Pacemakers



Definition

A pacemaker is a surgically implanted electronic device that regulates a cardiac arrhythmia.

Pacemakers are most frequently prescribed when the heartbeat decreases under 60 beats per minute at rest (severe symptomatic bradycardia). They are also used in some cases to slow a fast heart rate over 120 beats per minute at rest (tachycardia).


Demographics

The population for pacemaker implant is not limited by age, sex, or race. Over 100,000 pacemakers are implanted per year in the United States. The occurrence is more frequent in the elderly with over 85% of implants received by those over age 65. A history of myocardial infarction (heart attack), congenital defect, or cardiac transplant also increases the likelihood of pacemaker implant.


Description

Approximately 500,000 Americans have an implantable permanent pacemaker device. A pacemaker implantation is performed under local anesthesia in a hospital by a surgeon assisted by a cardiologist. An insulated wire called a lead is inserted into an incision above the collarbone and guided through a large vein into the chambers of the heart. Depending on the configuration of the pacemaker and the clinical needs of the patient, as many as three leads may be used in a pacing system. Current pacemakers have a double, or bipolar, electrode attached to the end of each lead. The electrodes deliver an electrical charge to the heart to regulate heartbeat. They are positioned on the areas of the heart that require stimulation. The leads are then attached to the pacemaker device, which is implanted under the skin of the patient's chest.

Patients undergoing surgical pacemaker implantation usually stay in the hospital overnight. Once the procedure is complete, the patient's vital signs are monitored and a chest x ray is taken to ensure that the pacemaker and leads are properly positioned.

Modern pacemakers have sophisticated programming capabilities and are extremely compact. The smallest weigh less than 13 grams (under half an ounce) and are the size of two stacked silver dollars. The actual pacing device contains a pulse generator, circuitry programmed to monitor heart rate and deliver stimulation, and a lithium iodide battery. Battery life typically ranges from seven to 15 years, depending on the number of leads the pacemaker is configured with and how much energy the pacemaker uses. When a new battery is required, the unit can be exchanged in a simple outpatient procedure.

A temporary pacing system is sometimes recommended for patients who are experiencing irregular heartbeats as a result of a recent heart attack or other

To place a pacemaker, a lead wire is inserted into the cephalic vein of the shoulder and fed into the heart chambers (B). An electrode is implanted in the heart muscle of the lower chamber, and the device is attached (C). (Illustration by Argosy.)
To place a pacemaker, a lead wire is inserted into the cephalic vein of the shoulder and fed into the heart chambers (B). An electrode is implanted in the heart muscle of the lower chamber, and the device is attached (C). (
Illustration by Argosy.
)
acute medical condition. The implantation procedure for the pacemaker leads is similar to that for a permanent pacing system, but the actual pacemaker unit housing the pulse generator remains outside the patient's body. Temporary pacing systems may be replaced with a permanent device at a later date.


Diagnosis/Preparation

Patients being considered for pacemaker implantation will undergo a full battery of cardiac tests, including an electrocardiogram (ECG) or an electrophysiological study or both, to fully evaluate the bradycardia or tachycardia.

The symptoms of fatigue and lightheadedness that are characteristic of bradycardia can also be caused by a number of other medical conditions, including anemia. Certain prescription medications can also slow the heart rate. A doctor should take a complete medical history and perform a full physical work-up to rule out all non-cardiac causes of bradycardia.

Patients are advised to abstain from eating six to eight hours before the surgical procedure. The patient is usually given a sedative to help him or her relax for the procedure. An intravenous (IV) line will also be inserted into a vein in the patient's arm before the procedure begins in case medication or blood products are required during the insertion.


Aftercare

After an implant without complications the patient can expect a hospital stay of one to five post-procedure days. Pacemaker patients should schedule a follow-up visit with their cardiologist approximately six weeks after the surgery. During this visit, the doctor will make any necessary adjustments to the settings of the pacemaker. Pacemakers are programmed externally with a handheld electromagnetic device. Pacemaker batteries must be checked regularly. Some pacing systems allow patients to monitor battery life through a special telephone monitoring service that can read pacemaker signals.

Patients with cardiac pacemakers should not undergo a magnetic resonance imaging (MRI) procedure. Devices that emit electromagnetic waves (including magnets) may alter pacemaker programming or functioning. A 1997 study found that cellular phones often interfere with pacemaker programming and cause irregular heart rhythm. However, advances in pacemaker design and materials have greatly reduced the risk of pacemaker interference from electromagnetic fields.


Risks

Because pacemaker implantation is an invasive surgical procedure, internal bleeding, infection, hemorrhage, and embolism are all possible complications. Infection is more common in patients with temporary pacing systems. Antibiotic therapy given as a precautionary measure can reduce the risk of pacemaker infection. If infection does occur, the entire pacing system may have to be removed.

The placing of the leads and electrodes during the implantation procedure also presents certain risks for the patient. The lead or electrode could perforate the heart or cause scarring or other damage. The electrodes can also cause involuntary stimulation of nearby skeletal muscles.

A complication known as pacemaker syndrome develops in approximately 7% of pacemaker patients with single-chamber pacing systems. The syndrome is characterized by the low blood pressure and dizziness that are symptomatic of bradycardia. It can usually be corrected by the implantation of a dual-chamber pacing system.

