Getting a Pacemaker in Malaysia: What You Need to Know

Getting a Pacemaker in Malaysia: What You Need to Know

Getting a Pacemaker in Malaysia: What You Need to Know

By Island Hospital | December 30, 2024 2:00:00 PM

Your heart is the engine of your body, and when its rhythm falters, it can affect your quality of life. For individuals with heart rhythm issues, pacemakers offer a reliable solution to maintain a steady heartbeat and support overall health.

In this article, we’ll explore everything you need to know about pacemakers, from how they work and who needs them to the benefits, risks, and tips for living with one.

Whether you’re considering a pacemaker for yourself or a loved one, this guide will provide the information you need to make informed decisions about heart health.

What are Pacemakers?

Pacemakers are electronic devices implanted in the chest or abdomen to regulate heart rhythms. They send electrical impulses to the heart, ensuring it beats at a normal pace.

Designed to address specific heart conditions, pacemakers can be temporary or permanent solutions based on a patient’s needs.

Types of Pacemakers

 

Generally, there are three (3) types of pacemakers:

  • Single-Chamber Pacemakers: These have one lead that connects to either the heart’s upper or lower chamber, regulating its rhythm.
  • Dual-Chamber Pacemakers: With two leads, these synchronise the pacing between the heart’s upper and lower chambers.
  • Biventricular Pacemakers (CRT): These devices help those with heart failure by coordinating contractions in both ventricles to improve efficiency.

 

How They Work

 

Pacemakers consist of a battery, a pulse generator, and leads that transmit electrical signals to the heart. The device monitors the heart’s electrical activity and activates when an irregular rhythm is detected.

Advanced pacemakers can adjust to physical activity, delivering tailored pacing to meet the body’s needs.

Hope to expand your knowledge on heart diseases? This article on knowing the characteristics of heart disease has all the details you need!

Who Needs a Pacemaker?

Individuals With Arrhythmias

 

Arrhythmias, such as bradycardia (slow heartbeat) or tachycardia (fast heartbeat), can cause dizziness, fatigue, or even fainting. Pacemakers help maintain a steady rhythm, alleviating these symptoms.

Individuals With a Weak Heart

 

Conditions like heart block or heart failure weaken the heart’s ability to pump blood effectively. Pacemakers support heart function, preventing complications like organ damage due to poor circulation.

Benefits and Risks of Getting a Pacemaker

Benefits

In the long run, pacemakers can improve quality of life for individuals with heart problems. More specifically, it:

  • Restores regular heart rhythms.
  • Reduces symptoms like fatigue and shortness of breath.
  • Improves quality of life and physical activity levels.
  • Decreases the risk of heart failure and related complications.

Despite these benefits, it’s important to remember that a pacemaker is not a cure. It cannot prevent heart disease or heart attacks.

Potential Risks

 

However, there are several potential risks to consider:

  • Infection at the implantation site.
  • Allergic reactions to the device or medication.
  • Lead displacement, requiring repositioning.
  • Rarely, malfunctioning of the device.

Discuss any concerns with your doctor. They will help you weigh the risks and benefits, and decide whether a pacemaker is the right choice for you.

Pacemaker Implant Procedure

The pacemaker implantation is a minimally invasive procedure that typically takes one to two hours:

1. Preparation
The patient is usually awake but under local anaesthesia to numb the implantation area. Sedatives may be given to ensure comfort.

2. Device Insertion
A small incision is made near the collarbone. Leads are threaded through veins and positioned in the heart, guided by real-time imaging. The pacemaker itself is placed under the skin or muscle in the chest.

3. Testing and Completion
Once in position, the pacemaker is tested to confirm it’s working correctly. Adjustments are made if necessary before closing the incision with sutures.

4. Recovery
Most patients are discharged within 24 hours. Recovery time is short, with many resuming light activities in a few days. Minimal scarring and localised soreness are typical, resolving within weeks.

Interested to learn about other heart treatments? Read our in-depth article on the Heart Stent Procedure and whether it’s the right choice for you.

Living With a Heart Device

Once the pacemaker is implanted, here are a few tips to taking care of this device and maintaining a good quality of life:

Pacemaker Check-Up

 

Regular follow-ups are essential to monitor the device’s battery life and performance. Many modern pacemakers also support remote monitoring, reducing the need for frequent clinic visits.

Keeping Active

 

While heavy lifting and contact sports should be avoided to prevent damage to the pacemaker or its leads, most forms of moderate exercise are safe and encouraged. Activities like walking, swimming, or light cycling can promote cardiovascular health.

Learn more heart-healthy tips in our article on How to Prevent Heart Disease.

Electromagnetic Compatibility Guide

 

To avoid interference:

  • Steer clear of MRI machines, unless you have an MRI-compatible pacemaker.
  • Use cell phones on the opposite side of your chest from the device.
  • Avoid prolonged exposure to industrial equipment with strong electromagnetic fields.

 

Addressing Common Pacemaker Problems

 

If you notice symptoms such as dizziness, irregular heartbeats, or chest discomfort, contact your doctor immediately. These could signal issues like battery depletion or lead problems, which are typically easy to resolve.

By following these guidelines and maintaining regular medical check-ups, you can live a full and active life with a pacemaker.

Take Charge of Your Heart Health

A pacemaker can significantly improve quality of life for those with heart rhythm issues. By understanding its benefits, risks, and post-implant care, you’re better equipped to make informed decisions about your heart health.

At Island Hospital, we understand the importance of comprehensive heart care. Our Cardiology Department and Heart Centre are equipped with advanced technology and staffed by a dedicated team of professional cardiologists, nurses, and support staff.

Our commitment to excellence has earned us local and worldwide recognition:

Hence, whether you are seeking preventive care, diagnostic services, or advanced treatments for heart-related conditions, Island Hospital is your trusted partner in achieving optimal cardiovascular health.

Schedule an Appointment With Island Hospital Today!

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What’s Included in Your Screening Experience:

 

✔ Physical examination
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FAQ

What are signs of needing a pacemaker?

Signs include:

  • Frequent fainting or dizziness
  • Unexplained fatigue
  • Shortness of breath
  • Irregular, slow, or skipped heartbeats
  • Chest pain or difficulty exercising

How much does a pacemaker cost in Malaysia?

The cost typically ranges from RM20,000 to RM50,000, depending on the type of device and hospital. Some costs may be covered by insurance or government healthcare.

How many years can a person live with a pacemaker?

Most modern pacemakers last 10-15 years, and people can live a normal lifespan with them. The device itself doesn’t affect life expectancy – the underlying heart condition is more relevant.

Is pacemaker surgery high risk?

Pacemaker surgery is generally considered a low-risk procedure with a 1-2% complication rate. Potential risks include:

  • Infection
  • Bleeding
  • Collapsed lung
  • Device malfunction
  • Lead displacement

How painful is pacemaker surgery?

The procedure is done under local anaesthesia with sedation. Most patients experience minimal pain during surgery and mild discomfort during recovery, typically manageable with over-the-counter pain medication.

What is the difference between a pacemaker and an ICD?

  • Pacemaker: Treats slow heart rhythms by delivering small electrical pulses
  • ICD: Treats both slow and dangerous fast heart rhythms, can deliver strong shocks to stop life-threatening arrhythmias

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