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Amrita Hospital and Research Centre achieved another landmark by becoming the first hospital in Kochi and Central Kerala to implant world’s smallest leadless pacemaker in the heart of an octogenarian patient. The leadless pacemaker is a miniaturized heart device with the most advanced pacing technology.The pacemaker was implanted in the patient suffering from bradycardia. It is a condition which is characterised by a slow or irregular heart rhythm mostly less than 60 beats per minute. At such low rate, the heart fails to pump oxygen-rich blood to the body. Pacemakers are the most common way to treat bradycardia. They help to restore heart’s normal rhythm and relieve symptoms by sending electrical impulses.