Why is the doctor performing this procedure?
To help control irregular heart rhythms known as arrhythmias.  A Pacemaker is a small device implanted under the patient’s skin that uses electrical pulses to prompt the heart to beat at a normal rate.

What is the procedure?
The pacemaker is inserted in the chest using a local anesthetic.  A small incision is made in the chest where the leads and pacemaker are inserted. The lead(s) is inserted through the incision and into a vein, and then guided to the heart with the aid of the fluoroscopy machine. The lead tip attaches to the heart muscle, while the other end of the lead, which is attached to the pulse generator, is placed in a pocket created under the skin in the upper chest.

Where is the procedure performed?
In the Electrophysiology Lab (EP Lab).

How long does this procedure take?
This procedure can last 2-4 hours under local anesthesia. 

Which facilities perform this procedure?
Sutter Medical Center, Sacramento
Sutter Auburn Faith Hospital
Sutter Roseville Medical Center