 Hello friends, I am Dr. Rajneesh Sardana. I am the head of pacing electrophysiology at the Manipal Heart Institute in New Delhi. Today we are going to talk about patients who have pacemaker or what we call as living with a pacemaker. Pacemaker is a device which is implanted in the body and the lead goes into the heart. For patients we have got slow heart rates and pacemaker by enlarge looks after avoiding slower heart rates and blackouts in return. There is some special kind of pacemaker which also helps in patient with congestive heart failure. Pacemakers are of various kinds and it is always nice to know about your pacemaker and what are the right kind of pacemaker. Not only that, I see lot of patients who have got pacemaker who see a cardiologist and they get either not even interrogated or programmed. The pacemaker is not even checked properly, they see a cardiologist and come back and keep saying that the pacemaker is working well. A pacemaker once it is implanted should be followed by electrophysiologist because there are so many functions within the pacemaker which have to be optimized. Most of these patients will benefit from a tailor made programming or what we call as change in the functions we have. Like in a phone there are so many functions we don't even know. But in a pacemaker there are so many functions which can be programmed, turned on, turned off and as per the need of the patient they can be adjusted in a way where the patient benefits most out of it. So I would highly recommend that a pacemaker patient should see an electrophysiologist, a cardiac trained electrophysiologist and he or she should particularly look after the programming. Usually the frequency required is once in every 6 months unless there is any symptom. And I would probably recommend against pacemakers being checked by certain manufacturers where they are sending semitrained technicians who just do the check and all they tell you that the pacemaker battery is fine. So I strongly recommend the patients who got pacemaker's devices should see a cardiac electrophysiologist, a trained person and he or she should know about the cardiac history and they should program it appropriately for individual each and every patient. Thank you.