Cardiac pacemaker implantation/replacement

Ospedale San Carlo di Nancy Italy Rome

Cardiologist

Giuseppe Speziale

27 years of experience

About

Dr. Giuseppe Speziale is a highly experienced Cardiologist and Cardiovascular Surgeon from Italy. He specializes in cardio surgery, minimally-invasive and noninvasive valvular surgery for mitral, aortic, and tricuspid valves, as well as surgery for cardiac arrhythmias, Thoraortic atrium, myocardial surgery, and heart failure. He is known for performing procedures such as Coronary Artery Stenting, Heart Bypass Surgery (CABG), Valve Replacement, Implantation of Artificial Pacemaker, Mitral Valve Repair, Balloon Valvuloplasty, Interatrial Septum Defect Closure, Interventricular Septum Defect Closure, Heart Valve Repair Surgery, Balloon Plastic of Heart Valves, and Opened Foramen Ovale Closure.

Dr. John Smith, an experienced cardiologist with 20+ years of experience, offers cardiac pacemaker implantation/replacement at the GVM Care & Research-accredited Ospedale San Carlo di Nancy. State-of-the-art facilities provide personalized care and flexible payment options.

Read about the program benefits

Medical Procedures

Installing heart pacemaker
Consultation with a cardiologist
Preoperative tests

Duration

1 days in the hospital

Accommodation

Individual chamber

Transport

Transfer is not included

Additional information

Including 1 standard Pacemaker, dual chamber Pacemakers are not included

24/7 Bookimed assistance

Personal medical coordinator

Medical travel arrangements — booking of air tickets and hotel rooms at special partner prices

Patient advocacy during medical travel

Program price

$13016

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Location

Via Aurelia, 275, 00165 Roma RM, Italy

FAQ

Pacemaker - what is it?

A pacemaker (EC, pacemaker) 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.

To date, the pacemaker is the most effective tool in the fight against arrhythmia.

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.

Types of pacemakers

Pacemakers are classified depending on how many sections (chambers) of the heart they are able to stimulate - one, two or three.

Single-chamber devices are “classic” pacemakers that appeared earlier than others and have 1 electrode. They are installed in one chamber of the heart - the ventricle.

Two-chamber - 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.

Three-chamber pacemakers 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.

The electrodes of the devices are divided by fixation into active and passive types . In active fixation, the electrode is implanted inside the heart using a corkscrew attachment. Passively fixed electrodes are attached with special antennae.

Installing a pacemaker

The pacemaker is fixed 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.

Implantation of a pacemaker is carried out under X-ray control, and the duration of the operation depends on the type of pacemaker:

single-chamber set in 30 minutes;
two-chamber - for an hour;
three-chamber installation will take at least 2 hours.

As a standard, the installation of a pacemaker is carried out using local anesthesia.

The operation includes several successive stages:

The preparatory period is the introduction of local anesthesia into the skin and tissues adjacent to the puncture site.
Insertion of electrodes. The surgeon makes an incision under the collarbone and inserts electrodes through the vein into the desired chamber of the heart.
Installation of the pacemaker housing. The doctor implants the body under the collarbone subcutaneously or deepens it under the pectoral muscle.
Attaching electrodes to the installed pacemaker.
Programming of the device according to indications of the patient.

Life with a pacemaker

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.

Restrictions for a patient with a pacemaker installed:

you can not undergo magnetic resonance imaging (MRI);
it is forbidden to work with high-voltage power lines and stay near transformer boxes and metal detectors for a long time;
doctors do not allow patients with an implanted pacemaker to engage in traumatic sports;
you can’t keep a mobile phone in the chest area (in pockets, bags), long phone conversations are also undesirable;
the area where the pacemaker was implanted must not be exposed to direct sunlight;
Do not take very cold showers.

After installation, doctors recommend walking and regular health checks.

Limited-time deal

Best price

Italy, Bologna

1. Heart Pacemaker Insertion

Cardiologist - Saverio Iacopino

29 years of experience

Dr. Saverio Iacopino is certified for MICRA-TPS leadless pacemaker implantation procedures.
Maria Cecilia Hospital handles over 15% of cardiac surgeries in Italy.
Included Services: 3 meals per day by nutritionist, apartment, language assistance, medical examination for pre-operation, 5* hotel, transfer to the hospital.
Stay Info: 2 days stay in the hospital, 0 days stay in the hotel, hotel not included in price.
Technique: MICRA-TPS leadless pacemaker implantation.

Package price

$26032

$21573

Get a $4459 discount

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Cardiac pacemaker implantation/replacement

Cardiologist

Program details

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