Home > Cardiac Sciences > Pacemaker Implantation
Pacemaker Implantation in Mumbai
Reliable Rhythm Control for a Stronger, Steadier Heart
A heart that beats too slowly or irregularly can cause dizziness, fainting, and life-threatening complications. Pacemaker implantation in Mumbai at Shree Hospitals offers a safe, long-term solution for patients with rhythm disorders. Our electrophysiology and interventional cardiology team delivers precise cardiac pacing device implant for heart rhythm disorders - restoring a normal, consistent heartbeat and helping patients return to active, confident lives.
Concerned About Your Heart Health? Get Expert Cardiac Care Today.
Quick facts
Type & Duration: Minimally invasive; 1 to 2 hours
Hospital Stay: Typically 1 to 2 days
Anaesthesia: Local anaesthesia with mild sedation
Success Rate: Above 98% with experienced electrophysiologists
Type of Procedure: Subcutaneous device implant with lead placement
Key Benefit: Continuous heart rate regulation without open-heart surgery
Type of Treatment: Usual discharge within 24 to 48 hours
What is Pacemaker Implantation?
A pacemaker is a small, battery-powered electronic device implanted beneath the skin near the collarbone to regulate abnormally slow or irregular heart rhythms. Permanent pacemaker surgery for slow heart rate involves placing the device with one or more leads - thin, insulated wires - that connect it directly to the heart chambers. When the pacemaker detects a rhythm that is too slow or paused, it sends a gentle electrical impulse to prompt the heart to beat at a safe, normal rate. Pacemaker implantation in Mumbai at Shree Hospitals is performed using the latest device technology and imaging guidance, ensuring precise lead placement and optimal long-term pacing performance for every patient.

When Should You Consult a Cardiologist?
- Persistent slow heart rate below 40 to 50 beats per minute
- Unexplained fainting or near-fainting episodes
- Dizziness, fatigue, or shortness of breath without clear cause
- Diagnosed heart block on ECG or Holter monitoring
- Symptomatic sick sinus syndrome confirmed by cardiac testing
Is This Treatment Right for You?
- Recommended for symptomatic bradycardia unresponsive to medication
- Suitable for second and third degree heart block conditions
- Indicated for sinus node dysfunction with clinical symptoms
- Appropriate for patients requiring long-term heart rate regulation device support
- Evaluated individually through ECG, Holter, and electrophysiology studies
Why Early Treatment Matters?
- Untreated slow heart rate can cause sudden loss of consciousness
- Prolonged bradycardia leads to reduced oxygen delivery to vital organs
- Cardiac pacing device implant for heart rhythm disorders prevents cardiac arrest risk
- Early implantation reduces hospitalisation from recurrent syncopal episodes
- Timely pacing therapy significantly improves daily function and quality of life
Untreated heart rhythm disorders can escalate to cardiac arrest.
Early pacemaker implantation restores safe heart rate control and protects long-term cardiac health.
24×7 Emergency Care
Our Approach to Pacemaker Implantation
At Shree Hospitals, pacemaker implantation in Mumbai is performed within a dedicated electrophysiology lab equipped with real-time fluoroscopic imaging and advanced pacing system analysers. Our cardiologists follow a patient-specific protocol - from device selection to lead positioning - ensuring the most appropriate and durable bradycardia treatment outcome for each individual.
24×7 Emergency Care
Comprehensive Pre-Implant Evaluation
Every patient undergoes thorough rhythm assessment including 12-lead ECG, 24 to 48 hour Holter monitoring, echocardiography, and electrophysiology studies to confirm the indication and select the most appropriate pacing system.
Precise Device and Lead Placement
Our electrophysiologists use fluoroscopy-guided techniques to navigate leads through the subclavian vein into the correct heart chambers, ensuring secure fixation and optimal electrical contact with the myocardium for consistent pacing.