Normal results

Pacemakers that are properly implanted and programmed can correct a patient's arrhythmia and resolve related symptoms.



Morbidity and mortality rates

In the United States, patients experience complications in 3.3% and 3.8% of cases, with those over 65 years of age demonstrating a slightly higher complication rate of 6.1%. The most common complications include lead dislodgement, pneumothorax (collapsed lung), and cardiac perforation. The risk of death is less then 0.5% throughout the course of the hospital stay.


Resources

books

DeBakey, Michael E. and Antonio Gotto Jr. The New Living Heart. Holbrook, MA: Adams Media Corporation, 1997.

periodicals

Gregoratas, Gabriel, et al. "ACC/AHA Guidelines for Implantation of Pacemakers and Antiarrhythmia Devices." Journal of the American College of Cardiology 31 (April 1998): 1175–209.

Link, Mark S, et al. "Complications of Dual Chamber Pacemaker Implantation in the Elderly." Journal of Interventional Cardiac Electrophysiology 2 (1998): 175–179.

organizations

American Heart Association. 7320 Greenville Ave. Dallas, TX 75231. (214) 373-6300. http://www.americanheart.org .


Paula Anne Ford-Martin Allison J. Spiwak, MSBME

WHO PERFORMS THE PROCEDURE AND WHERE IS IT PERFORMED?



Pacemaker implants are performed by a cardiologist who has completed medical school and an additional internship and residency program. Additional training as an electrophysiologist may be acquired by the physician during the residency program. Specific training by the pacemaker manufacturer may also be acquired. Hospitals performing these procedures have access to cardiac catheterization facilities or operating rooms equipped with portable fluoroscopy units.

QUESTIONS TO ASK THE DOCTOR



User Contributions:

1
jayant
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Aug 8, 2007 @ 7:07 am
Its great !!!!!!!!!!!!!!!
by reading it we can fulll information about pacemaker
plz read its
2
cathsangster
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Feb 22, 2009 @ 1:13 pm
my mother had a pacemaker fitted on thursday.one of the leads came undone but has been left is this not dangerous.
3
Nenad Savic
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Mar 3, 2009 @ 2:14 pm
Are there any anesthetic complications that can occur during the pacemaker implantation?
4
DIANE`
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Mar 31, 2009 @ 12:12 pm
MY DAD IS 55 AND HAD PACEMAKER PUT IN HE PASSED AWAY RIGHT AFTER THE DOCTORS PUT IN PACEMAKER RIGHT AFTEER THEY CLOSED HIM UP IS THAT NORMAL HAS ANYONE PASSED AWAY? ALSO THE SAME DAY THE DOCTORS DID AN ANGIOGRAM CAN HAVING TWO BIG PROCEDURES BE HARMBUL
5
Denali Jones
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Oct 2, 2009 @ 11:11 am
I had a loop recorder which recorded less than 20 beats per minutes while I was being transported to Recovery. Twenty four hours later, I got a pace maker and spent the night in the hospital. I'll go back in for fine-tuning in a couple of weeks, but my heart is still beating, so I must be doing alright.
6
James
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Oct 2, 2009 @ 1:13 pm
I am a 15 year old boy with arrhythmia and I was recently taken to hospital due to collapsing and becoming unresponsive when unconcious. I was told i may need a pace maker fitted due to my arrhytmia but i was just concerned about the after affects and risks involved and would like somebody to elaborate some more on this topic, would i be limited to activities to do and will i need to be cautious during my daily routine as well as with sport. For any replys i may recieve, i give my many thanks in advance.
7
Robert
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Oct 26, 2009 @ 9:09 am
How soon following a pacemaker inplant can you fly?
8
Kate
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Dec 17, 2009 @ 4:16 pm
I HAD A PACEMAKER FITTED LAST AUGUST AND 2009 AND I AM STILL IN A LOT OF PAIN. IS THIS NORMAL
9
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May 14, 2010 @ 6:18 pm
ok mom in CCU in hospital for 2 weeks after pacemaker put in. Had a blood infection, and blood clots. according to drs. an artery was broken from going up groin, which caused the infection. she then had blood transfusion, and and has severe swelling in leg, which was operated on to clamp artery. but she is still in CCU (cardiac care unit) when I ask drs. what's going on I get no reply??? She was also on comaden (blood thinner before surgery but was now taken off ?) Any information would be a help!!!
10
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May 14, 2010 @ 6:18 pm
ok mom in CCU in hospital for 2 weeks after pacemaker put in. Had a blood infection, and blood clots. according to drs. an artery was broken from going up groin, which caused the infection. she then had blood transfusion, and and has severe swelling in leg, which was operated on to clamp artery. but she is still in CCU (cardiac care unit) when I ask drs. what's going on I get no reply??? She was also on comaden (blood thinner before surgery but was now taken off ?) Any information would be a help!!!
11
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May 27, 2010 @ 10:22 pm
I have a question? My father had a pace maker put in two week ago he is suffering with sever swelling in his left arm. we have had two utrasounds in the past two day chest ex-ray and blood work also a c.t scan everything is negative for blood clots tommarow he is scheduled for an eletrocardiogram. any sugestion because docttors have no results.
12
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Oct 1, 2010 @ 2:02 am
I had the dual-chamber implant, I had no problem what so ever and I fill super good
2 min. after the surgery I was asking for coffee and a donut. Surgery perform at WELLSTAR HOSPITAL in Marietta, GA.
Thanks to the outstanding Doctors on the WELLSTAR Cardiovascular Center.
13
Lisa
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Oct 23, 2010 @ 11:11 am
Kate, it is not normal, i am in the same boat, been on steroids since my implant in November 2009. They are now scheduling me to have the pacemaker removered, my new doctors beleive there was a perforation of the heart muscle and heart wall, and it should have been removed no more that a month after the implant. If your doctor is not listening get a new one
14
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Dec 2, 2010 @ 4:04 am
I had pace maker implanted 2 months ago and the next day I had ablation of AV nod done.I have been feeling problems after slight effort done. After making 30 steps I feel pressure at the bottom of my sternum, which spreads through my whole chest, I stay out of breath and have to stop.This is very frustrating because I cannot function well.
The doctors could not see the end of the peak of the electrode and wanted me to have slice scanner done but I was told that it was not possible because of irregular heart rhythm and they were afraid of damaging the electro leader by exposing it to the CT.
15
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Dec 17, 2010 @ 8:20 pm
My friend had a pacemaker inserted 2 months ago. He has developed shortness of breath ever since the operation. Can someone give me a reason why and is this dangerous? Also he does not look the same since surgery (older and more tired). He is 73 years old.
16
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Jan 23, 2011 @ 9:21 pm
I had a pacemaker put in 6 weeks ago and I still have a discomfort in my sternum, is the normal? Prior to have the pacemaker I felt a similar discomfort before I passed out? Can you shine some light on this issue for me?
17
Hilda
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Mar 9, 2011 @ 5:05 am
Anyone feeling very tired after pacemaker has been upgraded to three leads?
18
Pamela Towers
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Apr 13, 2011 @ 12:12 pm
My 79 year old mother underwent pacemaker and cardioverter defibrillator surgery on Thursday of last week. On Saturday evening, she began to experience severe pain under her right arm and down the right side of her right arm. The pain subsided somewhat after taking an OTC aspirin. On Sunday morning, the same situation occurred. She and I called her surgeon who saw her right away. XRays were taken, which reflected the leads were still in place. The surgeon said mother was fine and that the pain was from overuse of the right arm, which has occurred as a result of not being able to use her left arm, where the pacemaker was implanted.

