Summary
Pacemaker implantation turkey

About Pacemaker Implantation in Turkey

Pacemaker implantation in Turkey is the process of surgically placing a pacemaker in the heart of an individual. A pacemaker is a 2 part battery-operated instrument, where the electrode leads are placed in the heart. This the electric pulse generator instrument will be placed either under the skin or outside the body with an adhesive patch. A pacemaker implantation is often used to treat individuals with a slow or irregular heartbeat.

In some people, the natural system of the heart might stop working properly. This situation can occur in a number of different ways. Sometimes the SA node fails to make enough impulses; the heart slows down and even pauses. This is usually defined as “sick sinus syndrome”. On other occasions, even though the SA node is making enough impulses, there are issues with either the AV node or the left and right bundle branches. When this happens, the impulses are not conducted down into the pumping chambers in the heart. This condition is termed “heart block”. The heart block will also cause the heart to slow down or pause.

If you need to have a pacemaker fitted, a small electrical device defined as a pacemaker will be surgically implanted in your chest. The pacemaker sends electrical pulses to the heart to keep it beating regularly and not too slowly. Having a pacemaker can importantly improve your quality of life if you have problems with a slow heart rate. The pacemaker can be lifesaving for some people.

Pacemaker implantation is one of the most common procedures of heart surgery carried out, with many thousands of pacemakers fitted each year. The operation to implant a pacemaker does not require open heart surgery, and most people go home within 24 hours. Before the surgery, medication might be given to make you sleepy and comfortable. Generally, the pacemaker implantation procedure is performed under local anesthesia.

At Healthy Türkiye, we ensure to bring you the best in terms of both healthcare quality and affordability. We value our patients so providing the best of services to them at an affordable price is our objective.

Pacemaker implantation turkiye

Pacemaker Implantation Turkey

Pacemaker implantation surgery is a procedure that is frequently performed in the field of cardiology in Turkey. A pacemaker is a small instrument that is implanted under the skin (most often in the shoulder area just under the collarbone) it sends electrical signals to start or regulate a slow heartbeat. Some peacemakers are permanent (internal) and some are temporary (external). Pacemakers can replace a natural heart that is malfunctioning and not functioning properly.

Pacemakers can be surgically placed into the chest (a permanent pacemaker) through a small incision. They can be worn outside the body (a temporary pacemaker) and attached to the heart through a wire that is threaded through a neck vein. Temporary pacemakers are used only while a patient is in the hospital. A temporary pacemaker is an “artificial” pacemaker that takes the location of or overrides a faulty SA node. The instrument is inserted by threading a lead or wire through a vein into the right ventricle of the patient’s heart. At the other end, outside of the person’s body, the wire is attached to a power source that stimulates the heart to contract.

Temporary pacemakers are often used in emergency conditions to keep a patient’s heartbeat stable until a permanent pacemaker can be inserted. It also might be used after a heart attack to keep the heart rhythm normal until the extent of tissue damage can be established. People on temporary pacemakers require constant monitoring.To learn more about our cardiology procedures at Healthy Türkiye, please schedule a free consultation. This consultation is a big step for the health of one of the most important organs in our body.

Turkey pacemaker implantation

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Pacemaker Implantation Procedure in Turkey

A heart pacemaker implantation is a common cardiac procedure performed at the best multi-specialty hospitals in Turkey and abroad. It is estimated that more than a hundred pacemaker implantation operations are performed each day around the world. The person’s heart pulsates about 72 beats per minute. This performs such constant and rhythmic pulsations to pump blood effectively. It generates electrical impulses from the sino-arterial node. When this node ceases to create the electrical impulse, an artificially and electrically charged medical instrument is implanted in the chest wall to mimic the function of the SA node. This electrical device is defined as a pacemaker. A peacemaker helps maintain the heartbeat’s rhythm to avoid arrhythmias.

Pacemaker implantation surgery is a procedure used to implant a medical device defined as a pacemaker into the chest of a specific type of cardiac patient. These patients typically contain individuals who suffer from arrhythmia, which is characterized by abnormal or irregular heart rate and rhythm.

According to some medical literature, this procedure is also known as heart pacemaker surgery. A pacemaker works by directly regulating the beating of the heart. With pacemaker implantation maintaining a normal heart rhythm and heart rate. This result is achieved with the help of the two components that work in coordination with each other, the pulse generator and electrical leads.

