{"meta":{"humanUrl":"https://us-uk.bookimed.com/clinics/country=israel/city=tel-aviv/procedure=installing-heart-pacemaker/","canonicalUrl":"https://us-uk.bookimed.com/clinics/country=israel/city=tel-aviv/procedure=installing-heart-pacemaker/","jsonUrl":"https://us-uk.bookimed.com/clinics/country=israel/city=tel-aviv/procedure=installing-heart-pacemaker/data.json","title":"Installing heart pacemaker Clinics in Tel Aviv 2026: Cost, Clinics & Reviews","description":"Installing heart pacemaker in Tel Aviv costs from $10,000. Compare 2 , verified reviews. 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The hospital treats over 400,000 patients annually with a 90% average success rate across specialties. Dr. Sami Viskin, a highly-rated cardiologist specializing in pacemaker implantation, has co-authored 152 peer-reviewed articles and participated in 4 clinical trials.</p><doctor id=\"40\"></doctor>","text_type":"mt_wow_description","best_texts":{"good_fit_for":"Pacemakers for complex rhythm disorders like ventricular tachycardia","why_its_ranked":"Dedicated Arrhythmia and Pacing Unit. Cardiology Dept ranked #2 globally. 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Its core strengths are oncology, onco-hematology, neurosurgery, and rehabilitation.</p> <ul> <li>Treats 40,000 cancer patients yearly with a 90% average success rate.</li> <li>98% average success rate for neurosurgeries, with 2,500 operations performed each year.</li> <li>Dana Dwek Children's Hospital is certified by the European Group for Blood and Marrow Transplantation (EBMT).</li> <li>Uses a Novalis TrueBeam STx linear accelerator and Foundation One CDx genetic testing.</li> <li>Free airport transfer and interpreters for international patients.</li> </ul>","images":[{"base_url":"clinic/648ef8e23bb93","title":"Sourasky Medical Center modern clinic buildings in Tel Aviv city center"},{"base_url":"clinic/648ef9246677b","title":"Modern exterior of Sourasky Medical Center in Tel Aviv with rooftop garden"},{"base_url":"clinic/648ef95f904c9","title":"Reception area at Sourasky Medical Center, Tel Aviv, modern design with patient seating"},{"base_url":"clinic/648efc2558f38","title":"Reception area at Sourasky Medical Center Ichilov, modern design in Tel Aviv"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Israel","id":1,"alias":"israel","iso_code":"IL"},"city":{"name":"Tel Aviv","id":2,"alias":"tel-aviv"},"address":"Weizmann St 6, Tel Aviv-Yafo, Israel"},"rating":{"rating":4.5,"google":4.5,"percent_of_satisfied_clients":84},"statistics":{"number_of_reviews":172,"doctors_number":2200,"year_foundation":1961},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d499a36ac19.jpeg","name":"World's Best Smart Hospitals 2021 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5e5e5c99ba5be.jpeg","name":"World's Best Hospitals 2020 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa1bc0599c8.jpeg","name":"Patient choice for Check-up","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb7149b37a7.jpeg","name":"Fastest treatment organization","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6361000490242.jpeg","name":"World's Best Specialized Hospitals 2022 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"World's Best Smart Hospitals 2023 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/636103a731801.jpeg","name":"World's Best Hospitals 2022 by Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"<p>Assuta Medical Center specializes in cardiac care, including pacemaker implantation, with a focus on innovative techniques like MICRA. 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JCI-accredited since 2011, it was the first Israeli hospital to earn this recognition.</p> <ul> <li>Performs 92,000 operations and 685,000 diagnostic procedures each year.</li> <li>Runs 7,000 IVF cycles annually with a 97% success rate for cervical cancer treatment.</li> <li>Cardiac surgery has a 98.7% success rate, with over 500 operations per year.</li> <li>Neurosurgery team handles over 1,000 operations annually for adults and children.</li> <li>Advanced imaging includes MRI, PET-CT, and RUTH mammography, with checkups completed in 1–3 days.</li> </ul>","images":[{"base_url":"clinic/5c87caea63cdc","title":"Assuta Medical Center modern clinic building in Tel Aviv, Israel"},{"base_url":"clinic/5ab24c774db67","title":"Cardiology monitoring room at Assuta Medical Center with advanced diagnostic equipment"},{"base_url":"clinic/5ab24c77b0923","title":"Patient room at Assuta Medical Center with nurse assisting patient"},{"base_url":"clinic/5ab24c782f303","title":"Modern lobby with glass stairs at Assuta Medical Center, Tel Aviv"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Israel","id":1,"alias":"israel","iso_code":"IL"},"city":{"name":"Tel Aviv","id":2,"alias":"tel-aviv"},"address":"HaBarzel St 20, Tel Aviv-Yafo, Israel"},"rating":{"rating":4.4,"google":4.1,"percent_of_satisfied_clients":84},"statistics":{"number_of_reviews":13,"doctors_number":0,"year_foundation":1936},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":2,"total_pages":1}},"clinicsMeta":{"total_count":2,"total_pages":1},"clinicsCount":2,"clinicsCountByEntity":{"clinic_count":73},"doctors":{"doctors":[{"card_text":"<p>Dr. Koifman specializes in heart disorders at Sourasky Medical Center – one of Israel's leading hospitals for cardiac care.