Pacemaker Implantation & Heart Failure Management (PPI, ICD, CRT)

What it is

Three related device therapies, each for a different problem. A permanent pacemaker (PPI) treats a heartbeat that is too slow. An implantable cardioverter-defibrillator (ICD) monitors for dangerous fast rhythms and corrects them automatically. Cardiac resynchronization therapy (CRT) re-coordinates the pumping of a weakened heart in selected heart-failure patients.

When it's needed

Device therapy is considered after rhythm monitoring and echocardiography define the problem: unexplained blackouts or a documented slow rhythm (pacemaker), survived dangerous arrhythmia or high-risk weak heart (ICD), or heart failure with a specific electrical conduction pattern (CRT). Devices complement — never replace — properly optimized heart-failure medication, which is the other half of this service.

What to expect

Implantation is done under local anaesthesia through a small incision below the collarbone, commonly with a one-to-two-day stay. Afterwards you'll have scheduled device checks, and heart-failure patients follow a structured review plan covering medicines, weight, and symptoms.