Mother continues to experience severe right arm pain. I know this is not a situation of "overuse" of the right arm. My mother was a college athlete and was beating me at tennis at age 60. She knows what a strained muscle feels like!

I am now losing confidence in the surgeon. What treatments are proven successful in treating this pain, which is related to pacemaker implant sugery?
19
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Apr 19, 2011 @ 5:05 am
My father had a pacemaker surgery and implanted with double chamber pacemaker (medtronics pacemaker)

Its been more than a month to the surgery and my father is feeling some pain in the left shoulder and left hand. The pacemaker is placed on the left side above the lungs.

After reading this post I can conclude that my father is suffering from one of the pacemaker complications i.e. embolism.

Is there a solution of it?
20
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May 3, 2011 @ 4:16 pm
My son was born with complete heart block and was detected in the womb consiquently he was fitted with pace the day he was born and he is doing absolutely fantastic , he is totally dependent on his device so therefore he is on 6 wk checks at leeds general , england . he is due for change in pace any time now but i do have a constant worry as to whether it will damage the muscles round his heart .
21
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May 3, 2011 @ 4:16 pm
My son was born with complete heart block and was detected in the womb consiquently he was fitted with pace the day he was born and he is doing absolutely fantastic , he is totally dependent on his device so therefore he is on 6 wk checks at leeds general , england . he is due for change in pace any time now but i do have a constant worry as to whether it will damage the muscles round his heart .
22
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May 3, 2011 @ 4:16 pm
My son was born with complete heart block and was detected in the womb consiquently he was fitted with pace the day he was born and he is doing absolutely fantastic , he is totally dependent on his device so therefore he is on 6 wk checks at leeds general , england . he is due for change in pace any time now but i do have a constant worry as to whether it will damage the muscles round his heart .
23
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May 31, 2011 @ 6:06 am
should someone with a pacemaker drive a tractor, just what is it they should stay from
24
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Aug 18, 2011 @ 1:13 pm
I had a pacemaker inserted in May of 2009 and since shortly after that time, I have had a lot of swelling of my left arm with no diagnosis whatsoever for this. Is this caused from some wires blocking some kind of flow or something?
25
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Oct 4, 2011 @ 12:12 pm
Hi i was wondering if anyone could help me. Im having an ILR internal loop recorder procedure very soon and was wanting to no whether after its been inserted under my skin would there be a visual lump
Many thanks x
26
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Oct 7, 2011 @ 7:07 am
To Vicky - I've had one in since february of this year (to try and catch the cause of a cyanotic collapse I had). Its vertically positioned about two inches from the left of my sternum and sits above most of the necklines of the tops I own. The scar is still quite red. I find it sticks out at the top (just beneath the scar) if I don't wear a very supportive bra. Otherwise, the scar is all that can really be seen. Expect it to stick out for a month or so regardless after the surgery though. A bit of advice, wear a VERY supportive bra fro the weeks following the surgery, as the weight of your breast will pull on the scar and make it much wider than it needs to be. I learnt that one the hard way. Feel free to email me if you'd like. I think you just have to click on my name above to get the email address. x
27
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Oct 11, 2011 @ 11:11 am
Hi marissa
Thanks for the reply it means alot, im having real yrouble finding any pictures of the procedure and dont no much about it at all. Really appreciate the advice thou i will make sure i get a supportive bra to take with me. Would it be possible for you to tell me what you no about the procedure please x
Many thanks from vicky x
28
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Oct 16, 2011 @ 9:09 am
Hi. I had the pacemaker/defib ICD installed 1 1/2 weeks ago. I feel my heart beating hard which makes it hard to sleep. I feels like it is thumping through my chest. Did not have this before. Has anyone else had this problem and what caused it? My doctor said I will get used to this but it is really uncomfortable
29
FD
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Oct 25, 2011 @ 10:10 am
I had a boston scientific icd/pacemaker implanted in May of 09. It began to move out of my body and was re-positioned less than a year later. Now about a year and a half later, it is at the same point wher it came out before. They want to just reposition it again. I want it out. The doctor refuses and wants me to see heart surgeon to put it under a muscle. It has been nothing but trouble to me. Has anyone else had such problems? I think my body just rejects it like a big splinter.
30
FD
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Oct 25, 2011 @ 10:10 am
I had a boston scientific icd/pacemaker implanted in May of 09. It began to move out of my body and was re-positioned less than a year later. Now about a year and a half later, it is at the same point wher it came out before. They want to just reposition it again. I want it out. The doctor refuses and wants me to see heart surgeon to put it under a muscle. It has been nothing but trouble to me. Has anyone else had such problems? I think my body just rejects it like a big splinter.
31
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Nov 7, 2011 @ 9:21 pm
I had a pacemaker implanted in early August. I'm still feeling muscular discomfort in my upper left chest area. Sometimes it is just achy and at other times it feels like a muscle cramp. Have others experienced this? and how long will it continue? Otherwise all is going well.
32
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Nov 21, 2011 @ 5:05 am
what's time taken by peacemaker to complete one heartbeat
33
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Nov 25, 2011 @ 7:19 pm
My wife had a pacemaker defilter implanted 10/20/2011 but 1 lead was not working properly so she was sent home for a month what are the alltiurnitives for her
34
beth
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Nov 29, 2011 @ 11:11 am
yes , this has happened to me a year an half ago. the doctor put it back in under the muscle, but it is happeneing again 1-1/2 later . i have to go back to the doctor to tell him the debibulator is rejecting again. im not sure what is going to happen..i hear there is a wrap that goes over the ICD, maybe this would prevent it from wanting out of my body. its coming out right by my left arm pit and it hurts.
35
AL
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Jan 10, 2012 @ 11:11 am
I had a Pace/Defrib replaced recently. The original device was attached to a "Re-called" Fidelis lead wire.

The Manufacturer pulled the wire off the market, and told all Doctors to stop installing the Questionable wire that was causing injury and deaths.

During the insertion of the new up-graded Pace/Defibr device, the Doctor attached the original "Recalled" lead wire to the new upgraded device.

Should I be concerned?
36
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Jan 15, 2012 @ 3:15 pm
I am 48 years old and was told by my cardioligist and primary care physcian that I need a pacemaker.. All my family on my dads side had heart problems and my aunts had pacemaker implant at my age and past away between the age of 60 to 63... I got so scared, I told my doctors that I refuse to have them implant the pacemaker... Was I wrong???
37
MPH
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Feb 6, 2012 @ 10:22 pm
A family member had a St.Judes pacemaker implanted in May 2011 and within 3 months there was evidence that he was using much more voltage than usual (I'm not cetain how many chambers the leads are in).

In January 2012 it was determined that the battery, which should have lasted 5-7 years, would not last much longer as the voltage being used is inordinately high. Not sure what the cause is.

My 85 year old relative has Parkinson's and dementia, has had a stroke, subdural hematoma, lymphoma and had a mitral valve repair years ago that still has a slight regurge .

Having said this, I feel it is risky to have new leads put in; can the device and or just the battery be replaced and connected to the same leads, even if there is some scar tissue?

