How a pacemaker works
A pacemaker is a small titanium box under the skin, below the collarbone, with a battery and a tiny computer that listens, keeps time, and fires. Its lead runs through a vein into the lower right chamber, where the tip senses each beat and the timer starts over. If a beat doesn't arrive in time, it fires a pulse of a few volts for less than a thousandth of a second, and the heart muscle cells at the tip pass an electrical wave from cell to cell until the muscle contracts. When the heart beats on its own, it stays quiet.
- 0:00 Hook: knows when not
- 0:05 The heart's own wiring
- 0:27 Device exploded
- 0:41 The lead
- 0:49 Listening
- 1:05 A missed beat
- 1:19 Pulse to heartbeat
- 1:34 Stays quiet