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Doctor insights on: Pacemaker Precautions Post Surgery

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I accidently lifted my arm all the way up 3 days after my pacemaker surgery. Will anything happen?

I accidently lifted my arm all the way up 3 days after my pacemaker surgery. Will anything happen?

Pacemaker: In general lifting the arm will not be a problem. We give patients the caution because if the position is initially tenuous, that lifting could move or dislodge the lead position. Let your doctor know about it when your pacer check is done or if you are noticing reappearance of any symptoms you had before the device was implanted. ...Read more

Dr. Al Hegab
2 Doctors shared insights

Pacemaker (Definition)

A pacemaker is a device which sends electrical signals to the heart triggering heartbeats when needed. There are many ways to implant and configure a pacemaker; it may beat the top chambers (atria), lower chambers (ventricles) or both. Some systems stimulate both the left and right ventricles together. Pacemakers generally treat abnormally slow heart rhythms and certain ...Read more


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Do I need surgery to have a pacemaker put in?

Do I need surgery to have a pacemaker put in?

No: I would not refer to it as surgery, more like a simple procedure. Very small incision is made by somebody who has done this 100 if not thousands of times. ...Read more

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Which training do you have to have to perform pacemaker surgery?

Which training do you have to have to perform pacemaker surgery?

Training: Pacemakers are inserted by thoracic and cardiothoracic surgeons. After medical school there is a 5 year surgical residency and 3-5 year fellowship. In emergent situations emergency medicine, cardiology and critical care physicians/intensivists are trained to place "temporary" pacemakers. ...Read more

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Is pacemaker surgery advisable to 61 yr old diabetic female?

Is pacemaker surgery advisable to 61 yr old diabetic female?

Need more history: The most common reason for a pacemaker is a heartbeat that slows to an unhealthy rate. A pacemaker resets the heart rate to an appropriate pace, ensuring adequate blood and oxygen are delivered to the brain and other parts of the body. It's not uncommon for both diabetics and women in their 50's and 60's to require pacemakers. In fact, they may have many years of benefit from a pacemaker ahead. ...Read more

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Do I need to avoid chiropractic care after pacemaker surgery? If yes, for how long?

Do I need to avoid chiropractic care after pacemaker surgery? If yes, for how long?

In general no: you need to discuss this with your physician. There are a variety of chiropractic therapies, but there are some that I'm concerned about that have electrical impulses. I always advise patients caution with chiropractic to be sure there are certain conditions they have that could cause problems that could make It worse or be major danger. Again this is something specific to your health ...Read more

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Can someone have rotator cuff surgery if they have a pacemaker? The surgery would be where the pacemaker in implanted? Please help

Can someone have rotator cuff surgery if they have a pacemaker? The surgery would be where the pacemaker in implanted? Please help

Yes: Pacemakers are located more medial and more superficial than the rotator cuff. It would be very unlikely that will present any problem to the surgeon. Let him know you have a pacemaker.
You also need to find out from your cardiologist if you are pacemaker "dependent" because if you are, there are a couple of precautions to be taken. ...Read more

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Is it ok to gain some weight after pacemaker implantation? I gained about 5 lbs within a month after surgery. But I don't think this is edema.

Is it ok to gain some weight after pacemaker implantation? I gained about 5 lbs within a month after surgery. But I don't think this is edema.

Pacemaker: Reading the information you provided makes me suggest you see your doctor and ask the question. A weight gain post pacer isn't usual and could be a complication but to decide one needs information not available here and also an exam. ...Read more

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I just had surgery for the interstim bladder pacemaker and now I have a rash on my butt?

I just had surgery for the interstim bladder pacemaker and now I have a rash on my butt?

Skin rash: The skin rash could be a sign of underlying infection from the stimulator lead. See the surgeon who implanted the stimulator to evaluate the rash as soon as possible. ...Read more

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Does pacemaker installation count as major surgery? Is this major surgery that will include a long recovery time?

Does pacemaker installation count as major surgery? Is this major surgery that will include a long recovery time?

Usually not: Most pacemaker surgery involves a small skin incision and is not considered major surgery and the recovery is quick. There may be some activity restrictions for a few weeks. It can be riskier in patients who are already very ill. Rarely the pacemaker wires, also known as leads, must go on the outside of the heart. This is major surgery as the chest must be opened to get to the outside of the heart. ...Read more

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I have a pacemaker now. My heart doctors want to do another surgery. My heart is still going to fast are to slow. What other surgerys would they do.

I have a pacemaker now. My heart doctors want to do another surgery. My heart is still going to fast are to slow. What other surgerys would they do.

Av node ablation: You might have atrial fibrillation with a rapid ventricular heart rate. The pacemaker can support your heart when it is slow but will not be helpful for a fast heart rate.

In this case the doctor will go in and ablate or cut the atrial ventricular node and allow the pacemaker to pace your heart at a regular slower rate

Alternately if is a flutter or paroxysmal atrial tachycardia then ablate ...Read more

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I have a low heart rate and have to have surgery is pacemaker ok?

I have a low heart rate and have to have surgery is pacemaker ok?

Maybe/maybe not: Pacemakers have a setting for a minimum heart rate. The setting is unique to each individual but commonly is around 50-60. If your heart rate is <50, your pacemaker may not be functioning correctly. Pacemakers should be checked, at least over the phone, every 3 months. Have you had yours checked recently? ...Read more

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I have a low heart rate and have to have surgery is it a pacemaker I need?

I have a low heart rate and have to have surgery is it a pacemaker I need?

