Cost of Permanent Pacemaker Implantation in India
Following is a general estimate of the cost of Permanent Pacemaker Implantation in India:
| Treatment | Starting Price | Average Price | Approximate Hospital Stay | Approximate Stay in India |
|---|---|---|---|---|
| Permanent Pacemaker Implant - Single Chamber (MRI Non-Compatible) | 4,500 USD | 5,000 USD | 5 Days | 2 Weeks |
| Permanent Pacemaker Implant - Single Chamber (MRI Compatible) | 6,500 USD | 7,000 USD | 5 Days | 2 Weeks |
| Permanent Pacemaker Implant - Double Chamber (MRI Non-Compatible) | 6,000 USD | 6,500 USD | 5 Days | 2 Weeks |
| Permanent Pacemaker Implant - Double Chamber (MRI Compatible) | 7,000 USD | 7,500 USD | 5 Days | 2 Weeks |
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Best Cardiologists in India for Pacemaker Implantation
- Top Interventional Cardiologist | Fortis Escorts, New Delhi, India
- 35+ Years Experience
- Fortis Escorts Heart Institute New Delhi
Profile Highlights:
- Dr. Ashok Seth is one of the most well-known Interventional Cardiologists in India honored with both the Padma Shri and Padma Bhushan by the Government of India.
- With over 35 years in interventional cardiology, Dr. Seth has pioneered numerous angioplasty techniques in India and the Asia Pacific region.
- He has performed over 20, 000 angioplasties and 50,000 angiograms till date.
- Dr. Seth holds a Fellowship of the Royal College of Physicians of Ireland, London, and Edinburgh along with several other degrees to his name.
- Interventional Cardiologist, Gurugram, India
- Over 30 years’ experience
- Medanta-The Medicity, Gurgaon
Profile Highlights:
- Dr. Praveen Chandra is one of the most well-known and respected Interventional Cardiologists in India and performs over 5000 percutaneous and diagnostic interventions every year.
- He specializes in devising techniques that help minimize open surgeries. He performed the first Percutaneous Aortic Valve implantation without surgery in India.
- He also developed techniques to reduce the number of patients requiring bypass surgeries and has been trying to make angioplasty techniques more accurate to help with the treatment of multiple blocked arteries.
- Top Cardiologist | Max Hospital, Saket, New Delhi, India
- 34+ Years Experience
- Max Super Specialty Hospital, Saket, New Delhi
Profile Highlights:
- Dr. Balbir Singh is a reputed cardiologist with over 32 years of experience, who is considered a veteran in his field, both nationally and internationally.
- He has also pioneered several minimally invasive cardiology surgical techniques in India and has been honored with the prestigious Padma Shree Award for his exceptional performance.
- “LIMCA” Book of Records also highlighted Dr. Balbir Singh’s contribution to the medical field in the Indian Electrophysiology Journal.
- Top Interventional Cardiologist | BLK Hospital, New Delhi, India
- 30+ Years Experience
- BLK Super Specialty Hospital, New Delhi
Profile Highlights:
- Dr. Subhas Chandra is a leading Interventional Cardiologist in Delhi presently associated with BLK-Max Super Speciality Hospital as the Chairman and Head of Cardiology.
- He has over 30 years of experience and specializes in coronary interventions, endovascular interventions, device implantation, and structural heart diseases.
- He has performed more than 25,000 coronary interventions (complex angioplasty and rotablation), 4000+ for structural heart diseases, and has done more than 3000 permanent pacemaker implants.
- Dr. Chandra’s knowledge of interventional cardiology is enormous and he has served both as a consultant and teacher of cardiology in some of the most prestigious medical hospitals and colleges in India.
- Top Interventional Cardiologist | Apollo Hospital, New Delhi, India
- 11+ Years Experience
- Indraprastha Apollo Hospital, New Delhi
Profile Highlights:
- Dr. Amit Mittal is a highly experienced and respected Cardiologist affiliated with Apollo Hospitals Indraprastha in New Delhi, bringing over 11 years of specialized experience in the field of cardiology.
- With advanced degrees including MBBS, MD, and DM (Cardiology), Dr. Mittal has built a distinguished career in diagnosing and managing a wide range of cardiovascular conditions.
- Dr. Amit Mittal is renowned for his clinical acumen and compassionate care, making him a sought-after specialist in South East Delhi.
- His extensive experience and dedication to cardiology ensure that patients receive top-notch care tailored to their individual needs.
- Top Interventional Cardiologist | Fortis Escorts, New Delhi, India
- 20+ Years Experience
- Fortis Escorts Heart Institute New Delhi
Profile Highlights:
- Dr. Praveer Agarwal, the Executive Director of Interventional Cardiology at Fortis Escorts Heart Institute in New Delhi, is a highly esteemed cardiologist recognized for his substantial contributions to the field of Interventional Cardiology in India.
- With an MBBS, MD, and DM, Dr. Agarwal has built a distinguished career dedicated to advancing cardiac care and training.
- His expertise spans a wide range of interventional procedures, making him one of the most versatile cardiologists in the country.
- Interventional Cardiologist, Gurugram, India
- Over 13 years’ experience
- Fortis Memorial Research Institute
Profile Highlights:
- Dr. Jagdeep Yadav is one of the best cardiac surgeons in Gurugram. He is particularly interested in non-coronary therapies such as peripheral interventions and device closures.