</p><ul><li>Interned at Royal Hospital 'Brompton' in London – a global leader in cardiology</li><li>Head of echocardiography at Ichilov Hospital – advanced heart imaging expertise</li><li>Active researcher in early diagnosis of pediatric heart conditions</li><li>Member of the local Heart Association and university cardiology instructor</li></ul>","doctor":{"id":39,"alias":"bella-koifman","name":"Bella Koifman","clinic_id":1,"photo":"doctor/5acf6055444c9","first_year_working":1990,"created_at":"2014-04-28T20:09:48.000+00:00","short_description":"<p>Dr. Bella Koifman is the Head of Echocardiography at Sourasky Medical Center (Ichilov). 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As a professor at Tel Aviv University, the doctor contributes to academic advancements in the field. With a prominent role at Ichilov Hospital, the doctor is recognized for expertise in cardiac procedures and patient recovery techniques.</p>","specialities":[{"id":"crl.001","name":"Cardiologist","illness_kind_id":4},{"id":"crl.002","name":"Interventional cardiologist","illness_kind_id":4},{"id":"sur.002","name":"Cardiothoracic surgeon","illness_kind_id":23}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":1,"alias":"sourasky-medical-center","name":"Sourasky Medical Center (Ichilov)","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/1-6ac3c0e614474.png","short_description":"<p>Sourasky Medical Center (Ichilov) is the largest multidisciplinary hospital in Israel and a JCI-accredited facility. It has been named a top medical tourism destination by Newsweek. 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He is ranked among the top-5 best Israeli cardiac surgeons by Maariv newspaper. Dr. Amir treats complex conditions like aortic stenosis, coronary artery disease, and myocardial infarction. He works at a JCI-accredited facility recognized by Newsweek as a top global clinic.</p> <ul> <li>Performs heart valve replacement, bypass grafting, and aortic aneurysm surgery.</li> <li>Received training in heart valve implantation at Oxford University and in Copenhagen.</li> <li>Studied left ventricular assist device implantation in Berlin and MIDCAB in Italy.</li> <li>Member of the Israel Doctors Association and the Doctors Council of Israel.</li> </ul>","specialities":[{"id":"crl.001","name":"Cardiologist","illness_kind_id":4},{"id":"plm.001","name":"Pulmonologist","illness_kind_id":28},{"id":"sur.002","name":"Cardiothoracic surgeon","illness_kind_id":23}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":1,"alias":"sourasky-medical-center","name":"Sourasky Medical Center (Ichilov)","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/1-6ac3c0e614474.png","short_description":"<p>Sourasky Medical Center (Ichilov) is the largest multidisciplinary hospital in Israel and a JCI-accredited facility. It has been named a top medical tourism destination by Newsweek. Its core strengths are oncology, onco-hematology, neurosurgery, and rehabilitation.</p> <ul> <li>Treats 40,000 cancer patients yearly with a 90% average success rate.</li> <li>98% average success rate for neurosurgeries, with 2,500 operations performed each year.</li> <li>Dana Dwek Children's Hospital is certified by the European Group for Blood and Marrow Transplantation (EBMT).</li> <li>Uses a Novalis TrueBeam STx linear accelerator and Foundation One CDx genetic testing.</li> <li>Free airport transfer and interpreters for international patients.</li> </ul>","images":[{"base_url":"clinic/648ef8e23bb93","title":"Sourasky Medical Center modern clinic buildings in Tel Aviv city center"},{"base_url":"clinic/648ef9246677b","title":"Modern exterior of Sourasky Medical Center in Tel Aviv with rooftop garden"},{"base_url":"clinic/648ef95f904c9","title":"Reception area at Sourasky Medical Center, Tel Aviv, modern design with patient seating"},{"base_url":"clinic/648efc2558f38","title":"Reception area at Sourasky Medical Center Ichilov, modern design in Tel Aviv"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Israel","id":1,"alias":"israel","iso_code":"IL"},"city":{"name":"Tel Aviv","id":2,"alias":"tel-aviv"},"address":"Weizmann St 6, Tel Aviv-Yafo, Israel"},"rating":{"rating":4.5,"google":4.5,"percent_of_satisfied_clients":84},"statistics":{"number_of_reviews":172,"doctors_number":2200,"year_foundation":1961},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d499a36ac19.jpeg","name":"World's Best Smart Hospitals 2021 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5e5e5c99ba5be.jpeg","name":"World's Best Hospitals 2020 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa1bc0599c8.jpeg","name":"Patient choice for Check-up","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb7149b37a7.jpeg","name":"Fastest treatment organization","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6361000490242.jpeg","name":"World's Best Specialized Hospitals 2022 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"World's Best Smart Hospitals 2023 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/636103a731801.jpeg","name":"World's Best Hospitals 2022 by Newsweek","country_code":"US"}]}},{"card_text":"<p>Dr. Sami Viskin has co-authored 152 peer-reviewed articles and participated in 4 clinical trials, specializing in pacemaker implantation at Sourasky Medical Center.