Living with Your Pacemaker: A Comprehensive Care Guide

Essential Information for Pacemaker Patients

Cardiology

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Last updated: Mar 24, 2025

Daily Care and Monitoring

Wound Care (First Month)

  • Keep surgical site clean and dry
  • Monitor for signs of infection (redness, swelling, warmth, drainage)
  • Follow physician's instructions for showering/bathing
  • Avoid touching or manipulating the device area

Regular Monitoring

  • Keep all scheduled follow-up appointments
  • Participate in remote monitoring if prescribed
  • Record any symptoms or concerns in a diary
  • Check pulse regularly as directed by your healthcare provider

Activity Guidelines

Permitted Activities (After Recovery)

  • Most daily activities
  • Light exercise as approved by your physician
  • Sexual activity (discuss timing with your doctor)
  • Driving (after physician clearance)

Precautions

  • Avoid heavy lifting (>10 lbs) for 4-6 weeks
  • Avoid vigorous arm movements on implant side
  • Maintain distance from strong electromagnetic fields
  • Carry your pacemaker ID card at all times

Environmental Considerations

Electronic Device Safety

  • Keep cell phones 6 inches from device
  • Avoid placing electronic devices in shirt pockets
  • Pass quickly through security gates
  • Inform security personnel about your device

Medical Procedures

  • Alert all healthcare providers about your pacemaker
  • Avoid MRI unless device is MRI-conditional
  • Discuss any medical procedures with your cardiologist

Emergency Awareness

Contact Your Doctor If You Experience:

  • Dizziness or fainting
  • Persistent hiccups or twitching
  • Rapid or irregular heartbeat
  • Swelling or redness at implant site
  • Fever within first month of implantation

Regular Maintenance

Battery Life

  • Typical lifespan: 5-15 years
  • Regular checks during follow-up visits
  • Scheduled replacement when indicated

Follow-up Schedule

  • Initial check: 7-10 days post-implant
  • 1-month follow-up
  • Regular checks every 3-6 months
  • Annual comprehensive evaluation

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