Permanent or long term pacemaker
An incision is made in your neck or chest and the leads are guided through a vein into your heart, and attached to the generator. The generator is kept in your pocket or under your skin. This type of pacemaker you will have forever.
Transcutaneous or external pacemaker
This is used in emergency situations when your heart is beating too slowly. To speed up your heart rate your caregiver will apply small sticky patches to your chest and leads are attached to the patches. The end of the leads has a pacemaker with dials on it. These allow your caregiver to immediately adjust the settings of the pacemaker.
Trasvenous or temporary pacemaker
The leads are guided into your heart through an incision in your neck or chest. The generator is worn outside the body in a small pouch and is carried with you at all times.
HIS bundle pacing
HIS bundle pacing uses your heart’s own wiring system to activate a normal rhythm. It uses pacemaker leads placed at the HIS bundle in your heart instead of at the right ventricle. This is a new approach which can prevent pacing-induced cardiomyopathy and help patients with existing heart failure.
Left bundle branch pacing
Similar to HIS bundle pacing, left bundle branch pacing uses your heart’s own wiring system to achieve rhythm. This approach can help patients with left bundle branch block.