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Technology

How does a pacemaker work?

A pacemaker works as a small implanted device that sends tiny electrical pulses to keep the heart beating at a steady rhythm. When it senses the heart beating too slowly or irregularly, it delivers a gentle electrical signal to prompt a beat.

See it in motion.
Watch a 2-minute animated lesson that shows exactly how a pacemaker works.
▶ Watch the visual lesson

Step by step

  • 1It's a small device implanted near the heart.
  • 2Thin wires carry signals to the heart muscle.
  • 3It monitors the heart's natural rhythm constantly.
  • 4If the beat is too slow or irregular, it sends a pulse.
  • 5A battery lasts years before needing replacement.

Frequently asked questions

How does a pacemaker regulate the heartbeat?
It senses the heart's rhythm and, when it detects a beat that's too slow or skipped, delivers a small electrical pulse to trigger a beat.
Does a pacemaker run all the time?
It monitors continuously but usually only fires when needed, stepping in for missed or slow beats rather than replacing every beat.
How long does a pacemaker last?
Its battery typically lasts several years to over a decade, after which the unit is replaced in a minor procedure.

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