Please advise.
38
Trish
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Feb 18, 2012 @ 6:06 am
I had a cardiac reveal device fitted 4 weeks ago and have a real sore area above where it was put in especially when I drive should this still be sore after this amount of time.
39
nicole
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Feb 18, 2012 @ 11:23 pm
Hi my name is nicole and im 17.When i was in the 7th grade(12 years old), i was diagnosed with long qt syndrome.That is where the heart dont pump blood like it should. Its very complicated to understand trust me i still dont. I found out i had lqt because i kept passin out all the time, i was a cheerleader in middle school when all this happened and the day i found out about this i was scared. I went to the hospital and they told me what was wrong and they flew me by lifestar to childrens hospital in atlanta georgia, where i got my pacemaker and diffibulator put in. Im very lucky to be alive cause they caught it on a thursday and my doctor told me that if they wouldnt have caught it when they did i would have been in cardiac arrest on monday morning. So its scary and now i have to go back in march and get the battery and lead wire changed. Im scared but i know God will take care of me, and to any questions that everyone asked its normal to be sore after you have it put in the first time it took me 6 weeks to heal and sometimes im still sore so its normal but if it hurts like major then i would deffently go to your heart doctor and get it cheacked. I hope i answered any questions anyone might have had.
40
maxime
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Feb 24, 2012 @ 6:18 pm
Hi i had a pacemaker in the abdominal, then they decided to put a new one in the front of the shoulder, but they decided to leave the old one in the abdominal...it's been almost 9 years or so. sometime it was hurting but not alot just when i was doing a wrong move but since two week it hurt a lot when i sit or when i cough. i was wondering is it normal that they just leave it there?(i already talk to them,when they replace the other pacemaker,if it was possible to take it out and they said that it will be too much trouble for nothing...and i was wondering why is it hurting that much out of nowhere a lots of years after?
41
Susie J
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Mar 4, 2012 @ 11:11 am
My son has a pacemaker fitted, approx time fitted is about 18 months. Although he does not have black outs anymore he is still having 'turns' with vomiting. He has an appointment at the oncology department at our local hospital, could someone tell me why he has to attend this type of department when he has a heart condition.
42
joy
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Apr 26, 2012 @ 9:09 am
MY MOTHER IS 100AND A !/2. THE DOCTORS WANT TO PLACE A PACEMAKER IN HER DUE TO VERY SLOW HEART BEATS AND AT TIMES VERY QUICK BEATS. PLEASE LET ME KNOW IF I SHOULD LET HER DO IT. ARE THERE GREATER RISKS THAN AT AN EARLIER AGE? I DO NOT KNOW WHAT TO DO, SINCE SHE IS NOT IN ANY PAIN OR DISCOMFORT.
43
joyce
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Jul 12, 2012 @ 2:14 pm
I am 73 years old. I had a pacemaker installed May 18 th 2 months ago.I am still very tired, weak and have shortness of breath. Shouldn't I feel better after 8 weeks. I felt better before I got the pacemaker. At my age does it take more than 8 weeks to feel normal again or am I just over nervous?
44
Erwin Witt
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Jul 15, 2012 @ 5:17 pm
I am a distance runner who had a pacemaker put in December 21, 2011. I was released December 23 and the same day I was released, I did a two mile run. My resting heart rate was set at 55 bpm. I now run 52 miles per week and feel great. Prior to the pacemaker, my resting heart rate was 36 bpm and I was taking hydrin for BPH. After the pacemaker, I gave up hydrin for BPH. Warning, runners should be careful when taking medicines that lower blood preasure.
45
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Aug 22, 2012 @ 2:02 am
My G.Mother is 85years she had a pacemaker installed in march 18th 2012,her legs are swollen,her blood pressure sometimes is too high and then some times normal,she narmally feels pain under her arms,and develops kind of fever, will she ever feel normal again?
46
Ramesh Mahadev
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Sep 14, 2012 @ 10:10 am
My mother is 73 yrs old & is diagonised with Dilated Cardiomyopathy, ESAF, Recurrent CHF, LBBB, SR,
Severe LV Dysfunction. The level of efficiency is only 15% NO PAH.Type 2 diabetes & pre renal & diabetic CKD. Past history of H/O DVT with PTE on chronic anti coagulation.

Could you please advise whether going for an pace maker implant will help & improve my mothers heart condition.