</p><ul><li>Highly rated in 15 cardiac conditions</li><li>Expert in Ventricular Fibrillation and Long QT Syndrome</li><li>Practices in Tel Aviv, Israel</li><li>Top areas include Brugada Syndrome and Cardiac Ablation</li></ul>","doctor":{"id":40,"alias":"sami-viskin","name":"Sami Viskin","clinic_id":1,"photo":"doctor/5acf60574aae1","first_year_working":1987,"created_at":"2014-04-28T21:10:22.000+00:00","short_description":"<p>Dr. Sami Viskin is a cardiologist at Sourasky Medical Center in Tel Aviv. He specializes in ventricular fibrillation and Brugada syndrome. Dr. Viskin is a leading researcher with over 150 peer-reviewed scientific articles. He practices at a facility ranked among the world’s top hospitals by Newsweek.</p><ul> <li>Expert in managing long QT syndrome and complex cardiac arrhythmias.</li> <li>Performs cardiac ablation and pacemaker implantation.</li> <li>Participated in 4 clinical trials to advance cardiology treatments.</li> <li>Maintains a Hirsch index of 41, indicating high academic impact.</li> </ul>","specialities":[{"id":"crl.001","name":"Cardiologist","illness_kind_id":4},{"id":"crl.002","name":"Interventional cardiologist","illness_kind_id":4},{"id":"sur.002","name":"Cardiothoracic surgeon","illness_kind_id":23}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":1,"alias":"sourasky-medical-center","name":"Sourasky Medical Center (Ichilov)","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/1-6ac3c0e614474.png","short_description":"<p>Sourasky Medical Center (Ichilov) is the largest multidisciplinary hospital in Israel and a JCI-accredited facility. It has been named a top medical tourism destination by Newsweek. Its core strengths are oncology, onco-hematology, neurosurgery, and rehabilitation.</p> <ul> <li>Treats 40,000 cancer patients yearly with a 90% average success rate.</li> <li>98% average success rate for neurosurgeries, with 2,500 operations performed each year.</li> <li>Dana Dwek Children's Hospital is certified by the European Group for Blood and Marrow Transplantation (EBMT).</li> <li>Uses a Novalis TrueBeam STx linear accelerator and Foundation One CDx genetic testing.</li> <li>Free airport transfer and interpreters for international patients.</li> </ul>","images":[{"base_url":"clinic/648ef8e23bb93","title":"Sourasky Medical Center modern clinic buildings in Tel Aviv city center"},{"base_url":"clinic/648ef9246677b","title":"Modern exterior of Sourasky Medical Center in Tel Aviv with rooftop garden"},{"base_url":"clinic/648ef95f904c9","title":"Reception area at Sourasky Medical Center, Tel Aviv, modern design with patient seating"},{"base_url":"clinic/648efc2558f38","title":"Reception area at Sourasky Medical Center Ichilov, modern design in Tel Aviv"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Israel","id":1,"alias":"israel","iso_code":"IL"},"city":{"name":"Tel Aviv","id":2,"alias":"tel-aviv"},"address":"Weizmann St 6, Tel Aviv-Yafo, Israel"},"rating":{"rating":4.5,"google":4.5,"percent_of_satisfied_clients":84},"statistics":{"number_of_reviews":172,"doctors_number":2200,"year_foundation":1961},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d499a36ac19.jpeg","name":"World's Best Smart Hospitals 2021 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5e5e5c99ba5be.jpeg","name":"World's Best Hospitals 2020 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa1bc0599c8.jpeg","name":"Patient choice for Check-up","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb7149b37a7.jpeg","name":"Fastest treatment organization","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6361000490242.jpeg","name":"World's Best Specialized Hospitals 2022 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"World's Best Smart Hospitals 2023 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/636103a731801.jpeg","name":"World's Best Hospitals 2022 by Newsweek","country_code":"US"}]}},{"doctor":{"id":461,"alias":"amir-kremer","name":"Amir Kremer","clinic_id":8,"photo":"doctor/5acf6066ca447","first_year_working":0,"created_at":"2016-09-28T07:08:58.000+00:00","short_description":"<p>The doctor is a highly experienced heart surgeon with a focus on complex cardiac procedures. With over 20 years in the field, the doctor has performed thousands of successful heart surgeries, specializing in minimally invasive techniques and valve repair. The doctor is board-certified and has contributed to numerous peer-reviewed journals, advancing the field of cardiac surgery. Additionally, the doctor has been involved in several clinical trials aimed at improving surgical outcomes for patients with heart disease.