Low heart rate: Possibly, but there are meds that can be given briefly to keep your heart rate up during surgery. You should discuss this with your surgeon and anesthesiologist. ...Read more

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Is it normal to have breast swelling after pacemaker surgery?

Not usually: There can be some swelling around the area where the pacemaker was placed. If it extends much beyond that area, I would discuss this with the doctor who placed the pacemaker.

Certainly, the entire breast should not be swollen. ...Read more

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Suffering from depression/anxiety after pacemaker/icd surgery. What do you suggest?

ICD: It is not unusual for transient depression after such a procedure. You should realize that the icd is a device which should help protect you from sudden death. As such if you put your mind on it being a positive, hopefully you can adjust your viewpoint and convert your anxiety depression to positive outlook. Talk to your doc. ...Read more

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Pacemaker implantation surgery question. Where do they poke the wires through to get them inside the heart?

Pacemaker implantation surgery question. Where do they poke the wires through to get them inside the heart?

The veins.: The veins under the skin in the upper chest are accessed to place the pacemaker/icd leads. These are the axillary or cephalic veins. The leads are then guided by xray and advanced into the heart chambers. ...Read more

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My father has gone through AVR Surgery. Now doctor is advising for pacemaker. What's the need of pacemaker now? Will that be permanent?

My father has gone through AVR Surgery. Now doctor is advising for pacemaker. What's the need of pacemaker now? Will that be permanent?

Pacemaker: If your father now has a low heart rate then a pacemaker is a suitable option to prevent any episodes of slow hart rate and its consequences; if his heart rate remains low then it may have to be permanent ...Read more

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35 yr old, W male. Pacemaker in January, Mitral valve repair in May. EF went from 55 before surgery to 25 6 weeks later. How serious is this?

35 yr old, W male. Pacemaker in January, Mitral valve repair in May. EF went from 55 before surgery to 25 6 weeks later. How serious is this?

Yes or no: Ur EF may go down if u have ventricular pacer only, in which case u may have to increase ur rate to 70 or 80 bpm. If AV pacer with rate of 70 and EF is low, it is very serious, find out the reason and u may have to replace pacer for an AICD as per ur Cardiologist. ...Read more

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After 9 days AVR Surgery if left bundle branch of heart is found blocked, then is it advisable to have pacemaker. EF is 50%. Heart rate is 70. Age 58.

After 9 days AVR Surgery if left bundle branch of heart is found blocked, then is it advisable to have pacemaker. EF is 50%. Heart rate is 70. Age 58.

Not necessarily: If you only have a left bundle branch block, particularly if it is not new and there are no other heart electrical impulse conduction problems a pacemaker does not seem necessary. ...Read more

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What is the role of a pacemaker after aortic valve replacement surgery?

What is the role of a pacemaker after aortic valve replacement surgery?

If needed: A small percentage of patients require post op pacemakers after aortic valve surgery. It usually does not cause any problems. ...Read more

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How would a pacemaker affect someone after aortic valve replacement surgery?

How would a pacemaker affect someone after aortic valve replacement surgery?

Synchronization: Allows for optimal heart function in the presence of complete heart block, sick sinus syndrome, chonotropic incompetence, symptomatic bradycardia to include some. ...Read more

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My father's heart rate is more than 70 but ECG report is showing some blockage even after 8 days of AVR Surgery. Does it still require pacemaker?

My father's heart rate is more than 70 but ECG report is showing some blockage even after 8 days of AVR Surgery. Does it still require pacemaker?

Blockages: It will depend on which blockage are found on EKG. Sometimes, after surgery some patients develop bundle branch blockages that might be considered normal but if they develop high grade blockages pacemaker might be needed. ...Read more

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Age 61.Surgery for 70% regurg. Mvp 3 mo. Ago with 28 ring. Heart muscle 35%. Waiting on lifevest b4 pacemaker safe. Any exercise to help heart muscle?

Age 61.Surgery for 70% regurg. Mvp 3 mo. Ago with 28 ring. Heart muscle 35%. Waiting on lifevest b4 pacemaker safe. Any exercise to help heart muscle?

Cardiac Rehab: As you already had heart surgery you are eligible to get enrolled in cardiac rehab therapy. There they will teach you cardiac rehab exercise. Consult your cardiologist to enroll you in cardiac rehab exercise therapy. ...Read more

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It's been a week and I still have a 10centimeter hole in my lung on february 3rd, 2012, I had an emergency pacemaker implanted and the surgery caused blood to fill up my left lung which collasped and after insertion of chest tubed it was drained and when

It's been a week and I still have a 10centimeter hole in my lung on february 3rd, 2012, I had an emergency pacemaker implanted and the surgery caused blood to fill up my left lung which collasped and after insertion of chest tubed it was drained and when

Question?: It sounds like you had a hemothorax (blood in the chest) after a pacemaker insertion, which is a possible complication. The chest tube was placed to drain the blood. The site of the chest tube closes over time. A 10cm hole in your lung would pretty much span the entire lung width. If the chest tube has been removed, the situation should resolve. ...Read more

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Can you smoke marijuana after aortic valve replacement surgery and with a pacemaker?

Can you smoke marijuana after aortic valve replacement surgery and with a pacemaker?

I wouldn't: With the respiratory effects of cannabis - I wouldn't. Marijuana smoke contains bronchial irritants. Inhalation with marijuana is more prolonged & deeper than with tobacco with higher combustion temperatures. This leads to a carboxyhemoglobin concentration that is 5 x higher than tobacco. 3 x more tar is inhaled. It can lead to airway inflammation, wheezing & ^ sputum. ...Read more