Living Well with Your Pacemaker: A Patient's Guide to Treatment and Care

Understanding Your Device

What is a Pacemaker?

A pacemaker is a small electronic device implanted under the skin to help regulate your heart rhythm. It consists of:

• A pulse generator (battery and computer circuit)
• One or more leads (thin wires)

Types of Pacemakers

• Single-chamber pacemakers: Use one lead in one heart chamber
• Dual-chamber pacemakers: Use two leads in two chambers
• Biventricular pacemakers: Use three leads for cardiac resynchronization therapy

Treatment Options and Care

Immediate Post-Implantation Care

1. Wound Care

   • Keep the incision site clean and dry
   • Watch for signs of infection
   • Follow medication instructions

2. Activity Restrictions

   • Avoid heavy lifting (>10 lbs) for 4-6 weeks
   • Limit arm movement on the implant side
   • Gradually return to normal activities

Long-term Management

Regular Monitoring

• In-person device checks
• Remote monitoring options
• Battery life assessment
• Lead function evaluation

Lifestyle Considerations

• Electronic Device Safety

  • Cell phone usage guidelines
  • Security system protocols
  • MRI safety precautions

• Physical Activity

  • Approved exercise routines
  • Activity modifications
  • Sports participation guidelines

When to Seek Medical Attention

• Unusual heart rhythm symptoms
• Device site problems
• Unexpected device alarms

Future Considerations

• Battery replacement timing
• Device upgrades
• Regular follow-up schedule