During a pacemaker implantation in Turkey, the surgeons place a pacemaker under the skin below the collarbone. This device is connected with lead wires to the heart chambers. With the best cardiology team and state-of-the-art equipment, Healthy Türkiye’s hospitals are the most reliable and successful medical facilities in Turkey for pacemaker implantation surgery. Take care of your heart and contact our professional team to learn more about pacemaker implantation.

Reasons for the Pacemaker Implantation in Turkey

A pacemaker might be inserted in order to stimulate a faster heart rate when the heart is beating too slowly, and causing issues that cannot otherwise be corrected. Problems with the heart rhythm might cause difficulties because the heart is unable to pump an adequate amount of blood to the body. If the heart rate is too slow, the blood is pumped too slowly in the body. If the heart rate is too fast or in too irregular a rhythm, the heart chambers are unable to fill up with enough blood to pump out with each beat. When the body does not receive enough blood flow, symptoms such as fatigue, dizziness, fainting, and/or chest pain might occur. The solution at this point is pacemaker implantation. The pacemaker implantation procedure can be performed for various reasons. These reasons can involve:

Pain in the chest (this is also known as angina)

Tachycardia means an unusually fast heartbeat (more than 110 beats per minute)

Bradycardia means an unusually slow heartbeat (fewer than 55 beats per minute)

The heartbeat of irregular (arrhythmia): A heartbeat jumps in rhythm according to normal heart rhythms or adds an extra beat.

Heart palpitations: This occurs when you can feel your heartbeat in a way that is unpleasant (it may feel like your heart is flip-flopping or pounding in your chest)

Shortness of breath, especially when you are more physically active.

Undetermined dizziness or lightheadedness, nausea or fainting

Unexplained confusion in the body

Swelling in the ankles, legs, and abdomen

Needing to urinate multiple periods at night

At Healthy Türkiye, talking to your healthcare provider about your concerns or symptoms is the first step to determining if you have health problems that can be treated with a pacemaker. If your heart is having trouble maintaining its own rhythm, you might need a pacemaker. Expert doctors will do tests to find out for sure. If you need a pacemaker, your doctor will decide what type you need based on your heart situation.

Turkiye pacemaker implantation procedure

Types of Pacemakers Implantation in Turkey

There are different types of pacemakers for implantation in Turkey. If your heart rate is too slow, you might need a pacemaker. These instruments stimulate the heart to beat at a normal rate and pump more effectively. Our electro-physiologists at Healthy Türkiye use the latest advancements in pacemaker technology. We offer extended care from a team of highly skilled experts who are leading the field in research and patient care for all types of arrhythmias.The type of pacemaker you might need depends on your symptoms and the specific heart condition you have. After our diagnostic evaluation, we discuss our suggestions with you to choose the right pacemaker for your needs. Types of pacemakers include the following:

Permanent heart pacemaker: This type of device is put in a small pocket beneath your skin and stays there for the rest of your life.

Demand heart pacemaker: Equipped with an inbuilt sensing instrument, this type of pacemaker helps sense slow heartbeat and automatically turns the signals on. When the heartbeat reaches a certain level, the signal turns off automatically.

Temporary heart pacemaker: This type of pacemaker helps with the initial stabilization of a heart person at the time of the cardiac arrest.

Adaptive heart pacemaker: This type of pacemaker is liable for increasing the pace of the heart rate to help meet the body’s changing needs.

Single chamber heart pacemaker: This pacemaker transmits signals to and from one particular chamber of the heart, which is either the right ventricle or the right atrium.

Dual-chamber heart pacemaker: The pacemaker has two leads that can monitor and eventually transmit impulses to or from the heart chambers.

Pacemaker implantation is a very common procedure that we perform regularly at Healthy Türkiye. Book an appointment with one of our highly experienced consultant cardiologists to find out if pacemaker implantation could help you.

Before the Pacemaker Implantation in Turkey

Before the pacemaker implantation surgery in Turkey, following the instructions given by your doctor will be an important step. A pacemaker is a small implantable medical instrument that helps regulate the heart rhythm. This device helps in managing conditions associated with the electrical system of the heart when any part of the conduction system of the organ fails. Its major function is to provide that the heart does not beat too fast or too slow, and beats at the right rhythm to avoid arrhythmias.