</p>","statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":8,"alias":"assuta-hospital","name":"Assuta Medical Center","short_description":"<p>Assuta Medical Center is the largest private medical complex in Israel, with 11 hospitals and 1,500 doctors. Its main specialties are oncology, surgery, cardiology, neurosurgery, gynecology, and IVF treatment. JCI-accredited since 2011, it was the first Israeli hospital to earn this recognition.</p> <ul> <li>Performs 92,000 operations and 685,000 diagnostic procedures each year.</li> <li>Runs 7,000 IVF cycles annually with a 97% success rate for cervical cancer treatment.</li> <li>Cardiac surgery has a 98.7% success rate, with over 500 operations per year.</li> <li>Neurosurgery team handles over 1,000 operations annually for adults and children.</li> <li>Advanced imaging includes MRI, PET-CT, and RUTH mammography, with checkups completed in 1–3 days.</li> </ul>","images":[{"base_url":"clinic/5c87caea63cdc","title":"Assuta Medical Center modern clinic building in Tel Aviv, Israel"},{"base_url":"clinic/5ab24c774db67","title":"Cardiology monitoring room at Assuta Medical Center with advanced diagnostic equipment"},{"base_url":"clinic/5ab24c77b0923","title":"Patient room at Assuta Medical Center with nurse assisting patient"},{"base_url":"clinic/5ab24c782f303","title":"Modern lobby with glass stairs at Assuta Medical Center, Tel Aviv"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Israel","id":1,"alias":"israel","iso_code":"IL"},"city":{"name":"Tel Aviv","id":2,"alias":"tel-aviv"},"address":"HaBarzel St 20, Tel Aviv-Yafo, Israel"},"rating":{"rating":4.4,"google":4.1,"percent_of_satisfied_clients":84},"statistics":{"number_of_reviews":13,"doctors_number":0,"year_foundation":1936},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}]}}],"meta":{"total_count":4,"total_pages":1}},"reviews":{"reviews":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{"txt_price":{"text":"<p>Installing heart pacemaker in Tel Aviv typically costs from _op_295_city_2_price_from_ to _op_295_city_2_price_to_. The final price depends on the chosen device model, technique, and the specific medical center tier. In the US, similar procedures cost around _price_compare_US_average_ on average. Patients save around _price_percent_discount_% compared to the US. These estimates generally include the pacemaker device, cardiovascular surgeon fees, and the hospital stay.</p>\n\n<ul>\n<li>Device technology: Advanced leadless systems like MICRA often cost significantly more than standard leads.</li>\n<li>Chamber configuration: Single-chamber devices typically run 10-15% less than dual-chamber models.</li>\n<li>Preoperative diagnostics: Factoring in cardiology consultations and ECGs adds to the initial budget.</li>\n<li>Clinic classification: Private centers like Assuta allow for physician selection, which affects the total.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Tel Aviv serves as Israel's primary hub for complex cardiac care, concentrating top-ranked Joint Commission International (JCI) accredited facilities. While private clinics offer personalized doctor selection, the value lies in accessing world-renowned experts like Dr. Kramer Amir at Sourasky Medical Center. His thirty years of experience and specialized European training provide a standard of surgical precision often reserved for higher-priced US centers.</p>"}},"texts":{"txt_procedure_3_clinics":{"text":"<h2>Pacemaker - what is it?</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> A <strong><a href=\"https://en.wikipedia.org/wiki/Artificial_cardiac_pacemaker\">pacemaker</a> (EC, pacemaker)</strong> is a device for maintaining the heart rhythm at a normal pace. His functional responsibilities include monitoring the work of the heart. In case of violations in the heartbeat, the device sends an electrical discharge to stimulate muscle contractions.</p> To date, the pacemaker is the most effective tool in the fight against arrhythmia.<a></a><p> As clinical studies have shown, over time, it becomes increasingly difficult to eliminate arrhythmias. Therefore, treatment should be started immediately. If the arrhythmia has become permanent, and drug therapy does not eliminate disruptions in the rhythm of the heart, doctors recommend the installation of a pacemaker. The device provides constant maintenance of the work of the heart. Devices of the newest generation are able to recognize paroxysms (severe attacks) and block them instantly, preventing them from disrupting the work of the heart. </p></div><h2> Types of pacemakers</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> Pacemakers <a href=\"#tests-procedures/pacemaker/about/pac-20384689\">are classified</a> depending on how many sections (chambers) of the heart they are able to stimulate - one, two or three.</p><p> <strong>Single-chamber devices</strong> are “classic” pacemakers that appeared earlier than others and have 1 electrode. They are installed in one chamber of the heart - the ventricle.