Awaiting your favourable reply & please help on humanitarian grounds.
47
Ann
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Sep 30, 2012 @ 8:08 am
I would like to know what the scar after implanting a pacemaker will look like. I am one week after right now and it looks like a worm. Will it eventually lay flat and match my skin color?
48
wendy
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Oct 7, 2012 @ 9:09 am
My mother had a defibrillulator put in August she is still cert tire and week she is 78 years old she doesn't feel any better why?
49
wendy
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Oct 8, 2012 @ 2:14 pm
My mom is 78 she had a defibulator put in in August. She still very tire and whet of breath why?
50
Patti
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Oct 15, 2012 @ 6:18 pm
At age 89 my dad had been cleared by doctors to have a pacemaker put in and went home the next day. Seventeen days later he died and fell on the floor. The pacemaker was still beating but he stopped breathing. Could the pacemaker or surgery have played a part in his sudden and unexpected death. His pulse was low before the surgery and in the 70's after. Could the heart working faster made calcium or plaque come loose?
51
kristi
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Oct 22, 2012 @ 1:13 pm
Recently i had a dual chamber pacemaker fitted me , i am not very happy with this , i don't feel better , i am 61 years old male, is there any complication if it is removed ? by my concern . please let me know. thanks.
52
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Oct 22, 2012 @ 3:15 pm
My dad had a pacemaker put in September 12, 2012. He just died October 17, 2012. He had a low heart rate feet, legs, swollen.
My dad had a infection blood poisoning. Take a stand the pacemaker killed my daddy. The pacemaker will beat for ever and my dadddy was dead. The doctors lie this is just for money they lied to my dad. When you think about life why wouldnt anybody want a pacemaker. More people die instead of getting healed. My dad is in a better place even without that stupid ass pacemaker wat a piece of crap. Very angry daughter...
53
moe
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Oct 29, 2012 @ 5:17 pm
am getting a pacemaker nov 9-2012. most of coments not very encouraging. how many e mails did u recv. to pick these 52 comments???
54
Jenna
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Dec 19, 2012 @ 1:13 pm
Hi there,My dad got a Pacemaker put in July 2011. Hes been doing better since but for the last little while hes been very weak and very low of oxygen.Is this normal with pacemakers or is there something we can do to help Im a concerned daughter and want my dad to be alright. Please help me
55
Kimmi
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Jan 5, 2013 @ 8:20 pm
I had a pacemaker put in when I was 12 years of age I am now 29 I have had three more implants since my first one, I have had discomfort in my scar area since my first implant but was told it was because I was sensitive in that area it was protruding and just hurt, the last time I had it changed in 2010 they decided to move in deep inside my chest and attach it to my muscle, great I have no soreness anymore, but because it is attached to my muscle when it reaches a certain voltage my muscle vibrates at well, but to be fair touch wood I have never had any problems with it, bar the soreness and pains around my scar, but I could deal with that cuz after implant I felt like a normal person, it has never stopped me doing anything in my life, been through child birth, no probs, and probly done things I shouldn't have done, but I'm fine, just wouldn't do the things I used to do as I have kids now and their isn't just me to think about, I have had three implants and have now had it fitted for 17 years, I haven't had a wire change yet, and must say that does scare me a little, but I'm sure I will be ok as I have brilliant doctors, so good luck to all them people who are having one fitted, you should tell the difference, you just feel normal( well like you should)
56
segun
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Jan 14, 2013 @ 7:07 am
I've read a lot of comments on peacemakers and i don't think am comfortable with response from people.They don't sound convincing to me.I will rather look on God as my peace maker than scientific and un certain altertative
57
Dana
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Mar 2, 2013 @ 10:10 am
My father in law was recently hospitalized due to a damaged lead wire on his pacemaker and had to have surgery to fix it. We have just recently found out that the lower part of his heart is severely damaged. I was wondering can a faulty lead wire damage the lower part of the heart?
58
robyn
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Mar 8, 2013 @ 5:17 pm
My father received his pacemaker Feb 21, 2012. He has done wonderfully so far. This week some redness has appeared on his skin above where the pacemaker was implanted. He is in no pain. The doctor has ordered bloodwork. What could this redness indicate, please?
59
Kay
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Apr 14, 2013 @ 5:17 pm
im 55 yrs old had a Medtrnic PM implanted 1 wk ago bc of heart block when I exercised.. I've developed a cough, chest pain when I take a deep breathe, extreme fatigue, swelling in my left arm, and pain across both shoulders and into both arms. it just doesnt feel right. Does any of this seem normal and when will I feel better?
60
Geneva
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Apr 26, 2013 @ 6:06 am
my daughter is going to have a implant heart loop recorder does anyone know anything about this side effects
61
Amy
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Jun 9, 2013 @ 4:04 am
Hello,