A peacemaker is placed under the skin below the collar-bone and connected to the heart chambers by lead wires running through a blood vessel. Pacemaker implantation surgery usually takes 1 to 2 hours. Following are the few diagnostic tests a person has to undergo from the doctor for a pacemaker implant.

Echocardiogram: The size and thickness of the heart muscle need to be known to the doctor. Therefore, an echocardiogram is useful to know. The electrocardiogram also ensures information on the heart’s response to electrical signals through the placement of sensors.

Stress Test: A stress test helps the cardiologist in observing the changing heart rate while you walk on the treadmill.

Holter Monitoring: Holter monitoring is helpful to the surgeon as it maps your heartbeats and patterns for a day prior to the surgery.

Along with these diagnostic tests, other preoperative measures as mentioned below are necessary to be followed:

Blood clotting medications: If you are on blood thinning medications for any bleeding disorders you might be having, you need to go off them in the period before the operation.

Medications: Notify the doctor of all medications (prescription and over-the-counter medications) and herbal or other supplements that you are taking.

Pregnancy: You should give information to the doctor if you are pregnant or suspect that you are pregnant.

Following are the instructions a patient needs to follow once pacemaker implantation surgery is decided. These are involved:

Blood tests: The doctor might order a blood test to control the rate at which blood clots take place.

Consent form: A consent form is supposed to be signed that cites your approval for undergoing the pacemaker implantation.

Sensitivity or allergy tests: Alert your doctor if you are allergic to any medications, local and general anesthetics, iodine, latex, or tape that would be used during pacemaker implantation surgery.

Overnight fasting: It is significant to be on an empty stomach before the surgery. The fasting window prior to the surgery is usually a night before pacemaker implantation surgery.

Heart valve disease: If you suffer from heart valve disease, you will have to notify the doctor about the same. As that will alert the doctor to administer antibiotics before commencing the operation.

Comfortable clothing: Make sure to go dressed in comfortable and loose attire before the pacemaker implantation surgery.

Sedative: You might be given a sedative before the pacemaker implantation operation commences.

Pacemaker implantation surgery is a common and effective procedure but one that might not be appropriate for everyone. The decision to implant the pacemaker is made on a case-by-case basis based on a review of the benefits and risks of treatment. At Healthy Türkiye, our team looking after you will check that you are fit for surgery. You can discuss the procedure and ask any questions at the assessment.

Turkiye pacemaker implantation

How Is Pacemaker Implantation Performed in Turkey?

A pacemaker implantation surgery in Turkey might be performed on an outpatient basis or as part of a stay in a hospital. Procedures might vary depending on a patient’s situation and the doctor’s practices. The entire operation usually lasts about two hours. During the pacemaker procedure, patients will lie flat on a table for the duration of the implantation. The upper chest will be scrubbed and shaved (if needed). Patients will be covered with sterile sheets. Patients will receive some sedation intravenously to help with relaxation during the operation.

The surgeon will give a local anesthetic to numb the skin and tissue at the pacemaker implantation site. After the area is numb, the surgeon will guide the leads through the vein and into the heart’s right-side chambers using fluoroscopy (X-ray monitors). Access to the vein under the collarbone is obtained. This way one or more leads (thin wire-like tubes) are advanced to the heart. The leads are connected to the pacemaker and these are closed under your skin.

Once the lead has been positioned, the surgeon will make a two- to the three-inch incision in the skin, creating a small pacemaker pocket. The leads will be connected to the pulse generator, which is then located into the pocket. The surgeon will suture the incision over the pacemaker and place a dressing over it. Generally, pacemaker implantation surgery follows these steps in Turkey:

Patients will be asked to remove any jewelry or other objects that might interfere with the operation.

Patients will want to remove clothing and will be given a gown to wear.

An intravenous (IV) line will be started in the hand or arm prior to the operation for injection of medication and to administer IV fluids, if needed.

Patients will be located in a supine (on back) position on the operation table.

Patients will be connected to an electrocardiogram (ECG or EKG) monitor that records the electrical activity of the heart and monitors the heart during the surgery using small, adhesive electrodes. Vital signs (heart rate, blood pressure, breathing rate, and oxygenation level) will be monitored during the operation.

Large electrode pads will be putted on the front and back of the chest.

Patients will receive a sedative medication in IV before the operation to help they relax. However, people will likely remain awake during the pacemaker implantation procedure.

The pacemaker insertion area will be cleansed with antiseptic soap.

Sterile towels and a sheet will be put around this area.