</p><p> <strong><a></a>Two-chamber</strong> - have 2 electrodes that are implanted in the ventricle, atrium and support their synchronous operation. “Double” stimulation is more effective for the patient. If the patient has atrial fibrillation and flutter, dual-chamber pacemakers automatically switch to a safe mode of operation.</p><p> <strong>Three-chamber pacemakers</strong> are high-tech models with three electrodes that stimulate contractions of 3 heart chambers according to a certain sequence. Such devices are installed in patients with the most dangerous type of arrhythmia.</p><div class=\"info-block-wrapper\"><p> The electrodes of the devices are divided by fixation into <strong>active and passive types</strong> . In active fixation, the electrode is implanted inside the heart using a corkscrew attachment. Passively fixed electrodes are attached with special antennae. </p></div></div><h2> Installing a pacemaker</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> <a href=\"https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/pacemaker-insertion\">The pacemaker is fixed</a> in the region of the left collarbone under the pectoralis major muscle. Through a puncture in the subclavian vein, the doctor passes the electrodes to the chambers of the heart and fixes the device to the tissues.</p><p> Implantation of a pacemaker is carried out under X-ray control, and the duration of the operation depends on the type of pacemaker:</p><ul><li> single-chamber set in 30 minutes;</li><li> two-chamber - for an hour;</li><li> three-chamber installation will take at least 2 hours.</li></ul><div class=\"block-green\"><p> As a standard, the installation of a pacemaker is carried out using local anesthesia.<a></a></p></div><p> The operation includes several successive stages:</p><ol><li> <strong>The preparatory period</strong> is the introduction of local anesthesia into the skin and tissues adjacent to the puncture site.</li><li> <strong>Insertion of electrodes.</strong> The surgeon makes an incision under the collarbone and inserts electrodes through the vein into the desired chamber of the heart.</li><li> <strong>Installation of the pacemaker housing.</strong> The doctor implants the body under the collarbone subcutaneously or deepens it under the pectoral muscle.</li><li> <strong>Attaching electrodes</strong> to the installed pacemaker.<a></a></li><li> <strong>Programming of the device</strong> according to indications of the patient. </li></ol></div><h2> Life with a pacemaker</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> Patients who have been fitted with a pacemaker have certain limitations in physical activity and the use of electromagnetic devices. Before any diagnostic examination, the doctor should be warned about the presence of a pacemaker.</p><div class=\"block-green\"><p> Restrictions for a patient with a pacemaker installed:<a></a></p><ul><li> you can not undergo magnetic resonance imaging (MRI);</li><li> it is forbidden to work with high-voltage power lines and stay near transformer boxes and metal detectors for a long time;</li><li> doctors do not allow patients with an implanted pacemaker to engage in traumatic sports;</li><li> you can’t keep a mobile phone in the chest area (in pockets, bags), long phone conversations are also undesirable;</li><li> the area where the pacemaker was implanted must not be exposed to direct sunlight;</li><li> Do not take very cold showers.</li></ul></div><p> After installation, doctors recommend walking and regular health checks.</p></div>"},"guide_mc":{"text":"<p>Day 1: Arrival</p>\n<ul>\n<li>Arrive in the country via VIP transfer.</li>\n<li>Check into your 5-star hotel accommodation.</li>\n<li>Meet your language assistance provider.</li>\n</ul>\n\n<p>Day 2: Pre-operation</p>\n<ul>\n<li>Consult with a cardiologist and cardiothoracic surgeon.</li>\n<li>Undergo a cardioscan test and other necessary medical tests.</li>\n<li>Receive pre-operation briefing from the medical team.</li>\n</ul>\n\n<p>Day 3: Procedure</p>\n<ul>\n<li>Arrive at the hospital for the pacemaker installation.</li>\n<li>Undergo local or general anesthesia as advised.</li>\n<li>The procedure lasts 1-2 hours, depending on individual cases.</li>\n<li>Post-procedure, stay under observation in the recovery room.</li>\n</ul>\n\n<p>Day 4-7: Post-operation</p>\n<ul>\n<li>Stay in the hospital for monitoring and recovery.</li>\n<li>Undergo post-operative check by the surgeon.</li>\n<li>Begin gentle physical activity as advised by the medical team.</li>\n</ul>\n\n<p>Week 1-6: Rehabilitation</p>\n<ul>\n<li>Continue gradual increase in physical activities.</li>\n<li>Return to work around week 3, depending on your job.</li>\n<li>Resume light sports around week 4, heavier sports after week 6.</li>\n<li>Final result visible approximately 6 weeks post-operation.</li>\n</ul>\n\n<p><i>Please note that this is a general guideline and individual cases may vary. Always follow the advice of your medical team.