Pacemakers & Cardiac Devices

Modern device therapy for bradyarrhythmias, sudden cardiac death prevention and heart failure

Pacemakers

Conventional dual-chamber and single-chamber pacing for bradyarrhythmias and heart block.

Leadless Pacemakers

Capsule-sized pacemakers implanted directly inside the heart — no lead, no chest pocket.

Defibrillators (ICD)

Implantable defibrillators for patients at risk of life-threatening ventricular arrhythmias.

Cardiac Resynchronisation Therapy

CRT improves cardiac function in selected heart failure patients with conduction delay.

Conduction System Pacing

Modern physiological pacing approach that preserves natural heart contraction.

Procedure overview

  • Pre-procedure assessment and detailed consent
  • Local anaesthetic with light sedation
  • Small incision below the collarbone (or none, for leadless devices)
  • Lead(s) positioned in the heart under X-ray guidance
  • Device tested and programmed for your needs
  • Overnight stay for monitoring in most cases
  • Recovery

    Most patients go home the day after implantation. Light activity is encouraged; arm movements on the implant side are limited for 4–6 weeks to allow the leads to settle. The wound heals within 2 weeks.

    A device check is arranged at 4–6 weeks, then routinely every 6–12 months. Many devices can be monitored remotely.

    Frequently asked questions

    How long do devices last?

    Modern pacemaker batteries typically last 8–12 years, ICDs around 6–10 years depending on usage.

    Can I still use a mobile phone?

    Yes. Keep mobile phones at least 15 cm from the device; avoid carrying them in a chest pocket directly over the device.

    When can I drive after implantation?

    Driving restrictions depend on the type of device and DVLA guidance. Dr Creta will provide specific advice.

    Will I feel the device?

    Most patients adapt quickly. The device sits under the skin and is generally not noticeable after recovery.

    Discuss device therapy with Dr Creta

    Personalised assessment to determine whether a pacemaker, ICD or CRT is appropriate.