The anesthesia will be injected into the skin at the insertion area.

Once the anesthetic has taken effect, the doctor will make a small incision at the insertion area.

A sheath, or introducer, is inserted into a blood vessel, generally under the collarbone. The sheath is a plastic tube through which the pacemaker lead wire will be place into the blood vessel and advanced into the heart.

It will be very significant for patients to remain still during the procedure so that the placement will not be disturbed and to prevent damage to the insertion area.

The lead wire will be placed through the introducer into the blood vessel. The surgeon will advance the lead wire through the blood vessel into the heart.

Once the lead wire is inside the heart, it will be tested to verify proper location and that it performs. There might be one, two, or three lead wires inserted, depending on the type of device the doctor has chosen for the patient’s situation. Fluoroscopy might be used to assist in testing the location of the leads.

Once the lead wire has been checked, an incision will be made close to the location of the catheter insertion (just under the collarbone).

The pacemaker generator will be slipped under your skin through the incision after the lead wire is attached to the generator. Generally, the generator will be located on the non-dominant side. (If patients are right-handed, the device will be located in the upper left chest. If patients are left-handed, the instrument will be placed in the upper right chest)

The ECG will be used to ensure that the pacemaker is working correctly.

Your skin incision will be closed with sutures, adhesive strips, or a special glue.

A sterile bandage or dressing will be applied.

The pacemaker implantation surgery is usually complete within an hour or so, although observation of the patient for 24 hours after the surgery is usually recommended. Our healthcare team can give you medicines and instructions to help. At Healthy Türkiye, our enhanced recovery program after pacemaker implantation surgery helps patients have a successful recovery.

After the Pacemaker Implantation in Turkey

You will probably stay in the hospital for a day after pacemaker implantation surgery in Turkey. Sometimes, the pacemaker procedure is so quick that people do not need to stay overnight. The doctor will program the pacemaker to match your specific pacing needs before you go home. It can take a few days to a few months to fully recover from the pacemaker implantation procedure. After the implantation, you must take a break from heavy lifting or rough contact. You should call the doctor if you have any swelling, redness, or discharge around your incision, your heart rate drops below the minimum set for your pacemaker or you have a fever longer than two or three days. Patients must carry the medical device ID card with them at all times.

Many pacemakers can be controlled by the doctor’s office remotely using wireless technology. This provides your doctor access to data about your heart rate and rhythm, how your pacemaker is working, adjust settings if necessary, and check its battery life. Remote technology might mean fewer trips to the doctor. However, you will still need to be seen in person for follow-up visits so your doctor can determine your pacemaker to best meet your needs. At Healthy Türkiye clinics, a typical follow-up visit takes about 20 minutes.

Good Candidate for Pacemaker Implantation in Turkey

Pacemaker implants are increasingly common in Turkey. Good candidates for pacemaker implantations are people with irregular, slow, or fast heartbeats. In Turkey alone, pacemaker implants have risen 56% in the last two decades, but many people with cardiovascular issues fail to recognize the symptoms at first. After pacemaker implantation, patients often report feeling clear-headed and more energetic. The best candidates for pacemaker implantations are those who have the following conditions:

Have a heart rate that is unusual low (bradycardia) or high (tachycardia)

Take cardiovascular medications, such as beta-blockers, that slow the heart rate

Have sick sinus syndrome, a situation in which aging or heart disease has led to an abnormal heart rhythm

Condition of faint frequently

Have had a heart attack or heart operation

Have heart muscle issues

Congenital heart disease

Have had a heart transplant operation

Consulting a doctor, it is a great way to determine if the qualification is met for pacemaker implantation. Contact Healthy Türkiye office and schedule a consultation with our expert cardiology team to see if you would be a good candidate.

Protect the Your Heart

Pacemaker implantations can be the solution to many problems related to your heart. Pacemakers are to be able to offer you a healthier life. However, it is our duty to protect the heart, one of our most important organs. Heart problems are a leading cause of death, but it is not inevitable. While you cannot change some risk reasons, such as family history, sex, or age. Nevertheless, there are plenty of ways for protecting the heart and you can reduce the risk of heart disease.

Quitting smoking

Be physically active for 30-60 minutes a day

Choosing healthy diets

Maintaining your weight

A quality sleep pattern

Coping and managing stress

Having regular health screenings

There are many things you can do to reduce the heart disease risk. Making small changes to your daily routine can make a big difference to the heart health, which in the long term could save your life.

