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Cost of Permanent Pacemaker Implantation in India

Following is a general estimate of the cost of Permanent Pacemaker Implantation in India:
Treatment
Cost
Days in hospital
Days outside hospital
Total stay in India
Permanent Pacemaker Implant - Single Chamber
USD 3000-4000 approx.
3
7
10
Permanent Pacemaker Implant - Double Chamber
USD 4000-5000 approx.
3
7
10
Permanent Pacemaker Implant - Biventricular
USD 13000-16000 approx.
3
7
10

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Best Cardiologists in India for Pacemaker Implantation

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. Dr. Praveen Chandra 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.

Profile Highlights:

  • Dr. Amit Mittal is a cardiologist working at Indraprastha Apollo Hospital in New Delhi with experience of over 23 years in Interventional Cardiology.
  • He is good to consult for Angiogram, Angioplasty, and Bypass Surgery. Dr. Mittal has performed over 15,000 cardiac procedures till now. He offers services like EPS and RFA procedures, pacemaker implantation, ECG, complex surgery of heart valve replacement, and angina treatment, to name a few.
  • Apart from that, Dr. Mittal won a Gold medal in MBBS 1st y and for the highest marks in obstetrics and gynecology. He published many papers in national and international medical journals and chapters in textbooks.

Profile Highlights:

  • Dr. T S Kler is undoubtedly one of the best vascular surgeons not only in India but also abroad. He has performed more than 25,000 Surgeries in his life which makes him stand where he is.
  • He is a pioneer in electrophysiology & he established the first dedicated Electrophysiology department in India at Fortis Escorts Heart Institute.
  • Dr. T S Kler initiated a radio Frequency Ablations programme at Escorts in 1993, one of the first of its kind in India. He was the first doctor in India to implant an ICD, CRT-P & CRT-D.

Profile Highlights:

  • Dr. Balbir Singh is a reputed cardiologist with over 32 years of experience,  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.

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.
  • He has more than 3 decades of experience in interventional cardiology and 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.

Profile Highlights:

  • Dr. Praveer Aggarwal is a nationally acclaimed and highly professional Interventional Cardiologist.
  • His specialization lies in the treatment of blockages of the coronary and peripheral arteries and is an expert in Rotational and Directional atherectomy, intravascular ultrasound, pressure wire, and the use of Drug Eluting Stents.
  • Along with his team at Fortis Escorts Heart Institute, Dr. Aggarwal performs close to 2000 angiographies and over 2000 coronary interventions including coronary angioplasties every year.

Profile Highlights:

  • Dr. Manjinder Sandhu is a leading interventional cardiologist based in Gurugram who holds an extensive experience of over 27 years in the field.
  • His primary interest lies in Complex Coronary Interventions, Trans-radial Interventions, and Balloon Valvuloplasty, and has performed a large number of such procedures in his career mainly while serving in the Army Medical Corps.
  • Dr. Sandhu has been teaching and training postgraduate students in Cardiology and Medicine and has been a guide to several successful cardiologists in India.

Profile Highlights:

  • Dr. Subhas Chandra is a leading Interventional Cardiologist who holds close to 20 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.

Profile Highlights:

  • Dr. Y Vijayachandra Reddy is an interventional cardiologist with 25+ years of experience.
  • Dr. Reddy’s work experience includes more than 7000 PCIs, 30000 invasive procedures, 550 PCIs in cardiogenic shock, 700 Cardiac devices, 400 PTMCs, and several EVAR and TEVAR procedures.
  • His expertise lies in pacemaker implantations, pediatric interventions, ICDs, CRTs, endovascular repairs, and more.

Profile Highlights:

  • Dr. Mahesh Chandra Garg is an Interventional cardiologist working at Indraprastha Apollo Hospital in New Delhi with experience of over five decades in the field. He has an interest in Cardiovascular Intervention and Imaging.
  • Dr. Garg has specialized in Enhanced External Counterpulsation, Chest Pain Therapies, Diabetic Cardiovascular complexities, and Coronary Artery Bypass Graft Surgery.
  • He achieved excellence in invasive cardiology as a result of his participation in specialized training programs and conferences. Dr. Garg provides valuable care for his patients while also encouraging them to adopt a healthy lifestyle.
  • He delivered presentations at numerous conferences and published papers in well-known national and international medical journals.

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