Personalised Pacing Programme
After implantation, the pacemaker is individually programmed to the patient's heart rate requirements. Rate response settings, sensitivity thresholds, and output parameters are fine-tuned to suit the patient's lifestyle and physical activity level.
Long-Term Device Monitoring and Follow-Up
Shree Hospitals provides structured pacemaker follow-up clinics with remote device interrogation capabilities. Our team monitors battery status, lead integrity, and pacing thresholds to ensure consistent heart rate regulation device performance over years.
Top Heart Specialists in Mumbai
Shree Hospitals is home to some of the most experienced cardiothoracic surgeons and cardiac anaesthetists in the region. Our surgical team maintains a consistent record of excellence across routine and high-complexity bypass procedures.
24×7 Emergency Care
Dr. Anmol Sonawane
Interventional Cardiologist, TAVI & Structural Heart
Dr. Chirag Parikh
Consultant Interventional Cardiologist
Dr. Komal Pawar
Consultant Interventional Cardiologist
Dr. Vaibhav Shah
Cardio Thoracic Surgeon
Cardiac Treatments at Shree Hospitals
Beyond permanent pacemaker surgery for slow heart rate, Shree Hospitals delivers a full spectrum of cardiac rhythm management and interventional services - all supported by advanced diagnostic technology and a dedicated team of cardiac specialists.
Cardiac Resynchronisation Therapy (CRT)
Biventricular pacing device therapy for heart failure patients with electrical conduction delay and reduced ejection fraction.
Step by Step Process of Pacemaker Implantation
- Pre-Procedure Diagnosis and Device Selection
The cardiologist reviews all rhythm data including ECG, Holter report, and electrophysiology findings. Based on the diagnosis, the appropriate pacing system is selected - single and dual chamber pacemaker or rate-responsive device - tailored to the patient's clinical need and activity level. - Preparation and Local Anaesthesia
The patient is positioned on the procedure table and the left or right chest area near the collarbone is cleaned and numbed with local anaesthesia. Mild intravenous sedation is administered to keep the patient comfortable throughout.
- Venous Access and Lead Introduction
A small incision is made below the collarbone to access the subclavian or cephalic vein. The pacemaker lead or leads are introduced through this vein and advanced into the heart chamber under continuous fluoroscopic imaging guidance.
- Lead Fixation and Electrical Testing
Once leads are positioned in the correct cardiac chambers, they are fixed to the heart wall. Electrical measurements including pacing threshold, sensing, and impedance are tested in real time to confirm optimal lead function and contact.
- Device Pocket Creation and Implantation
A small subcutaneous pocket is created beneath the skin near the collarbone to house the pacemaker generator. The leads are connected to the device, the generator is placed securely in the pocket, and the incision is closed with absorbable sutures.
- Device Programming, Recovery, and Discharge
After implantation, the cardiac pacing device implant for heart rhythm disorders is programmed to the patient's specific rate and sensing requirements. The patient is monitored for 24 hours, a chest X-ray confirms lead position, and discharge instructions including wound care and activity restrictions are provided before going home.
Patient Questions About Pacemaker Implantation
What are the benefits of pacemaker implantation?
Pacemaker implantation in Mumbai at Shree Hospitals offers significant and immediate improvements in heart rhythm stability and overall quality of life:
- Eliminates episodes of fainting, dizziness, and extreme fatigue caused by slow heart rate
- Continuously monitors and corrects heart rhythm without any conscious effort from the patient
- Restores safe and consistent heart rate during rest, sleep, and physical activity
- Bradycardia treatment through pacing reduces risk of sudden cardiac arrest from complete heart block
- Modern devices are MRI-compatible, allowing continued diagnostic imaging when needed
- Long battery life of 8 to 12 years with minimal maintenance between follow-up visits
- Enables patients to resume normal daily activities including walking, travel, and light exercise
What are the risks and complications?
