For surgery related to heart problems, your doctor might advise you to have PPI treatment, also known as a permanent pacemaker Implant. A permanent pacemaker is a compact electronic device surgically placed in the chest to regulate the heartbeat in patients who have irregular heart rhythms (arrhythmias) or slow heart rates (bradycardia). This device delivers electrical signals to the heart muscle, ensuring an appropriate heart rate and rhythm. Permanent Pacemaker Implant cost in India usually comes up to 3000 USD. Also, when a patient foreign place comes for treatment for PPI surgery in India, they can save up to 40-60% of the cost compared to their native place.
Permanent Pacemaker Implant Double Chamber Cost in India
On average Permanent Pacemaker Implant Cost in India starts from 3000 USD and can go up to 6500 USD (₹2,63,000 to ₹5,69,000), by depending on the device, surgery, and hospitalization. However, the prices of the implant/ treatment can also vary based on factors like the specific hospital, the type of device, and the surgeon’s fees.
Cost of Different Types of Pacemaker Implant in India
| Types of Pacemaker Implant | Prices |
| Single-chamber pacemaker | $3000 to $4500 |
| Dual-chamber pacemaker | $4500 to $6500 |
| Biventricular pacemaker | $6500 to $10,000 |
Permanent Pacemaker Implant Cost in India Compared to Other Countries
| Countries | Prices |
| India | $3000 to $6500 |
| United States | $25,000 to $50,000 |
| United Kingdom | $15,000 to $25,000 |
| Turkey | $7,000 to $12,000 |
| Australia | $20,000 to $30,000 |
| UAE | $15,000 to $22,000 |
While it is true that prices for permanent pacemaker implant in India are far more affordable when compared to other advanced countries, the cost may be affected by some factors. Here we will discuss some of the reasons that may affect the cost of a permanent pacemaker Implant in India.
Type and Brand of Pacemaker: The cost of the treatment may vary depending on the quality of the pacemaker a patient opts for, such as premium or imported pacemakers from reputed brands like Medtronic or Boston Scientific usually cost more than locally manufactured ones.
Hospital Type and Accreditation: Most of the Indian hospitals have multispecialty or internationally accredited hospitals (like JCI/NABH), which often have higher charges due to better facilities and standards of care.
Surgeon’s Experience: Sometimes the fee may increase if the procedure is performed by a highly experienced cardiologist or electrophysiologist with a strong track record.
Preoperative Tests and Evaluations: Sometimes, patients may need to undergo tests such as ECG, echocardiogram, blood work, and Holter monitoring, as these tests are essential before surgery and can add to the total cost of PPI treatment in India.
City or Location of the Hospital: Depending on the location of hospitals in metro cities like Delhi, Mumbai, or Bangalore, they generally have higher procedure costs compared to those in smaller cities.
Inpatient Room Category: For this category, the cost varies depending on the type of hospital room chosen—standard, private, or deluxe suites.
Length of Hospital Stay: Extended hospital stays due to complications or close observation can increase the total bill for patients.
Postoperative Medications and Care: Medications, wound care, and follow-up consultations after the procedure may be charged separately depending on the hospital policy.
Top Hospitals for Permanent Pacemaker Implant in India
Here is a list of the best hospitals in India for PPI treatment:
- All India Institute of Medical Sciences (AIIMS), New Delhi
- Fortis Escorts Heart Institute, New Delhi
- Apollo Hospitals, Chennai (and across India)
- Medanta – The Medicity, Gurgaon
- Narayana Institute of Cardiac Sciences, Bangalore
- Max Super Speciality Hospital, Saket (New Delhi)
- BLK-Max Super Speciality Hospital, New Delhi
- Kokilaben Dhirubhai Ambani Hospital, Mumbai
- Asian Heart Institute, Mumbai
- Christian Medical College (CMC), Vellore
An Overview of Pacemakers
Pacemakers are medical devices that are surgically implanted in the body to assist the heart’s electrical system by helping regulate irregular heart rhythms and can prevent life-threatening complications for patients with heart-related problems.