</i></p>"}}},"relations":{"countries":[{"name":"Austria","alias":"austria","iso_code":"AT"},{"name":"Azerbaijan","alias":"azerbaijan","iso_code":"AZ"},{"name":"Germany","alias":"germany","iso_code":"DE"},{"name":"Greece","alias":"greece","iso_code":"GR"},{"name":"India","alias":"india","iso_code":"IN"},{"name":"Israel","alias":"israel","iso_code":"IL"},{"name":"Italy","alias":"italy","iso_code":"IT"},{"name":"Lithuania","alias":"lithuania","iso_code":"LT"},{"name":"Poland","alias":"poland","iso_code":"PL"},{"name":"Republic of Korea","alias":"republic-of-korea","iso_code":"KR"},{"name":"Romania","alias":"romania","iso_code":"RO"},{"name":"Spain","alias":"spain","iso_code":"ES"},{"name":"Thailand","alias":"thailand","iso_code":"TH"},{"name":"Turkey","alias":"turkey","iso_code":"TR"},{"name":"Ukraine","alias":"ukraine","iso_code":"UA"}],"cities":[{"name":"Haifa","alias":"haifa"},{"name":"Tel 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operation places a device in the chest to regulate an irregular heartbeat, improving heart efficiency and quality of life.</p>"}}},"cityPrices":{"operation_prices":{"295":{"operation":{"id":295,"name":"Installing heart pacemaker","alias":"installing-heart-pacemaker"},"city_price":[{"amount":10000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"city","city":{"id":8,"name":"Haifa","alias":"haifa","profile":{"city_id":8,"city_type":"Major Mediterranean seaport city","access":["Ben Gurion Airport (TLV), 100 km from Haifa"],"sources":["https://en.wikipedia.org/wiki/Haifa","https://dislocations2019.net.technion.ac.il/general-information-2/travel-and-transportation/"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":21000,"max_amount":31000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":2,"name":"Tel Aviv","alias":"tel-aviv","profile":{"city_id":2,"city_type":"Mediterranean 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He is a pioneer in robotic cardiac surgery using the Da Vinci system in Turkey.","advisoryText":"Prof. Dr. Haşim Üstünsoy is a cardiovascular surgeon specializing in robotic heart surgery, valve repair, and coronary artery bypass. He is a pioneer in robotic cardiac surgery using the Da Vinci system in Turkey.","specialities":[{"id":"crl.003","name":"Cardiovascular surgeon","illness_kind_id":23}]},"updatedAt":"2026-11-07T09:57:33.000Z","activeCountries":["IL","TR","AT","ES","TH"],"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":2,"days_in_country":7,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":3049}},"direction":{"id":23,"name":"Heart Surgery","alias":"heart-surgery","name_forms":{"base_form":"Heart Surgery","form_4":"cardiac surgeon","form_6":"cardiac surgeons","form_11":"cardiac surgeons"}},"illness_kind":{"id":23,"name":{"en":"Heart Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local"],"back_to_work_days":{"min":3,"max":7,"unit":"days","qualifier":"For desk-based work after uncomplicated transvenous single- or dual-chamber pacemaker implantation; heavy manual work usually takes longer."},"complication_rate_pct":{"min":4,"max":10,"unit":"percent","qualifier":"Any acute complication within 90 days (hematoma, lead issue, pneumothorax, infection); serious ones about 1-3%"},"contraindications":["Active systemic infection or sepsis","Infection at the planned implant site","Blocked venous access on intended side (relative)","Uncorrected bleeding disorder or unmanageable anticoagulation (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Uncomplicated transvenous pacemaker implantation; many patients go home the same day or after one night of observation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light activity earlier; avoid raising implant-side arm above shoulder and strenuous exercise until lead stabilizes and clinician clears."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Rhythm support is immediate; leads stabilize over about 4-6 weeks, with final programming at first device check."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"After stable device check, chest X-ray and wound review; later if pocket hematoma, pneumothorax or lead problem."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Wound inspection and, if needed, suture removal."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"First device interrogation and programming check."