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World Class, State-of-the-Art Cardiovascular Pacemaker w/Lower Costs

Cardiovascular Pacemaker

Pacemakers are battery-powered implantable devices that function to electrically stimulate the heart to contract and thus to pump blood throughout the body. Pacemakers consist of a pager-sized housing device which contains a battery and the electronic circuitry that runs the pacemaker, and one or two long thin wires that travel through a vein in the chest to the heart. Pacemakers are usually implanted in patients in whom the heart's own "spark plug" or electrical system is no longer functioning normally.

Pacemaker Single Chamber Total Price $5,400
Pacemaker Double Chamber Total Price $7,200
Pacemaker Biventricular Total Price $13,200


Package Includes:

  • Attending Doctor/Surgeon's fees, nursing, material cost, pre and post procedure consultations, tests and physical examination.  
  • Medical surgical procedure hospital costs
  • All ancillary medical surgical staff
  • All medications, medical supplies and drugs used during the in-patient hospital stay.
  • Room fees for a private air conditioned room.  Notes...Room includes bathroom, TV, telephone.  Room includes accommodations for one guest.
  • Meals.  The type of cuisine will be served as what is available at the hospital.
  • Rental of pre-activated cellular phone for use during stay.  Note: Phone usage charges are not included in price.
  • All diagnostic tests, laboratory, radiology etc. before and after the procedure as required for the procedure and as advised by the attending physician/surgeon.
  • More comprehensive quote available in the Medical Travel Packet.

Pacemaker General Information

A pacemaker is a treatment for dangerously slow heart beats. Without treatment, a slow heart beat can lead to weakness, confusion, dizziness, fainting, shortness of breath and death.  Slow heart beats can be the result of metabolic abnormalities or occur as a result of blocked arteries to the heart's conduction system. These conditions can often be treated and a normal heart beat will resume. Slow heart beats can also be a side effect of certain medications in which case discontinuation of the medicine or a reduction in dose may correct the problem.

But sometimes, the conduction system of the heart becomes irreversibly damaged for any one of a number of reasons. And some people require medications that cause slow heart beats as a side effect in order to prevent other serious problems. Since there is no medication that one can take on chronic basis to speed up the heart rate, a pacemaker is the only solution.Fortunately, having a pacemaker implanted is only a minor surgical procedure. This is not open heart surgery. After a pacemaker is implanted, most people resume their previous lifestyle with little or no limitations.

The procedure is performed with mild sedation and a local anesthetic. Patients are not put to sleep. An 2 inch incision is made parallel to and just below a collar bone. Pacer wires are then inserted into a vein that lies just under the collarbone and advanced through that vein under fluoroscopic guidance into the heart. The other end of the pacer wires are connected to a "generator" that is implanted under the skin beneath the collar bone. This generator is about half an inch deep and one and a half inches wide. The skin is then sutured closed and the patient leaves the hospital later than same day or the following day. Incisional pain is mild and transient and usually responds to Tylenol. It is possible to feel the pacer generator under the skin and a slight deformaty of the skin can be visually noticed.

Patients may not shower for a week after the procedure to keep the incision dry and should avoid excessively exerting the arm on the side the pacer was placed for that week.  After a week, the patient may resume their prior lifestyle without limitation. Household appliances do not interfere with modern day pacemakers. However, cellular phones may-especially digital cell phones. These should be kept 12 inches away from the pacemaker when on-preferably at the ear on the opposite side of the pacemaker. Never leave the cell phone in a pocket overlying the pacemaker.

Patients with pacemakers should avoid powerful electromagnetic fields which may reprogram the pacemaker. MRI (magnetic resonance imaging) scans cannot be performed on patients with pacemakers for that reason.  The pacemaker generator contains a lithium battery and what is, essentially, a little computer. The generator can communicate with an external device placed on the skin overlying the pacemaker. Through this device, a physician can change the programming of the pacemaker to best suit the individual patient's needs and investigate the status of the pacemaker. Some pacemakers also report on the performance of the patient's heart.

Pacemakers can also be checked over the telephone. The patient places a device and a magnet over the pacemaker and the pacemaker transmits a signal over phone line that is analyzed in the physicians office.  Pacemaker batteries give off warning signals when they are running low on power many months before they actually fail. This can be detected either by a telephone check or by a formal interrogation by the external device mentioned above. Pacemakers are generally checked at least every 3 months to allow plenty of time to change the generator when it is running low on power. Changing the generator simply means remaking the same incision, removing the old generator, and plugging the existing wires into the new generator. The patient goes home the same day. Most batteries last at least 5 years.

Pacemakers sense every heart beat the patient has and only pace the heart when the patient's heart rate falls below a predetermined limit. Patients are usually completely unaware of when the pacer is pacing their heart. In some patients, the pacemaker only needs to fire very rarely because the slow heart beat only occurs intermittently. In other patients, the heart beat is always too slow and the pacemaker has to pace the heart all of the time. Such patients are said to be pacemaker dependent.

Another use of pacemakers is for a disease called hypertrophic obstructive cardiomyopathy. This is a disease where overgrown heart muscle blocks the egress of blood out of the heart. By altering the electrical activation pattern of the heart's muscle, pacemakers can help alleviate this problem.

A special type of pacemaker that stimulates both the left and right ventricles of the heart simultaneously ( a biventricular pacemaker) can reduce symptoms and the need to be rehospitalized in heart failure patients with weak heart muscle who demonstrate slow electrical conduction through the ventricles on their ECG. This is known as cardiac resynchronization therapy.  Thses pacemakers are usually combined with implantable defibrillators. Because these pacemakers are specifically designed for patients with heart failure, they may also come with a monitor to detect the amount of fluid in the lungs or the strength of contraction of the heart muscle.

 

 

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©Medical Discounts International, Inc 1998
Medical Discounts International is not an insurance company.  Medical Discounts International does not make any payments to healthcare providers and/or members. Participating providers are independent contractors.  Medical Discounts International has NO clinical personnel.  All clinical decisions are made directly between the healthcare provider and patient.  All pricing decisions in the offices are between the healthcare provider and the patient.  Patients can agree to a price that is not listed as a contract MDI price.  Any agreed upon prices and work done does not effect the 30 day satisfaction guarantee.  The 30 day money back guarantee is for unauthorized charges over the listed fees.  MDI staff will not interfere in any financial or clinical negotiations between the provider and the patient.  Prices may vary by provider and location, but patients should be told in advance if there is a difference in price.  Prices may change without notice.  Unless otherwise stated, prices do not include travel and recuperation expenses.  Information on this website is for shopping comparison purposes only.  The clinical information is not intended to be used to help people make clinical decisions.  To get accurate clinical information, consumers are expected to speak with their dentists, physicians and other appropriate licensed health care professionals.

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