- Echo
- ECG
- Holter monitor
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In-clinic Echo, ECG & Holter monitor
Echocardiography, ECG and Holter monitoring are done right at the clinic, so your tests and your consultation happen in one place.
Cardiac rhythm management
Single, Dual & Triple Chamber Pacemaker Implantation
A small device under the collarbone that keeps a slow or irregular heartbeat steady
You don't have to face this decision alone. At your consultation, Dr. Mansour explains every image and every option to you and your family in plain words — and stays with you until you're back to your life.
- Consultation 1,000 EGP · pay at the clinic
- Free follow-up visit within 14 days
- Your reports stay private
Pacemaker ImplantationMinimally invasive — no open-heart surgery
Dr. Mansour Farouk El-BehwashyConsultant Cardiologist & Cardiovascular SpecialistMScFEBFEBICFSCAIProcedure time45–60 min
- Procedure time45–60 min
- AnesthesiaLocal anesthesia + sedation
- Hospital stayOvernight observation
- Activity precautions~4 weeks arm guidance
What the procedure is
Understand Pacemaker Implantation — calmly, clearly, honestly
When the heart's natural electrical system slows down or misfires — a condition called bradycardia, or a conduction block — the result is fatigue, dizziness, or fainting, because the heart can no longer reliably speed up when the body needs it to.
A pacemaker corrects this directly. Its pulse generator, about the size of a matchbox, sits under the skin near the collarbone; thin, insulated leads run from it into the heart chambers. The device continuously monitors your natural rhythm and delivers a tiny electrical pulse only when a beat is needed — most of the time, if your own rhythm is adequate, it simply watches and does nothing at all.
Why it may be recommended
What it can mean for you — and your peace of mind
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Directly corrects the cause of fatigue, dizziness, and fainting from a slow heart rhythm
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A minor, well-established procedure — not open-heart surgery
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Modern devices are MRI-compatible and last roughly 8–12 years before a simple battery-only replacement
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Remote monitoring options let your rhythm be tracked between visits
Who may need evaluation for it
Does any of this sound like you?
Tap whatever applies. It isn't a diagnosis — just a calm way to know whether it's time to talk to the doctor.
Chest pain right now, fainting or sudden breathlessness? Don't wait — go to the nearest emergency department or call 123.
Nothing selected yet — tap any line that applies to you.
Step by step
Your journey, with no surprises
Knowing what comes next takes away most of the fear. Here is what to expect before, during and after — explained to you again, in person, before anything is done.
Something here worrying you?
Ask the clinic — the team replies on WhatsApp.
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Before
General preparation
- Bring your ECGs, Holter recordings, echo reports and any previous heart tests.
- Share a full list of your medications, especially blood thinners, and any allergy you have.
- You will usually be asked not to eat for a few hours before the procedure — follow the exact instructions you are given.
- Loose, comfortable clothing that opens at the front is easiest afterwards, as the device sits just below the collarbone.
- Plan for someone to accompany you and take you home.
- Never stop or change a medication on your own — any adjustment is decided by your doctor.
Your care team gives you instructions specific to your case — always follow those first.
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On the day
What happens during the procedure
- Local anesthesia numbs the area just below the collarbone.
- A small incision is made, and one to three thin leads are guided through a vein into the correct heart chamber(s) under live X-ray.
- The leads are tested to confirm correct sensing and pacing before the pulse generator is connected.
- The pulse generator is placed in a small pocket under the skin, and the incision is closed.
- The device is programmed to your specific heart rhythm needs before you leave.
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After
Recovery & follow-up
- Overnight observation confirms the device and leads are working correctly
- The implanted arm is kept below shoulder height for about 4 weeks to let the leads settle securely
- Most patients resume desk work and light daily activity within a few days
- A device check at 4–6 weeks, then periodic follow-ups (in person or via remote monitoring), track battery life and function
Clinic features
Care that continues after your visit
14days
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FREE consultation within 14 days
After your examination, your follow-up consultation within 14 days is free of charge.
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Continuous follow-up & answers
Questions after your visit or procedure? We keep following up with you and answering them along the way.
Honest about safety
Risks & considerations
Every medical procedure carries some risk, and you deserve the full picture. Dr. Mansour reviews your personal risk with you before you agree to anything.
- Bruising, swelling, or infection at the implant site
- A small risk of a lead shifting position, occasionally requiring a minor repeat procedure
- Rarely, bleeding around the heart or lung (pneumothorax) related to lead placement
- Dr. Mansour Farouk El-Behwashy explains device-specific risks based on your exact rhythm diagnosis
This page is general information and does not replace a medical examination. Whether this — or any — procedure is appropriate for you is decided only after evaluation by the doctor.
Already advised?
Told you need this procedure? Get clarity before you decide.
Send your reports from your phone in a few minutes. Dr. Mansour's team reviews them before your visit, so your consultation at the Fifth Settlement clinic starts with answers — not from zero.
Upload Your Reports & Book Consultation
Private consultation · 1,000 EGP · Fifth Settlement, New Cairo
- 1Upload your reports
- 2The team reviews your case
- 3Your consultation, fully prepared
Your questions
Frequently asked questions
Still have a question on your mind?
Ask the clinic directly — no need to call. The team replies to you on WhatsApp.
Will I feel the pacemaker working?
No — the electrical pulses it delivers, when needed, are far too small to feel. Most patients simply notice the improvement in energy and no longer having the symptoms that led to the pacemaker in the first place.
Can I have an MRI scan with a pacemaker?
Most modern pacemakers are MRI-conditional, meaning MRI scans are possible under the right settings and precautions. Your device details and any restrictions are documented on the ID card you're given after implantation.
How often does the battery need replacing?
Typically every 8–12 years, depending on how much pacing your heart actually needs. Replacement only involves changing the pulse generator through the original site — the leads themselves usually stay in place, making it a shorter, simpler procedure than the original implant.
Clinical references
Related procedures
ICD Implantation
An ICD is a pacemaker-sized device that continuously monitors your heart rhythm and can deliver a corrective shock within seconds if it detects a dangerously fast, chaotic rhythm — the standard protection for patients at meaningful risk of sudden cardiac arrest.
May be considered
When the heart's pumping function is significantly reduced, or after a dangerous rhythm or a survived cardiac arrest.
TAVI
TAVI replaces a narrowed (stenotic) aortic valve with a new, catheter-delivered valve that expands and takes over inside the old one — the modern, minimally invasive alternative to open-heart aortic valve replacement surgery.
May be considered
When an echocardiogram confirms severe narrowing of the aortic valve and valve replacement is being discussed.
Peace of mind starts with one step
Don't carry this worry alone. Let's look after your heart together.
Consultation 1,000 EGP at the Fifth Settlement clinic, New Cairo — paid at the clinic, with a free follow-up visit within 14 days.
Chest pain right now, fainting or sudden breathlessness? Don't wait — go to the nearest emergency department or call 123.