}}],"indications":["Symptomatic bradycardia due to sinus node dysfunction","Acquired high-grade or complete atrioventricular block","Symptomatic bradycardia with atrial fibrillation (slow ventricular response)","Recurrent syncope from conduction disease or selected reflex syncope"],"main_risks":["Pocket hematoma","Device or pocket infection","Pneumothorax","Lead dislodgement or malfunction requiring repositioning","Cardiac perforation or pericardial effusion (rare)","Venous thrombosis or vein stenosis","Tricuspid regurgitation related to the lead","Bleeding or reaction to anesthesia/medication"],"pain":"Mild to moderate discomfort at the incision/pocket site for a few days, usually managed with simple analgesics; the procedure itself is done under local anesthesia.","preparation":["Cardiology evaluation with ECG and rhythm documentation confirming pacing indication","Pre-procedure blood tests (blood count, coagulation, kidney function)","Review of current medications and allergies by the treating team","Fasting for several hours before the procedure as instructed","Skin preparation of the chest area and informed consent","Arrange transport and help at home after discharge"],"recovery_timeline":[{"phase":"Day 0-1","description":"Observation after implantation; chest X-ray and device check are common before discharge.","restrictions":["No driving on the day of the procedure","Keep the wound dry"]},{"phase":"Week 1-2","description":"Wound healing; discomfort settles; wound check.","restrictions":["No car driving for about one week","Keep the wound dry","Avoid lifting heavy objects with the implant-side arm","Avoid raising the arm above shoulder level vigorously"]},{"phase":"Week 4-6","description":"Leads stabilize; gradual return to full activity per clinician guidance.","restrictions":["Avoid strenuous upper-body exercise until cleared"]},{"phase":"Long term","description":"Regular device checks and battery monitoring.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after uncomplicated transvenous implantation; no formal rehabilitation program is usually needed."},"result_longevity":"Device battery typically lasts several years (often around 7-12 years depending on device type and pacing use), after which the generator is replaced; leads often last longer.","revision_rate_pct":{"min":2,"max":5,"unit":"percent","qualifier":"Lead repositioning or reintervention within first year, mostly lead dislodgement; excludes routine battery replacement"},"scars":"A small linear scar of a few centimeters below the collarbone, usually fading over time; a visible bulge from the device may be noticeable in thin patients.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single implantation procedure."},"stages":[{"code":"implantation","label":"Pacemaker generator and lead implantation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed in one procedure on the day of treatment."}}],"qualifier":"Standard single-stage transvenous implantation; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Successful lead implantation with symptom relief","value":97,"unit":"percent","horizon":"At implantation and first device check","population":"Adults with symptomatic bradycardia or AV block receiving transvenous pacemaker","evidence_status":"limited"},"techniques":[{"name":"Transvenous single-chamber pacemaker","suits_whom":"Patients needing ventricular pacing only, such as permanent atrial fibrillation with slow ventricular rate.","recovery":"Similar short recovery; return to light activity within days."},{"name":"Transvenous dual-chamber pacemaker","suits_whom":"Patients with sinus node dysfunction or AV block who benefit from atrioventricular synchrony.","recovery":"Similar short recovery; arm-movement precautions for several weeks."},{"name":"Leadless pacemaker","suits_whom":"Selected patients with limited venous access or high infection risk who need single-chamber ventricular pacing.","recovery":"No chest pocket or lead; recovery often quicker with fewer arm restrictions."}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Single standard transvenous single- or dual-chamber pacemaker implantation; longer for more complex cases."},"initial_assessment_documents":["12-lead ECG tracing","24-hour Holter monitor report","Echocardiogram report","Cardiology discharge summary or recent clinic letter","List of blood thinners","Recent blood test results"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single implantation; stay 3-7 days for first wound review and chest X-ray. Later checks can be done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask which pacemaker type is best for you","scope":"procedure","source":{"url":"https://www.nhlbi.nih.gov/health/pacemakers/preparing","host":"nhlbi.nih.gov","quote":"What kind of pacemaker is best for me?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask what other treatment options you have besides a pacemaker","scope":"procedure","source":{"url":"https://www.nhlbi.nih.gov/health/pacemakers/preparing","host":"nhlbi.nih.gov","quote":"What other treatment options do I have?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Ask for the benefits and risks of a pacemaker before deciding","scope":"procedure","source":{"url":"https://www.nhlbi.nih.gov/health/pacemakers/preparing","host":"nhlbi.nih.gov","quote":"What are the benefits and risks of a pacemaker?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask how long the pacemaker will last","scope":"procedure","source":{"url":"https://www.nhlbi.nih.gov/health/pacemakers/preparing","host":"nhlbi.nih.gov","quote":"How long will the pacemaker last?