- A Visual Guide to Heart Disease
- Medical Illustrations of the Heart Image Collection
- Take the Heart Disease Quiz!
- Patient Comments: Pacemaker - Describe Your Experience
- Patient Comments: Pacemaker - Surgery
- Patient Comments: Pacemaker - Risks
- Find a local Cardiologist in your town
- Pacemaker facts*
- Pacemaker overview
- What is a pacemaker?
- Understanding the heart's electrical system
- Who needs a pacemaker?
- Diagnostic tests
- How does a pacemaker work?
- What should I expect during pacemaker surgery?
- What should I expect after pacemaker surgery?
- What are the risks of pacemaker surgery?
- How will a pacemaker affect my lifestyle?
- Physical activity
- Ongoing care
- Battery replacement
Quick GuideAtrial Fibrillation: Heart Symptoms, Diagnosis, & Afib Treatment
What is a pacemaker?
A pacemaker is a small device that's placed in the chest or abdomen to help control abnormal heart rhythms. This device uses electrical pulses to prompt the heart to beat at a normal rate.
Pacemakers are used to treat arrhythmias (ah-RITH-me-ahs). Arrhythmias are problems with the rate or rhythm of the heartbeat. During an arrhythmia, the heart can beat too fast, too slow, or with an irregular rhythm.
A heartbeat that's too fast is called tachycardia (TAK-ih-KAR-de-ah). A heartbeat that's too slow is called bradycardia (bray-de-KAR-de-ah).
During an arrhythmia, the heart may not be able to pump enough blood to the body. This can cause symptoms such as fatigue (tiredness), shortness of breath, or fainting. Severe arrhythmias can damage the body's vital organs and may even cause loss of consciousness or death.
A pacemaker can relieve some arrhythmia symptoms, such as fatigue and fainting. A pacemaker also can help a person who has abnormal heart rhythms resume a more active lifestyle.
Understanding the heart's electrical system
Your heart has its own internal electrical system that controls the rate and rhythm of your heartbeat. With each heartbeat, an electrical signal spreads from the top of your heart to the bottom. As the signal travels, it causes the heart to contract and pump blood.
Each electrical signal normally begins in a group of cells called the sinus node or sinoatrial (SA) node. As the signal spreads from the top of the heart to the bottom, it coordinates the timing of heart cell activity.
First, the heart's two upper chambers, the atria (AY-tree-uh), contract. This contraction pumps blood into the heart's two lower chambers, the ventricles (VEN-trih-kuls). The ventricles then contract and pump blood to the rest of the body. The combined contraction of the atria and ventricles is a heartbeat.
For more information about the heart's electrical system and detailed animations, go to the Health Topics How the Heart Works article.