Our heart operates with its own electrical system, which coordinates the contractions of its chambers, and when this system fails, the chambers of the heart may contract out of sequence or insufficiently, leading to inadequate blood flow in a person. This is why pacemakers are used to help deliver electrical impulses to rectify these issues.
Conditions that may require a pacemaker include, but are not limited to:
- Specific heart arrhythmias are disruptions in the normal rhythm of the heart.
- Electrical system disturbances, such as heart blocks.
- Heart failure.
- A history of heart attacks.
If you suspect you may need a pacemaker, the first step is to discuss your symptoms or concerns with your healthcare provider. Important symptoms to mention include:
- Chest pain is also referred to as angina.
- Tachycardia: an abnormally rapid heartbeat exceeding 100 beats per minute.
- Bradycardia: an unusually slow heartbeat of fewer than 60 beats per minute.
- Irregular heartbeat (arrhythmia): characterized by skipped or extra beats.
- Heart palpitations: an uncomfortable sensation of your heart racing or pounding.
- Shortness of breath, particularly during physical activity.
- Unexplained dizziness, lightheadedness, nausea, or fainting.
- Confusion without an apparent cause.
- Swelling in the ankles, legs, or abdomen.
- Frequent urination at night.
What are the tests and assessments used to diagnose heart conditions?
To diagnose if a person is having irregular heart rhythm/ heart palpitations, your doctor may advise you to have the following tests:
- Medical History and Evaluation: The consultant will require a comprehensive medical history to identify any symptoms.
- Imaging Procedures
- Electrocardiogram
- Holter Monitoring: This device records your heart rhythms continuously for a full 24 hours.
- Echocardiogram: This test provides images that allow your doctor to evaluate the function, size, and thickness of your heart muscle.
- Stress Test.
How is the procedure done for a Permanent Pacemaker Implant in India?
The doctor in charge (cardiologist) will thoroughly explain how the procedure will be performed before the surgery. He/she will review all the past and present medical conditions and previous surgeries (if done).
There will be a preoperative assessment to determine fitness for surgery. Before the surgery, your doctor in charge may ask some questions about allergies, and consultation will be recommended if there is a history of allergic reactions to anesthetics.
You will be advised to discontinue certain medications a few days prior to the surgery if you are on medications, and will be recommended to quit smoking (if you are a smoker), maintain a healthy diet, and engage in regular exercise.
During the Procedure
- The surgery will last approximately 1 to 2 hours.
- An incision will be made on the side of the chest to place the dual-chamber pacemaker just beneath the skin.
- Using X-ray imaging, the surgeon will guide two wires through the subclavian vein to their respective chambers in the heart.
- The leads will be connected to the pacemaker and tested.
- The surgical incision will then be closed.
Post-Procedure
- Vital signs will be monitored to ensure the pacemaker is functioning properly.
- You may experience some discomfort or pain in the first 48 hours following the surgery, for which pain relief medications or injections will be provided.
- The insertion of the pacemaker may cause temporary discomfort, which typically subsides within a few days.
- Antibiotics and pain relievers will be prescribed to prevent infection and manage pain.
- It may take several months to determine if adjustments to the pacemaker settings are necessary.
- Adopting lifestyle changes, maintaining a healthy weight, exercising regularly, and attending routine follow-ups are crucial for improving your overall prognosis.
A Note From Clinicspots
For some patients who have heart conditions that necessitate the use of a pacemaker can lead to feelings of stress, anxiety, or fear. But don’t worry, as your healthcare provider is available to help you comprehend your circumstances and guide you through the process, allowing you to feel more at ease with your situation. Additionally, they can suggest resources to assist you in addressing any questions or concerns you may have.
By summing up all the above, we now know that the Permanent pacemaker implant cost in India is significantly lower compared to many Western countries, without compromising on the quality of treatment or technology used. If you want more details on regards with the treatment, contact us as we at Clinicpost are here to help you in your journey.