2024 Cost of Pacemaker Implantation in Turkey

All types of medical attention like pacemaker implantation are very affordable in Turkey. Many factors are also included in determining the cost of pacemaker implantation in Turkey. Your process with Healthy Türkiye will last from the time you decide to have pacemaker implantation in Turkey until the time you are fully recovered even if you are back home. The exact pacemaker implantation procedure cost in Turkey depends on the type of operation involved.

The cost of pacemaker implantation in Turkey does not demonstrate many variations in 2024. Compared to costs in developed countries like the United States or the UK, pacemaker implantation costs in Turkey are relatively low. So, it’s no wonder patients from across the world visit Turkey for pacemaker implantation procedures. However, the price is not the only factor affecting choices, we suggest looking for hospitals that are safe and have pacemaker implantation reviews on Google. When people decide to seek medical help for pacemaker implantation, they will not only have had low-cost procedures in Turkey, but also the safest and best treatment.

At clinics or hospitals contracted with Healthy Türkiye, patients will receive the best pacemaker implantation from specialist doctors in Turkey at affordable rates. Healthy Türkiye teams to provide medical attention pacemaker implantation procedures and high-quality treatment to patients at a minimum cost. When you contact Healthy Türkiye assistants, you can get free information about the cost of pacemaker implantation in Turkey and what this cost covers.

Price of the Pacemaker Implantation in the UK

The cost of pacemaker implantation in the UK is in the range of £25.000-£30.000.

Price of Pacemaker Implantation in the USA

The cost of pacemaker implantation in the USA is in the range of $30.000-$45.000.

Price of Pacemaker Implantation in Turkey

The cost of pacemaker implantation in Turkey is in the range of $10.000-$15.000.

The prices may vary based on specific procedure requirements. Contact us for exact price information.

Why Is Pacemaker Implantation Cheaper in Turkey?

One of the main considerations before traveling abroad for pacemaker implantation is the cost-effectiveness of the whole process. Many patients think that when they add flight tickets and hotel expenses to their pacemaker implantation costs, it will become very expensive to travel, which is not true. Contrary to popular belief, round-trip flight tickets to Turkey for pacemaker implantation can be booked very affordably.

In this case, assuming you are staying in Turkey for your pacemaker implantation, your total travel expense of flight tickets and accommodation will only cost less than any other developed country, which is nothing compared to the amount that you are saving. The question “why is pacemaker implantation cheaper in Turkey?” is so common between patients or people simply curious about getting their medical treatment in Turkey. When it comes to pacemaker implantation prices in Turkey, there are 3 factors allowing cheaper prices:

The currency exchange is favorable for whoever looking for pacemaker implantation has a euro, dollar, or pound;

The lower cost of living and cheaper overall medical expenses such as pacemaker implantation;

For pacemaker implantation, incentives are given by the Turkish Government to medical clinics working with international clients;

All these factors allow for cheaper pacemaker implantation prices, but let’s be clear, these prices are cheaper for people with strong currencies (as we said, euro, dollar, Canadian dollar, pound, etc). Every year, thousands of patients from all over the world come to Turkey to get pacemaker implantation. The success of the healthcare system has increased in recent years, especially for pacemaker implantation. It’s easy to find well-educated and English-speaking medical professionals in Turkey for all kinds of medical treatment such as pacemaker implantation.

Why Choose Turkey for a Pacemaker Implantation?

Turkey is a common choice among international patients seeking advanced pacemaker implantation. Turkey’s health procedures are safe and effective operations with a high success rate like pacemaker implantation. The increasing demand for high-quality pacemaker implantation at affordable prices has made Turkey a popular medical travel destination. In Turkey, pacemaker implantation is performed by highly experienced and trained doctors with the most advanced technology in the world. Pacemaker implantation is done in Istanbul, Ankara, Antalya, and other major cities. The reasons for choosing pacemaker implantation in Turkey are as follows:

High-quality hospitals: Joint Commission International (JCI) accredited hospitals have dedicated pacemaker implantation units that are specially designed for patients. International and national strict protocols provide effective and successful pacemaker implantation for patients in Turkey.

Qualified experts: The expert teams include nurses and specialist doctors, together to carry out pacemaker implantation according to the patient’s needs. All the included doctors are highly experienced in performing pacemaker implantation.

