How is it done?
The pacemaker is implanted in a special sterile room called 'Electrophysiology Laboratory' under local anesthesia, while the patient lies on the operating table fully conscious, though under mild sedation. In almost all cases, the pacemaker is implanted on the front of the chest under the clavicle (collar bone) on left or right side. This is done thru a small incision of about 3 cm. One or two pacing wires are placed inside the heart thru a vein, and are connected to the pacemaker.

How to avail?
If anyone suffers from dizziness or fainting spells, he or she should be brought urgently to the emergency room where monitoring of heart rhythm can be done, and if necessary, temporary pacing can be done to stabilize patient's condition. Subsequently a permanent pacemaker is implanted if adequate indication exists. Patients with less serious symptoms can go to outpatient department and consult a cardiologist.