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Heart pacemaker - Recovery

Alternative Names

Cardiac pacemaker implantation; Artificial pacemaker; Permanent pacemaker; Internal pacemaker; Cardiac resynchronization therapy; CRT; Biventricular pacemaker

Before the Procedure:

Always tell your doctor or nurse what drugs you are taking, even drugs or herbs you bought without a prescription.

The day before your surgery:

  • Shower and shampoo well.
  • You may be asked to wash your whole body below your neck with a special soap.

On the day of the surgery:

  • You may be asked not to drink or eat anything after midnight the night before your procedure. This includes chewing gum and breath mints. Rinse your mouth with water if it feels dry, but be careful not to swallow.
  • Take your drugs your doctor told you to take with a small sip of water.

Your doctor or nurse will tell you when to arrive at the hospital.

After the Procedure:

You will probably be able to go home after 1 day. You should be able to return to your normal activity level quickly.

Talk with your doctor about how much you can use the arm on the side of your body where the pacemaker was placed. You may be advised not to lift anything heavier than 10 to 15 pounds and to avoid a lot of pushing, pulling, or twisting your arm for 2 to 3 weeks. You may also be told not to raise your arm above your shoulder for 6 weeks

When you leave the hospital, you will be given a card to keep in your wallet. This card lists the details of your pacemaker and has contact information for emergencies. You should always carry this wallet card with you.

Outlook:

Pacemakers are often able to help keep your heart rhythm and heart rate at a level that is safe for you. The pacemaker battery lasts about 6 to 15 years. Your doctor will check the batter regularly and replace it when necessary.

  • Reviewed last on: 11/8/2010
  • Glenn Gandelman, MD, MPH, FACC Assistant Clinical Professor of Medicine at New York Medical College, and in private practice specializing in cardiovascular disease in Greenwich, CT. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Epstein AE, DiMarco JP, Ellenbogen KA, Estes NA 3rd, Freedman RA, Gettes LS, et al. ACC/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnormalities: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC/AHA/NASPE 2002 guideline update for implantation of cardiac pacemakers and antiarrhythmia devices): developed in collaboration with the American Association for Thoracic Surgery and Society of Thoracic Surgeons. Circulation. 2008;117(21): e350-408.

Hayes DL, Zipes DP. Cardiac Pacemakers and Cardioverter-Defibrillators. In: Libby P, Bonow RO, Mann DL, Zipes DP. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 34.

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