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Pacemaker

life science Maturity 9-11 Next article →

A pacemaker is a tiny medical tool that helps the heart work.

PPM
PPM

The heart has its own electrical system to keep it beating. Sometimes this system is too slow or irregular. A pacemaker can fix this by sending small electrical pulses to the heart. These pulses travel through wires called leads to the heart chambers. Each pulse makes a chamber contract so it can pump blood. This helps keep the heart rate even and steady.

Most modern pacemakers use a way of working called demand pacing. This means the device watches the heart's natural rhythm first. If it senses a beat, it stays quiet. If it does not sense a beat within a certain time, it sends a pulse. This ensures the heart gets help only when it needs it. Some devices are rate-responsive, which means they have sensors. These sensors detect when a person is being active. The pacemaker then automatically adjusts the speed to meet the body's needs.

There are different ways to place these devices in the body. A permanent pacemaker is often placed under the skin near the collarbone. Doctors use a special X-ray called fluoroscopy to see the leads. The leads are passed through a vein into the heart chambers.

X-ray of pacemaker with right atrial and ventricular lead
X-ray of pacemaker with right atrial and ventricular lead

Some pacemakers are single-chamber and use only one lead. Dual-chamber pacemakers use two leads to help the top and bottom chambers work together.

Duelchamber
Duelchamber

There are even biventricular pacemakers that use three wires to help the heart stay in sync.

Some pacemakers are very new and do not use wires at all. These are called leadless pacemakers. They are as small as a capsule and sit right inside the heart. This avoids the need for long leads that might fail over time.

Cardiac resynchronisation therapy
Cardiac resynchronisation therapy

For emergencies, doctors might use temporary pacing. This can be done with pads on the chest or a wire in a vein. These act as a bridge until a permanent device can be put in place.

Inside the pacemaker is a small power source, usually a lithium-iodide battery. The outer case is often made of titanium. Titanium is a metal that is inert, meaning the body does not reject it.

Cardiac pacer with sold-state power source
Cardiac pacer with sold-state power source

This device is like a tiny, smart computer for the heart. It constantly listens and reacts to keep the body running smoothly. It is a wonderful example of how technology can support our living systems.

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🖼️ Images & Media (11)
File:AtrialPacemakerECG.JPG
AtrialPacemakerECG.JPG
File:Duelchamber.JPG
Duelchamber.JPG
File:Pacemaker dependent asystole.jpg
Pacemaker dependent asystole.jpg
File:Fluoroscopy pacemaker leads right atrium ventricle.png
Fluoroscopy pacemaker leads right atrium...
File:Cardiac resynchronisation therapy.png
Cardiac resynchronisation therapy.png
File:X-ray of pacemaker with right atrial and ventricular lead.jpg
X-ray of pacemaker with right atrial and...
File:PaceMakerRemoteMonitoringDevicesTwoKinds.jpg
PaceMakerRemoteMonitoringDevicesTwoKinds.jpg
UOTW 15 - Ultrasound of the Week 1.webm
File:Arne Larsson.jpg
Arne Larsson.jpg
File:PPM.png
PPM.png
File:Cardiac pacer with sold-state power source.jpg
Cardiac pacer with sold-state power source.jpg
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