Last Thursday i got a reveal recorder inserted into me and they warned me that i will be in discomfort for the next 24 hours but i am still in discomfort now, is that normal?
62
arnold fresolone
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Jun 21, 2013 @ 12:12 pm
about a month ago my mom had a pacemaker put in. It worked for three days and stopped. We brought her to the hospital where she had the pacemaker put in.They said one of the leads detached and they would have to reposition it.During the hospital she developed a very congestive cough. She spent fourteen days in the hospital. we were told that she had CHF and that the fluid in her lungs and legs was from the CHF. They gave her a daily regiment of lasix for the fluid.They released her on a friday and by sunday she could not breath again. We took my mom to another hospital. The hospital ran test and concluded she has constrictive pericarditis. This is from blood leaking into the pericardium,although they did not come right out and say it thay infered it was from one of the heart leads perferating the pericardium.Has anyone else had this problem?
63
arnold fresolone
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Jun 21, 2013 @ 1:13 pm
Courtney Jones, my mom is experiancing the same symptoms your dad had. the new hospital told us it was constrictive pericarditis due to one of the leads puncturing the lining of her heart.
64
Ashraf Zia
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Jun 24, 2013 @ 10:22 pm
My mom had pacemaker installed. Everything goes fine but severe cough has developed after the installment. Would you plz suggest any medication for it?
We have visited the doctor several times but the problem still exists...
65
larissa Kwan
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Jun 25, 2013 @ 6:06 am
MY MONIS GOING TO REPLACE A NEW PACEMAKER AFTER THE OLD ONES FOR 12 YEARS. iN THESE TWO WEEKS i FOUND OUT SHE HAS WATERY SPOOL IT IS NOT DIAAHREA WHICH SHE GOES VERY FREQUENTLY. CAN SHE UNDERGO A SURGERY TOMORROW.
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cindy
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Jun 25, 2013 @ 5:17 pm
I had new batteries put in my pacemaker last year and since then I have not felt good. Now I am getting shooting pains into my neck and arms. The DR. tells me it is caused from scar tissue around the pacemaker and there is nothing they can do except take tylenol and omeprazole, this is not helping my pain. What can be done to help this pain, I can't take it anymore?
67
gerry
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Oct 30, 2013 @ 1:13 pm
why is everything on this site negative people are looking for some positive reading from patients who have recieved pacemaker and are happier and healthier this info will give a lift to anyone going for this proceedure
68
Lisa Flanagan
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Nov 11, 2013 @ 2:14 pm
When can you resume sexual activity after having a pacemaker fitted
69
KATRINA
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Nov 15, 2013 @ 10:22 pm
Lisa Flanagan, I have had 3 pacemakers in the past 10 years. One was defective, and 2 the batteries went dead. Yes you can have sex afterwards. I have even been having sexual intercourse when the defibulator shocked my heart. My partner didn't feel a thing.
My question is I got my new replacement this last week and was told the leads were going bad. Why wouldn't they replace them before problems start and what is the mortality rate of the different methods of lead wire replacements?
70
nitu phukan
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Nov 30, 2013 @ 5:05 am
My name is nitu phukan from assam (India) 55years old. This year 25th September a permanent pacemaker is placed in my heart due to slow heart rate. At that time my heart rate was only 20 to 26. So doctor decided to placed a permanent pacemaker eminently. Accordingly done the above. Doctor advice me to take rest for 25 days after my operation. I am also very sever diabetic patient. Last few days I feel a pain near pacemaker area. So I am very worried about this pain. Please advice me is it serious or due to infraction . Please advice me what I will do. Will I take rest from my office. I am waiting for your reply .
Nitu Phukan
Assam
71
ronnie rosenzweig
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Feb 9, 2014 @ 9:21 pm
i had a pacemaker put in 2 weeks ago and am still suffering. i developed a hematosa and now a blood clot. my arm is all swolen red and hurts. my internest orderd a nurse to injet me with lovenox and take coumeden. what is the next procedure. i still have pain at pacemaker incision. an answer would be greatly appreciated.
72
Leroy
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Apr 18, 2014 @ 8:20 pm