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pacemaker offered with no prior discussion of your options with a doctor","scope":"procedure","source":{"url":"https://www.nhlbi.nih.gov/health/pacemakers/preparing","host":"nhlbi.nih.gov","quote":"Before deciding to get a pacemaker, discuss your options with your doctor.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Overseas team does not let you ask questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Wound becoming more swollen, tender or redder","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/pacemaker-implantation/recovery","host":"nhs.uk","quote":"your wound gets more swollen, tender or redder – redness may be difficult to see on brown or black skin","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Severe difficulty breathing, gasping or choking","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/pacemaker-implantation/recovery","host":"nhs.uk","quote":"you have severe difficulty breathing – you're gasping, choking or not able to get words out","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Very high temperature or shivery feeling","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/tests-and-treatments/pacemaker-implantation/recovery","host":"nhs.uk","quote":"your temperature is very high, or you feel hot, cold or shivery","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives device details for clinicians who treat you later","document":"pacemaker id card","source":{"url":"https://my.clevelandclinic.org/health/articles/permanent-pacemaker","host":"my.clevelandclinic.org","quote":"Before you go home, you’ll get a card to carry with details about your device.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Summarises treatment and future care needs for your home doctor","document":"discharge letter for gp","source":{"url":"https://www.nhs.uk/nhs-services/hospitals/going-into-hospital/being-discharged-from-hospital","host":"nhs.uk","quote":"You'll also be given a letter for your GP, providing information about your treatment and future care needs.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your slow heart rate is caused by a medicine you take","name":"Medication dose adjustment","source":{"url":"https://www.healthline.com/symptom/slow-heart-rate","host":"healthline.com","quote":"If a slow heart rate is due to the effect of a medication, it's possible that your doctor may adjust your medication dosage.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"An underlying condition is contributing to your slow heart rate","name":"Treating the underlying condition","source":{"url":"https://www.healthline.com/symptom/slow-heart-rate","host":"healthline.com","quote":"Similarly, if an underlying condition is contributing to your bradycardia, your doctor will work to address that condition.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"transvenous-single-chamber","name":"Transvenous single-chamber pacemaker","how_it_works":{"text":"A single wire attaches to one chamber of the heart","source":{"url":"https://my.clevelandclinic.org/health/treatments/17360-permanent-pacemaker","host":"my.clevelandclinic.org","quote":"This uses a single wire that attaches to one chamber of your heart.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":4,"unit":"days","label":"2–4 days","source":{"url":"https://my.clevelandclinic.org/health/treatments/17360-permanent-pacemaker","host":"my.clevelandclinic.org","quote":"You can most likely get back to your normal routine a few days after pacemaker surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"transvenous-dual-chamber","name":"Transvenous dual-chamber pacemaker","how_it_works":{"text":"Two wires attach to two chambers of the heart","source":{"url":"https://my.clevelandclinic.org/health/treatments/17360-permanent-pacemaker","host":"my.clevelandclinic.org","quote":"This uses two wires that attach to two chambers of your heart.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":4,"unit":"days","label":"2–4 days","source":{"url":"https://my.clevelandclinic.org/health/treatments/17360-permanent-pacemaker","host":"my.clevelandclinic.org","quote":"You can most likely get back to your normal routine a few days after pacemaker surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"leadless-pacemaker","name":"Leadless pacemaker","how_it_works":{"text":"A one-piece device is implanted into the heart through a vein","source":{"url":"https://my.clevelandclinic.org/health/treatments/17166-leadless-pacemaker","host":"my.clevelandclinic.org","quote":"A leadless pacemaker is a one-piece device a provider implants into your heart by way of a vein.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":2,"unit":"weeks","label":"2 weeks","source":{"url":"https://my.clevelandclinic.org/health/treatments/17166-leadless-pacemaker","host":"my.clevelandclinic.org","quote":"You can go back to everyday activities two weeks after receiving a leadless pacemaker.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=israel/city=tel-aviv/procedure=ustanovka-kardiostimulyatora/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"offersBlock":{},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}