Device Implants (Pacers/ Defibrillators)

 Your heart has an electrical system that keeps it beating at the right pace. Problems with this system can make heart beat too slow or suddenly too fast. Both slow and fast heart rhythms can be dangerous even deadly. Physicians may recommend a pacemaker or defibrillator to help correct these electrical problems. The following information discusses the device function, care, and follow-ups.

  Implantation

  •  Incision is made in the skin below the collarbone. This creates the pocket to hold the device.
  •   The lead or leads are threaded into the heart. The lead and leads are attached to the heart muscle to secure the leads in place.
  •  After the lead or leads are placed the generator is placed in the pocket then closed by sutures or staples to secure device in place.

After the Procedure
  •  Do not raise the arm (on the side where the pacemaker or defibrillator was placed) above shoulder level or lift more than 10 pounds for minimum of 6 weeks.
  •  Bruising, tenderness, or mild swelling may occur. This is normal and will subside as the incision heals.
  •  Do not drive for minimum of one week.
  •  Care for incision based on discharge instructions from the hospital and directed by implanting physician.
Follow-up Visits
  •  Follow-up one week after implantation.
  •  After first check the device should be and is recommended to be checked every 3 months either home remote or in the office.
  •  If device is capable for remote home monitoring you will know after first initial visit. With home remote monitoring the device requires to be checked at least yearly in office.