- Dr. Jagdeep Yadav is skilled in using modern techniques in interventional cardiology and non-invasive cardiology procedures. He employs cutting-edge technologies such as IVUS, OCT, FFR, and IVL to make life better in complex cardiac therapies.
- Cardiologist, Hyderabad, India
- Over 25 Years Experience
- Apollo Hyderabad
Profile Highlights:
- Dr. Sunil Kapoor is a highly esteemed Cardiologist based at Apollo Hospitals Jubilee Hills in Hyderabad, boasting over 25 years of dedicated experience in his field.
- He is well-qualified with an MBBS, DM in Cardiology, MD in General Medicine, MNAMS, and holds the prestigious Fellow of the American College of Cardiology (FACC) designation.
- Top Interventional Cardiologist | Max Hospital, Saket, New Delhi, India
- 24+ Years Experience
- Max Super Specialty Hospital, Saket, New Delhi
Profile Highlights:
- Dr. Arvind Das is an interventional cardiologist with expertise in all kinds of coronary and non-coronary interventions and electrophysiology.
- Dr. Arvind Das received his fellowship training in pacing and electrophysiology from the renowned Royal Melbourne Hospital in Australia. He has undergone training at Semelweiss Heart Centre, Budapest for Device Implantation.
- Dr. Arvind Das has years of knowledge and experience in various cardiac procedures and provides the best diagnostic and therapeutic treatment for all types of heart diseases and disorders.
- Top Interventional Cardiologist | Kokilaben Hospital, Mumbai, India
- 45+ Years Experience
- Kokilaben Dhirubhai Ambani Hospital
Profile Highlights:
- Dr. Jamshed Dalal is a well-known Interventional Cardiologist who has over 45+ years of experience and specializes in Adult Interventional Cardiology.
- Dr. Jamshed Dalal is a highly recommended cardiologist for Angiography and performed his first coronary angiography in the year 1978 in UK.
- He specializes in various kinds of coronary and peripheral cardiac procedures and carries immense expertise in Angioplasty, intravascular ultrasound, Pacemaker Implantation, and FFR.
KNOW THE PROCEDURE!
Pacemaker Implantation
Pacemaker is a small device that is implanted under the skin in the chest which monitors the heartbeat & controls the heart rhythm.
A pacemaker has two parts:
1. The pulse generator- This is small metal container that houses the battery & the electrical circuit that regulates the rate of electrical pulses sent to the heart.
2. Electrodes or leads- They are insulated wires placed in the heart chambers which delivers electrical pulses to adjust the heart rate.
Types of Pacemakers
There are three types of Pacemakers:
- Single Chamber Pacemaker- They carry electrical impulses from the generator to the right ventricle of the heart.
- Dual Chamber Pacemaker- They carry electrical impulses from the generator to the right atrium & right ventricle, both.
- Biventricular Pacemaker- They simulate the right & left ventricles both, so that the heart beats more efficiently. It is a treatment option for people suffering from heart failure.
Indications for Pacemaker
Pacemakers are used to treat the following:
- Cardiomyopathy
- Heart failure
- Slow heart rhythms also known as bradyarrythmia.
- Syncope
Tests done before Pacemaker Implantation
Following are the major tests needed before Pacemaker Implantation:
Electrocardiogram
In Electrocardiogram, electrodes are placed on chest or the limbs to record heart’s electrical impulses.
Holter Monitoring
Holter Monitoring is also known as ambulatory monitor in which the heart rhythms are recorded for entire 24 hours.
Echocardiogram
Echocardiogram is a non-invasive test in which sound waves allows the doctor to see the heart without making an incision.
Stress Test
In Stress Test, an electrocardiogram is taken before and immediately after walking on a treadmill.
Pacemaker Implantation procedure
Before the procedure
- Do not eat or drink anything after midnight the evening before the procedure.
- Stop taking certain medications like diabetes 1 to 5 days before the procedure.
During the procedure
Pacemakers are implanted in 2 ways:
- Endocardial approach- This approach is commonly used for pacemaker implantation. In this approach, local anaesthesia is administered to numb the area where an incision is made. Through an incision the lead is inserted into a vein, then advanced to the heart with the help of the x-ray machine. One end of the lead is attached to the heart muscle, while the other end of the lead is attached to the pulse generator, which is placed in a pocket created under the skin in the upper chest.
- Epicardial approach- This approach is commonly used in children. In this approach, general anaesthesia is administered. One end of the lead is attached to the heart muscle, while the other end of the lead is attached to the pulse generator, which is placed in a pocket created under the skin in the abdomen.
After the procedure
- The patient stays in the hospital for one day after having a pacemaker implanted.
- Before the patient leaves the hospital, the pacemaker is programmed to fit the particular pacing needs.
- Avoid vigorous exercise or heavy lifting for about a month, after the procedure.
Special precautions
- Avoid placing the cell phone directly over the pacemaker implantation site when the phone is turned on.
- Avoid leaning against a metal-detection system.
- If a doctor is considering any medical procedure that involves intensive exposure to electromagnetic energy like magnetic resonance imaging, therapeutic radiation for cancer treatment, tell him /her about the pacemaker implanted.
- Stand at least 2 feet from welding equipment, high-voltage transformers or motor-generator systems.
FAQs
The recovery time for a pacemaker surgery is 3-4 weeks.
It is safe to use a mobile phone, but make sure it is kept at a distance of more than 6 inches from the pacemaker.
Most pacemaker batteries last for 6 to 10 years.
The follow- up appointments may be every 3 to 12 months, depending on the type of pacemaker you have and how well it works