Service

Pacemakers & devices

Cardiac devices treat a range of rhythm problems — from a slow heart rate requiring a pacemaker, to the prevention of dangerous rhythms with an implantable defibrillator (ICD), to improving heart function with cardiac resynchronisation therapy (CRT).

Implantation

Device implantation is a well-established procedure performed under local anaesthetic with sedation. The type of device, and the pacing approach, are chosen to suit your specific condition. This practice has a particular interest in conduction system pacing, a more physiological pacing technique.

Follow-up

After implantation, your device is checked regularly to confirm it is working correctly and to optimise its settings. Remote monitoring allows many checks to be carried out without an in-person visit, with a clear pathway for any alerts.

Common questions

Why might I need a pacemaker?

Pacemakers are used when the heart beats too slowly or pauses, which can cause tiredness, dizziness or blackouts. The device monitors your heart and provides electrical support only when needed.

What is conduction system pacing?

Conduction system pacing is a more physiological way of pacing the heart, using the heart’s own electrical wiring. It is a particular area of interest in this practice and may be appropriate for certain patients.

How are devices followed up?

Implanted devices are checked regularly, often with remote monitoring that allows your device to be reviewed without you needing to attend in person. We will arrange a clear follow-up pathway for you.

Related services

Last reviewed: June 2026. Reviewed by Dr Iain Sim.