Pacemakers are a vital component of the heart’s electrical system, as explained by Prof. Birty. They can also improve the synchronization of the heart’s mechanical action and are used to treat heart failure in patients with reduced left ventricular function or specific features present in their ECG chart. Pacemaker implantation is usually considered a safe procedure, typically done under local anesthesia during surgery. Complications are rare, and the main risks are bleeding in the surgical area and infection. Patients can usually be discharged the day after the procedure and resume normal activities, with the exception of heavy lifting that can damage the pacemaker.

In recent years, there have been advancements in pacemaker technology that allow for smaller devices to be implanted using a catheter, eliminating the need for surgery. These small pacemakers are mainly used for patients at risk of infections, such as those on dialysis or immunocompromised.

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