I got a pace make installed 1 week ago . I can feel a shocking feeling sometime . I tell the doctor & he said I should feel that . Is it normal ?
73
Nancy
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May 21, 2014 @ 10:10 am
My father had a pacemaker procedure done in February of this year. Two days later he suffered a stroke and passed away on the 4th day after the procedure was done. He was 80 years old. I advise anyone considering this procedure to do your research and make and informed decision. Don't just go by what the physicians say. This may or may not be the best practice for everyone, especially for an elderly person!
74
david
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Jun 29, 2014 @ 7:19 pm
Ever since having a dual chamber pace maker fitted I can not get rid of an erect penis its sending me mad 24hours a day its been over 4 months and its still hard what can I do?
75
dcconcept
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Jul 9, 2014 @ 7:07 am
My mom has a pacemaker installation scheduled in about 10 days time. She was diagnosed with bradycardia in April, but cardiologist also think it could be the cause of Carvedilol which she had been taken. So doc cut out on the medication and went through 2 times with 24 hrs holter test taken 1 to 3 weeks interval; resulting in lapses of 3.5 to 2.5 sec without heartbeat respectively. But ever since stopping the Carvedilol, she does not experience any symptoms of bradycardia. My question is; does she really need this 'pacemaker' inplant?? She is 80 years old and has dementia, kept on asking me why she needs this surgery when she is not experiencing any 'black out' symptoms. Would appreciate any reply to this. Thank you very much in advance!
76
Jermaine Brown
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Aug 20, 2014 @ 11:11 am
Are there any drugs that will have to be taken with the implant
77
Deborah
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Sep 14, 2014 @ 9:09 am
My dad had his pacemaker replaced with a defibulator 3 weeks ago. The scab just fell off exposing a wire protruding from the chest. It looks like a mechanical pencil lead. He is 87 and wants to see a different doctor. I want him to seek medical attention immediately. What advice or explanation do you have?
78
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Sep 29, 2014 @ 12:00 am
Once a pacemaker has been implanted can it be removed safely?
79
Carolyn
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Oct 9, 2014 @ 2:14 pm
My mom had pacemaker put in more than a year ago and continuously complains about pain at the site, up through her shoulder. Doctors say it's something she has to live with, but no one she knows complains of having any pains or trouble. She has been tested, x-rayed, poked, and prodded many, many times, but no one seems to be able to figure out what's happening. We've heard it could be pressing on a nerve, or a muscle that has arthritis. She is 87 and otherwise in relatively good health, but I think because of her age, doctors dismiss doing anything.
80
tanika
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Oct 17, 2014 @ 6:06 am
MYBROTHER WAS26 years old and got a pacemaker put on his chest an that was in OSU hospital he was in the penataitry when it got done he say he always have chest pain and he is now 37 an he went back to the doctor for chest pain an was treated an the next day which was yesterday he died what kind of medince could they have gave him not to wake up
81
Enid Martland
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Dec 30, 2014 @ 6:06 am
My sister has infection in pacemaker Bedn on IV antibiotics for weeks Pacemaker not functional as sisters pulse above 76Pacemaker set if pulse goes below 50 They said they're changing it but she needs to be listed Said this 4 weeks ago Should it not be changed as an emergency if infection is around the wires
82
Brenda
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Jan 6, 2015 @ 11:23 pm
I had a Loop Recorder implanted in May 2013, I had a MRI done in Nov. 2014 after having the MRI I experience sharp pains (on and off) all night long and for 2 days afterward, I think the wires in the recorder got hot and was burning me. I am thinking of seeing a lawyer for the discomfort I endured I will be removing the Medtonic Loop Recorder this month. I want to keep it after it is removed so I can have it looked at to see if there is any significant changes /damage due to having the MRI. Is this possible.
83
Janyne Edwards
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Jan 11, 2015 @ 1:13 pm
I just had my Pacemaker replaced this past Thursday. I was assured from all of the medical staff I spoke with, that they would cut either along the original incision.

