A problem with the rate or rhythm of the heart called arrhythmia. A pacemaker is used to treat this problem. It is an electrically charged device placed in the chest to help in managing or controlling abnormal heart rhythm or irregular heartbeat. This device helps the heart to beat at a normal rate using the electrical pulses.

Sometimes it is used to help the chambers of the heartbeat in time also.

Generally, two types of arrhythmias are treated with a pacemaker. For too fast heartbeat tachycardia and for too slow heartbeat bradycardia. If a person has severe heart failure, the patient needs a special type of pacemaker called biventricular pacemaker. This bivalent makes the two sides of the heartbeat in sync called CRT (cardiac resynchronization therapy).

Dr. Jitendra Singh Makkar is the one, who Established the first fully equipped Pacemaker Clinic in Jaipur, in the state of Rajasthan and expert in Pacemaker Surgery in Jaipur. First ever implantation of MRI safe pacemaker in the state of Rajasthan and Has got the credit of performing the first ever non-surgical pacemaker lead extraction in Rajasthan. He has done many pacemaker implantations in Jaipur.


The major benefit of pacemaker implant is to maintain normal sinus rhythm and a normal heartbeat. It normalizes the heart rhythm and helps to improve the quality of life. It helps the person to have more energy less shortness of breath. However, the pacemaker is not the only treatment, which prevents or stops heart disease and prevents heart attacks. Pacemaker’s first purpose is to monitor heart function and if required produce an electrical signal and transmit that signal to the heart. It also stabilizes the irregular heartbeat.


Pacemaker implantation procedure takes 1 to 2 hours. A mild sedative will be given to relax the patient and local anesthesia will be given to numb the incision site. The patient will be awake during the whole procedure. A small incision will be done near the shoulder. A small wire will be guided into a major vein near the collarbone through the incision. The wire will be led through the vein to the heart. During the process is X-ray machine will help to guide the doctor. With the use of a wire, the doctor will attach an electrode to the right ventricle of the heart, the ventricle is the lower chamber of the heart. A pulse generator containing a battery and electrical circuits is attached to the other end of the wire. The doctor will implant the generator under the skin near the collarbone. In the biventricular pacemaker procedure, a second lead will be attached to the right atrium (the upper chamber of the heart) of the heart. After the procedure, the incision will be stitched to close.

Frequently Asked Questions

After having the pacemaker fitted. It is very normal to feel tired for a few days. Recovery time varies person to person, in some cases most of the people are able to get back to their normal life quite early. The doctor suggests not to allow drive for at least a week.

In a condition, If the heart becomes weakened and not able to pump enough according to the needs of the body, it’s called heart failure. Heart failure is a serious and common condition of the heart that develops over the time.

However the risk of complication during the surgery to implant the pacemaker are rare but some case it may include infection near the area where the pacemaker was implanted, allergy from the dye or anesthesia which is used during the treatment, swelling or bleeding at the incision site.

The whole procedure of pacemaker implant takes upto 2 hours depending on the condition of the patient.