the patient. But when compared to the price of other countries, it is the lowest in India.