Where Compassion Meets Cardiovascular Excellence

Pacemakers

Home Services
full-ecg.png
preventive-cardiology-consultation.png

What is a pacemaker?

A pacemaker is a small medical device implanted under the skin, usually in the chest, to help regulate the heart's rhythm. It sends electrical impulses to the heart to ensure it beats at a normal rate and rhythm.

Why is a pacemaker needed?

Pacemakers are used to treat heart rhythm disorders, such as:

  • Bradycardia: Abnormally slow heart rate.
  • Heart Block: A condition where electrical signals in the heart are delayed or blocked.
  • Sick Sinus Syndrome: A malfunction of the heart's natural pacemaker (the sinus node) that leads to irregular heartbeats.

How is a pacemaker implanted?

The procedure involves:

  1. Preparation: The procedure is typically performed under local anesthesia with sedation.
  2. Incision: A small incision is made, usually in the upper chest.
  3. Lead Placement: One or more thin, insulated wires (leads) are inserted through a vein and positioned inside the heart. These leads deliver electrical impulses to the heart.
  4. Device Placement: The pacemaker device is placed under the skin, typically just below the collarbone.
  5. Testing: The pacemaker is tested to ensure it is working correctly, and the incision is closed.

What should I expect during the procedure?

You may feel some pressure or minor discomfort during the procedure, but it is generally well-tolerated due to sedation. The procedure typically lasts 1-2 hours.

What are the risks associated with pacemaker implantation?

Possible risks include:

  • Infection: At the incision site or around the pacemaker.
  • Bleeding or Hematoma: Around the implantation site.
  • Lead Complications: Such as displacement, fracture, or malfunction.
  • Pneumothorax: Air trapped in the chest cavity, which can occur if a lung is accidentally punctured.

What happens immediately after the procedure?

You will be monitored in a recovery area for a few hours. Most patients can go home the same day or the following day, depending on their overall health and recovery.

What are the recovery and aftercare instructions?

The recovery and aftercare instructions include:

  • Rest: Avoid strenuous activities for a few weeks.
  • Wound Care: Keep the incision site clean and dry. Follow specific care instructions to prevent infection.
  • Activity Restrictions: Avoid lifting heavy objects or raising your arm on the side of the pacemaker for a few weeks.
  • Follow-Up: Regular follow-up appointments will be needed to monitor the pacemaker’s function and adjust settings if necessary.

How will I know if the pacemaker is working?

The effectiveness of the pacemaker is assessed through regular check-ups, including:

  • Device Checks: Using a programmer to check the pacemaker’s function.
  • Symptoms Monitoring: Improvement in symptoms such as dizziness or fainting.

What should I do if I experience problems with my pacemaker?

If you experience any of the following, contact your healthcare provider:

  • Unusual symptoms: Such as dizziness, fainting, or a sudden change in heart rate.
  • Problems with the device: Such as swelling, pain, or redness at the implantation site.
  • Device Alerts: If you receive an alert from the pacemaker’s remote monitoring system.

Can I use electronic devices or undergo medical procedures with a pacemaker?

Electronic Devices: Most household electronic devices are safe. However, avoid close contact with strong magnetic fields or electronic devices like some types of industrial equipment. Always inform your healthcare provider about your pacemaker before undergoing any procedures.

Medical Procedures: Certain procedures, like MRI scans, may require special precautions or may be contraindicated. Discuss any planned procedures with your healthcare provider.

How long does a pacemaker battery last?

Pacemaker batteries typically last between 5 to 15 years, depending on the type of pacemaker and how often it is used. The device will need to be replaced once the battery is depleted.

What lifestyle changes might be recommended after getting a pacemaker?

Lifestyle changes may include:

  • Regular Check-Ups: Attend scheduled follow-up appointments to monitor device function.
  • Healthy Lifestyle: Maintain a heart-healthy diet and engage in regular, moderate exercise as advised by your healthcare provider.
  • Medication Adherence: Take any prescribed medications as directed.

Can I travel with a pacemaker?

Yes, you can travel with a pacemaker. Inform security personnel at airports about your device as it may set off metal detectors. Carry your pacemaker identification card and consult with your healthcare provider if you have specific travel concerns.

How does a pacemaker compare to other treatments for heart rhythm disorders?

Pacemakers are specifically used to address issues related to slow heart rhythms or irregular heartbeats that cannot be managed with medication alone. For certain conditions, alternative treatments like medication, ablation, or surgery may be considered depending on the specific diagnosis.