Pacemaker & ICD Implant Services in North County San Diego
Trusted Heart Rhythm Treatment for Patients in Vista, Oceanside & Carlsbad
If you’ve been diagnosed with an abnormal heart rhythm or have symptoms like fainting, fatigue, or dizziness, you may benefit from a pacemaker or implantable cardioverter defibrillator (ICD). At Tri-City Cardiology and Arrhythmia Services, we specialize in diagnosing and treating heart rhythm disorders with expert device implantation and long-term follow-up care. We proudly serve patients across Vista, Oceanside, Carlsbad, and the greater North County San Diego region.
What Is a Pacemaker?

A pacemaker is a small, implantable device placed under the skin near the collarbone. It helps regulate slow or irregular heartbeats (bradycardia) by sending electrical signals to maintain a steady rhythm. Patients often experience immediate symptom relief and improved energy levels following implantation.
Common conditions treated with a pacemaker include:
• Bradycardia (slow heart rate)
• Heart block
• Sick sinus syndrome
• Fainting episodes due to irregular rhythms
What Is an ICD?

An implantable cardioverter defibrillator (ICD) is a device used to treat dangerously fast or life-threatening heart rhythms. It constantly monitors your heartbeat and delivers a shock to restore normal rhythm if necessary — potentially preventing sudden cardiac arrest.
ICDs are recommended for patients with:
• A history of cardiac arrest
• Ventricular tachycardia or fibrillation
• Severe heart failure
• Certain inherited arrhythmia disorders
Pacemaker & ICD Implantation: What to Expect
Pacemaker and ICD procedures are minimally invasive and performed in a hospital setting by Dr. Mohammad Pash, a board-certified cardiac electrophysiologist.
The procedure includes:
• Local anesthesia and mild sedation
• Insertion of leads into the heart via a vein
• Device placement under the skin near the collarbone
• Testing to ensure proper function
Most patients in Vista, Carlsbad, and Oceanside go home the same or next day.
Life After a Pacemaker or ICD Implant

After recovery, most patients return to normal activities with minor adjustments. You’ll be scheduled for regular follow-up visits and device checks to ensure long-term effectiveness. We offer in-office and remote monitoring to support your ongoing care and peace of mind.
ICDs are recommended for patients with:
• A history of cardiac arrest
• Ventricular tachycardia or fibrillation
• Severe heart failure
• Certain inherited arrhythmia disorders
Why North County San Diego Patients Choose Us
• Local Expertise in Pacemaker and ICD Therapy
Led by Dr. Pash, a North County-based electrophysiology expert.
• Convenient Care Close to Home
We serve patients from Oceanside, Vista, Carlsbad, and surrounding areas.
• Full-Service Heart Rhythm Management
From diagnosis and implant to ongoing monitoring and device optimization.
• Compassionate, Personalized Approach
We take time to explain your options and tailor care to your lifestyle and health goals.