Pacemaker

What is a pacemaker?

A pacemaker is a small implanted electronic device that helps your heart beat steadily. A pacing system includes a pacemaker (the pulse generator) and a pacing lead, a wire that carries signals from the pacemaker to your heart. The pacing lead can also send information about your heart activity from the heart to the pacemaker. 

When might I need a pacemaker?

You might need a pacemaker if your heart’s own natural pacemaker (your heart’s electrical system) isn’t making your heart beat at the correct rate. 

The most common reason to need a pacemaker is a chronically slow heartbeat. This often happens with heart failure. A pacemaker may also treat an irregular or too-rapid heartbeat (tachycardia). 

What happens before the pacemaker procedure?

A few days before the procedure, you’ll have tests like an electrocardiogram (EKG) and blood tests. 

The day before the procedure, you’ll fast after midnight. Discuss your medications with your provider; you may need to temporarily alter dosages. 

Before the procedure, empty your bladder as much as possible. 

What happens in the pacemaker procedure?

You’ll receive sedation and local anesthesia. If you prefer your pacemaker near the left or right shoulder, let your provider know. 

They’ll create a small incision and make a pocket for the pacemaker. They use advanced X-ray imaging to guide the pacing lead into a vein and through to your heart before connecting them to the pacemaker. You may have up to three leads.

After testing the pacemaker, your surgeon closes the incision. They program the pacemaker, adjusting it based on your heart rate. 

What happens after the pacemaker procedure?

After your procedure, you’ll rest in the recovery area or your room in the hospital. Your medical providers closely monitor your pacemaker to ensure it’s working correctly. 

Some discomfort is normal, including feelings of numbness and fullness around the implant. Most people return to normal in a few weeks. 

During your recovery, avoid lifting over 15 pounds, and don’t push, pull, or twist excessively. Avoid tight clothing until the wound heals. 

If you notice signs of infection around your wound, have a high fever, or experience issues like breathing difficulties, chest pain, or dizziness, call your provider for help. 

You’ll receive a pacemaker identification card after your surgery. Keep it with you at all times. This ID card alerts medical personnel that you have a pacemaker in an emergency.

Call the nearest Capitol Cardiology Associates office or click the online scheduler to book an appointment now.