Permanent pacemaker surgery for slow heart rate is a well-established and safe procedure. However, patients are counselled on the following possible risks:
- Bleeding or bruising at the incision and device pocket site in the immediate post-procedure period
- Infection at the pocket site requiring antibiotic treatment or, rarely, device revision
- Lead displacement in the early weeks requiring repositioning through a minor repeat procedure
- Pneumothorax - accidental air entry into the chest cavity during venous access, managed promptly
- Skin erosion over the device pocket in thin patients or following infection in rare long-term cases
- Pacemaker dependency in patients who rely entirely on pacing for heart rate support
- Device or lead malfunction over time, identified during routine follow-up and corrected as needed
Our team at Shree Hospitals conducts thorough pre-procedural risk assessment and uses strict sterile technique to minimise all implant-related complications.
What should you ask during appointment with cardiologist?
Being well-prepared for your consultation helps you understand your diagnosis and the treatment plan clearly:
- Do I definitely need a pacemaker or are there non-device treatment options available for my condition?
- Which type is most suitable for me - single and dual chamber pacemaker or a rate-responsive device?
- How long will the battery last and what happens when it needs to be replaced?
- Are there any electrical devices, appliances, or environments I must avoid after implantation?
- Can I continue exercise, travel by air, and go through airport security with a pacemaker?
- Is the device MRI-compatible and what precautions apply during future imaging procedures?
- How frequently do I need follow-up visits for device interrogation and monitoring?
- What symptoms after discharge should prompt me to contact the hospital immediately?
Beyond pacemakers : Advanced cardiac rhythm and device therapies
Shree Hospitals offers a comprehensive range of cardiac rhythm management therapies that go beyond standard cardiac pacing device implant for heart rhythm disorders:
- ICD (Implantable Cardioverter Defibrillator) - detects and terminates dangerous ventricular arrhythmias with an internal shock
- Subcutaneous ICD (S-ICD) - leadless defibrillator option for patients without the need for anti-tachycardia pacing
- Cardiac Resynchronisation Therapy with Defibrillator (CRT-D) - combined biventricular pacing and defibrillation for advanced heart failure
- Leadless Pacemaker - miniaturised capsule pacemaker placed directly inside the heart without conventional leads or a chest pocket
- Remote Device Monitoring - wireless transmission of heart rate regulation device data to our clinic for real-time review between visits
- Electrophysiology Study with Ablation - diagnosis and curative treatment of tachyarrhythmias in the same procedural session
- Loop Recorder Implantation - small subcutaneous monitoring device for long-term unexplained syncope and arrhythmia detection
All device therapies at Shree Hospitals are selected through a structured multi-disciplinary electrophysiology team review, ensuring every patient receives the most appropriate and evidence-based rhythm management solution.

Evidence-Based Case Studies by Our Specialists
Would Recommend Us
A 72-year-old male with complete third degree heart block and recurrent syncope underwent pacemaker implantation in Mumbai at Shree Hospitals. A dual chamber device was implanted successfully and the patient was discharged within 48 hours with complete resolution of all symptoms at 4-week follow-up.
Madhukar Shinde (72 yrs) – Heart Block & Pacemaker Implantation
A 65-year-old female with sick sinus syndrome and persistent symptomatic bradycardia unresponsive to medical therapy received a permanent pacemaker surgery for slow heart rate at Shree Hospitals. Post-implant Holter monitoring at one month confirmed stable pacing with no episodes of rhythm irregularity.
Usha Kulkarni (65 yrs) – Sick Sinus Syndrome & Permanent Pacemaker
A 58-year-old patient with prior cardiac surgery and difficult venous anatomy required complex lead placement for cardiac pacing device implant for heart rhythm disorders. Using advanced imaging and an alternative venous approach, our electrophysiology team achieved successful dual chamber implantation with optimal lead parameters confirmed at 6-month device check.
Prakash Deshmukh (58 yrs) – Complex Venous Anatomy & Pacemaker Implant
Patient
Resources

Schedule consultation
Billing & Payments
Health Packages
Hospital Facilities
24×7 Emergency Care


