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Pacemaker

Cardiac Arrhythmia Ablation

Atrial Fibrillation (AF) Ablation

Atrial Flutter Ablation

Supraventricular Tachycardia (SVT) Ablation

Premature Ventricular Contraction Ablation

Ventricular Tachycardia (VT) Ablation

Cardiac Device Implantation

Pacemaker

Conduction System Pacemaker

Implantable Cardioverter Defibrillator (ICD)

Cardiac Resynchronization Therapy (CRT)

Pacemaker

A pacemaker is a small device implanted under the skin to help regulate slow heart rhythms (bradycardia). It sends electrical impulses to stimulate the heart when needed to maintain an appropriate heart rate and rhythm.

What to Expect During the Procedure

  • The procedure is performed under local anesthesia with sedation, meaning you will be awake but comfortable.
  • A small incision will be made near the collarbone to create a pocket for the pacemaker.
  • One or more leads (thin wires) will be inserted through a vein into the heart and connected to the pacemaker.
  • The pacemaker will be tested to ensure proper function before the incision is closed.
  • The procedure typically takes 1 to 2 hours.

Risks Involved

While atrial flutter ablation is a well-tolerated and effective procedure, potential risks include:

  • Bleeding or bruising at the catheter insertion site.
  • Infection at the pacemaker site, which may require antibiotics or, in rare cases, removal of the device.
  • Lead displacement, which may require repositioning in a follow-up procedure.
  • Pneumothorax (collapsed lung), a rare complication due to accidental lung puncture during lead placement.
  • Cardiac Perforation, a rare complication requiring a drain to be placed to evaluate the fluid around the heart.  In extremely rare cases, open heart surgery may be required.
  • Allergic reaction to anesthesia or contrast dye (if used during the procedure).

What to Expect After the Procedure

  • Mild pain, swelling, or bruising at the incision site, which should improve over several days.
  • Restricted arm movement on the side of the pacemaker for 4-6 weeks to allow proper healing.
  • Follow-up appointment will be scheduled within a few weeks to check pacemaker function and incision healing.
  • The pacemaker battery typically lasts 8-15 years, after which a replacement will be required.

Activity and Lifestyle Adjustments

  • Avoid lifting heavy objects or raising the arm above shoulder level on the affected side for at least 4-6 weeks.
  • Most routine activities, including walking and light exercise, can be resumed within next day.
  • Inform airport security about your pacemaker, as it may set off metal detectors.
  • Avoid strong magnets and electrical fields, which can interfere with pacemaker function.  If your occupation requires this, such as work in strong electrical fields such as arc welding, please speak to your doctor.

When to Seek Medical Attention

Go to the Emergency Room if you experience:

  • Severe pain, redness, swelling, or discharge at the pacemaker site.  (If these symptoms are mild, you can contact our pacemaker clinic for an urgent appointment)
  • Persistent dizziness, shortness of breath, or extreme fatigue.
  • Sudden swelling of the arm on the side of the pacemaker.
  • Palpitations or an irregular heartbeat.

Follow-Up Care

  • You will have a follow-up visit within 2-6 weeks to check pacemaker function.
  • Routine pacemaker checks are needed every 6-12 months to monitor battery life and performance.
  • If you have any concerns or unusual symptoms, contact our office for further evaluation.
For any questions or concerns, do not hesitate to reach out to our office