Affordable price: The cost of pacemaker implantation in Turkey is affordable compared to Europe, the USA, the UK, Singapore, Australia, etc.

The high success rate: Highly experienced specialists, the best available technology, and stringently followed safety guidelines for post-operative care of the patient, resulting in a high success rate for pacemaker implantation in Turkey.

Is Pacemaker Implantation Safe in Turkey?

Did you know Turkey is one of the most visited destinations for pacemaker implantation in the world? It is ranked one of the most visited tourist destinations for pacemaker implantation. Over the years it has also come to be a very popular medical tourism destination too with many tourists coming in for pacemaker implantation. There are so many reasons why Turkey stands out as a leading destination for pacemaker implantation. Because Turkey is both safe and easy to travel to too with a regional airport hub and flight connections to pretty much everywhere, it is preferred for pacemaker implantation.

The best hospitals in Turkey have experienced medical staff and specialists who have performed thousands of medical services such as pacemaker implantation. All procedures and coordination related to pacemaker implantation are controlled by the Ministry of Health in accordance with the law. Over many years, the greatest progress in medicine has been observed in the field of pacemaker implantation. Turkey is known among foreign patients for its great opportunities in the area of pacemaker implantation.

To emphasize, besides the price itself, the key factor in selecting a destination for pacemaker implantation is certainly the standard of medical services, the hospital staff’s high expertise, hospitality, and the safety of the country.

All-Inclusive Packages for Pacemaker Implantation in Turkey

Healthy Türkiye offers all-inclusive packages for pacemaker implantation in Turkey at much lower prices. Extremely professional and experienced doctors and technicians carry out high-quality pacemaker implantation. The cost of pacemaker implantation in European countries can be quite expensive, especially in the UK. Healthy Türkiye provides cheap all-inclusive packages for a long and short stay of pacemaker implantation in Turkey. Because of many factors, we can provide you with many opportunities for your pacemaker implantation in Turkey.

The price of pacemaker implantation differs from other countries due to medical fees, staff labor prices, exchange rates, and market competition. You can save much more in pacemaker implantation compared to other countries in Turkey. When you purchase a pacemaker implantation all-inclusive package with Healthy Türkiye our healthcare team will present of hotels for you to choose from. In pacemaker implantation travel, you will have the price of your stay included in the all-inclusive package cost.

In Turkey, when you purchase pacemaker implantation all-inclusive packages through Healthy Türkiye, you will always receive VIP transfers. These are provided by Healthy Türkiye, which is contracted with highly qualified hospitals for pacemaker implantation in Turkey. Healthy Türkiye teams will organize everything about pacemaker implantation for you and have you picked up from the airport and safely brought to your accommodation. Once settled in the hotel, you will be transferred to and from the clinic or hospital for pacemaker implantation. After your pacemaker implantation has been successfully completed, the transfer team will return you to the airport in time for your flight home. In Turkey, all packages of pacemaker implantation can be arranged upon request, which relaxes the minds of our patients.

Frequently Asked Questions

In most cases, pacemaker implantation surgery is a minor surgery that should only take around one to two hours to perform in Turkey. During this operation, you will most likely be awake, and the surgery will be performed using local anesthesia to numb the incision site.

Pacemaker implantation is a safety operation in Turkey. Having a pacemaker implanted is usually a very safe operation with a low risk of complications. The biggest concern is the pacemaker losing its ability to check the heartbeat, either because it malfunctions, or the wire moves out of the correct position.

Complications related to pacemaker implantation surgery or having a pacemaker are uncommon. Possible downsides include infection near the area in the heart where the device is implanted. In addition, swelling, bruising or bleeding at the pacemaker site, especially if you take blood thinners.

Of course not. The heart continues beating at its normal rate during the pacemaker implantation procedure.

Most patients do not feel the electrical impulse, but you may feel the rate or rhythm of your heartbeat change. Generally, people get used to the pacemaker and stop noticing.

Your pacemaker will be controlled the day after the implantation and then at six weeks in Turkey. After that, the pacemaker will be checked every year, and more often towards the end of the battery life.

Yes, you can travel by air with the pacemaker and drive a car, if cleared by your doctor. Airport security detectors are generally safe, but let airport security staff know you have a pacemaker and discuss the appropriate screening procedure.

You might be able to exercise with your pacemaker, but check with your doctor first to make sure the form of exercise you do will not damage the device.