What is a Pacemaker?
A pacemaker is a small electronic device implanted under the skin to help regulate your heart rhythm. It consists of a pulse generator (containing the battery and computer circuits) and one or more leads (thin wires) that connect to your heart.
Why Would I Need a Pacemaker?
- Bradycardia (abnormally slow heart rate)
- Heart block (disruption of electrical signals)
- Syncope (fainting spells)
- Certain types of heart failure
The Implantation Procedure
Before the Procedure
- Medical evaluation and tests
- Discussion of medications
- Fasting instructions (typically 6-8 hours)
- Preparation of the implant site
During the Procedure
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Local Anesthesia: The area is numbed
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Small Incision: Made below the collarbone
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Lead Placement: Wires guided through blood vessels into the heart
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Testing: Verify proper positioning and function
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Generator Placement: Device secured under the skin
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Closure: Incision closed with sutures
Recovery and Aftercare
- Hospital stay: Usually 24 hours
- Activity restrictions for 4-6 weeks
- Regular follow-up appointments
- Wound care instructions
Living with Your Pacemaker
Daily Life
- Carry your pacemaker ID card
- Avoid strong electromagnetic fields
- Continue most normal activities
- Regular device checks
Warning Signs
Contact your doctor if you experience:
- Prolonged redness, swelling, or drainage at implant site
- Fever or chills
- Return of original symptoms
- Hiccups or twitching
Long-term Care
- Battery life: 5-15 years
- Regular check-ups
- Remote monitoring options
- Eventual battery replacement
Risks and Complications
- Infection
- Bleeding
- Lead displacement
- Device malfunction (rare)
Always consult your healthcare provider for specific guidance related to your condition.