by Editorial Staff and Contributors
This is a procedure to insert an artificial pacemaker. A pacemaker is a small, battery-operated device. It helps maintain a normal heartbeat by sending electrical impulses to the heart.
Reasons for Procedure TOP
A pacemaker can be inserted when:
Possible Complications TOP
Complications are rare, but no procedure is completely free of risk. If you are planning to have a pacemaker inserted, your doctor will review a list of possible complications, which may include:
Factors that may increase the risk of complications include:
Be sure to discuss these risks with your doctor before the procedure.
What to Expect TOP
Prior to Procedure
Before the procedure, your doctor will likely do:
In the days leading up to the procedure:
Local anesthesia will be used. This means that only the area being operated on is numbed. It is given as an injection.
Description of the Procedure
You will lie flat on a hard table. Your heart rate, blood pressure, and breathing will be monitored. The doctor will make a small incision beneath your collarbone. The pacemaker will be inserted through this incision. The wires will be threaded through a vein under the collarbone to your heart. Lastly, the incision will be closed with stitches.
Immediately After Procedure
Your heart rate and blood pressure will be monitored.
How Long Will It Take?
About 2 hours
How Much Will It Hurt?
You will have pain after the procedure. Your doctor will treat your pain with medicine.
Before you leave the care center, the pacemaker will be programmed to fit your pacing needs. When you return home, do the following to help ensure a smooth recovery:
A hard ridge may form on the skin along the incision. This usually recedes as the wound heals.
Call Your Doctor TOP
After arriving home, contact your doctor if any of the following occurs:
In case of an emergency, call for medical help right away.
American College of Cardiology
American Heart Association
Heart Rhythm Society
Heart and Stroke Foundation of Canada
ACC/AHA Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmic Devices. American Heart Association website. Available at: http://www.americanheart.org/presenter.jhtml?identifier=3009585 . Accessed November, 2009.
CardioSmart: pacemakers have beneficial effects in patients with heart failure. CardioSmart website. Available at: http://www.cardiosmart.org/News/Default.aspx?id=1890 . Accessed September 14, 2009.
Heart Failure Society of America. HFSA 2006 Comprehensive Heart Failure Practice Guideline. J Card Fail . 2006;12:e1-2.
What is a pacemaker? American Heart Association website. Available at: http://www.americanheart.org/presenter.jhtml?identifier=3009585 . Accessed September 14, 2009.
11/19/2008 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed/what.php : Lee S, Ransford B, Fu K, Tadyoshi K, Maisel W. Abstract 662: electromagnetic interference (EMI) of implanted cardiac devices by MP3 player headphones. Circulation . 2008;118:S596.
Last reviewed November 2012 by Michael J. Fucci, DO
Last Updated: 11/26/2012
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