I just removed the dressing last night and discovered that what they in fact did was cut an inch and a half below the original scar. No one said anything when I was in the OR and when they were putting the dressing on I was completely out of sedation. Since I was already out of sedation I was able to bypass recovery and went directly back to Day surgery.

I am very sensitive about the scars on my body and already have a lot from heart surgery and the original pacemaker being put in and another surgery that was unrelated.

Seeing as I am only 42 years old and will have many other replacements, does this mean I am going to end up with a new scar everytime I have it changed?
84
akanksha dwivedi
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Jan 13, 2015 @ 11:11 am
when artificial pacemaker stop working,then there is no any cure regarding this?
85
Sarah Powell
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Feb 17, 2015 @ 6:06 am
My mum has recently had pacemaker fitted with a few complications she's now home from hospital and nothing has changed still has all the same symptoms as before most of all being weak and really breathless, is this normal or could there be another underlying problem?
86
terry
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Mar 21, 2015 @ 3:03 am
I have just had a 3 wire unit fitted 6 wks go I am a diabetic my blood glucose levels have risen to double figures
can anyone tell me is this a diabetic /defib problem or something else
87
Ann
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Jun 20, 2015 @ 5:17 pm
Someone asked how often will their pacemaker will fire. It only fires if you miss heart beats. If your pacemaker is set at 50 beats per minute then your pacemaker will kick in after 1.2 seconds from the previous beat if your heart does not generate it. The maths is 60 divided by 50. Not all pacemakers are set at 50 beats per minute - if you are curious ask the cardiac scientist who regularly should be testing your pacemaker. Note too, pacemakers do not make your heart rythym regular but they do make sure that you do not have significant pauses in relation to your heart beats.
88
Johnna
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Jul 28, 2015 @ 10:22 pm
I had a Duel Chamber Pacemaker implementation on July 8th on occasion I get sharp pain at the surgical site which I can only assume is part of the healing process, I also have some numbness in the left shoulder that radiates down my arm on the inside of my arm between the shoulder and elbow. Warring bras is a chore let me tell ya, it starts to hurt so bad from the numbness I get to striping my clothes of at work... is this normal and this gets better our will this be my life with a pacemaker from now on?
89
Sally
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Aug 15, 2015 @ 8:20 pm
I am 49 years old I had a pacemaker put in on 8/12/15, came home the next day today is the first time I went out. I have a 13 year old daughter and needed to get some things before school started. I'm feeling a light tingling around the pacemaker is this normal.
90
Is
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Aug 18, 2015 @ 5:05 am
My husband had his pacemaker fitted May 2013. The surgeon was not, in my and my husbands opinion, up to the job. He did not fix the leads properly and my husband has had two more ops to correct this, the last being in Sept 2014. These procedures took place in 'The Lab' which my husband described as a very messy large storeroom. Certainly not the steril environment one would expect when having surgery. He seemed OK at first but started being unwell a few weeks later and has slowly got worse since. He has fluid around the lungs. He is under Respiratory and Cardiologist consultants. After numerous tests scans etc his Cardiologist is now going down the route of a bug/virus/infection caught during his third op. In the last 10mths my husband has gone from being a young 75yr old to a skinny hunched old man. This is devastating to witness, and I feel totally helpless and can see no light at the end of the tunnel.
91
Margaret
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Sep 5, 2015 @ 2:14 pm
My husband had his fourth pacemaker inserted above where the other three pacemakers had been, it looks very near the skin & he gets pain around it- shouldn't this have been inserted on the right hand side where we were told it was going to be?
92
Me
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Sep 16, 2015 @ 4:16 pm
My sister had a pace maker and a diffibulator put in about a month and a half ago. Since then, she has developed some kind of infection in the incision, and two holes where the device was placed on the left side of her heart, which the Doctor's will not tell her that's what it is. She is now scheduled for another surgery next week, to clean the area, and then treat it with antibiotics. Her doctor told her that her body may be rejecting the device. Any medical advice would do?
93
mmc
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Sep 22, 2015 @ 10:10 am
i was outside all day on saturday and lying in the grass, enjoying my grandson playing soccer, when i had to get up and instead of using my right arm to lift me up, i used my left arm. dont know what i was thinking as i am very careful, usually. i had my pacemaker in on 6/8/2015. a little pain on the left side and i hope that is normal and i did not dislodge anything
94
cantabrian
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Oct 24, 2015 @ 12:12 pm
Has anyone had experience with rejection of an implanted device? I had a defib removed 8 months ago due to an infection that started when I had the battery changed and now have just a loop monitor while the cardiologist decides if I need a new defib. It has been in for 7 months now and is gradually moving out of the area it was inserted into. My inflammation markers have also gone up significantly. I feel as if it is trying to escape my body!! Any advice would be great. Thank you
95
robbyn
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Nov 21, 2015 @ 8:20 pm
Hello my dad is 56 yrs old and had a Medtronic pacemaker defibrillator he just had the battery replaced for the first time since getting the pacemaker inplanted 7 years ago so he had. The battery changed on the 18th no leads changed well his incision looks good but today and yesterday he has barely eaten he said he isnt hungry and he said he feels like he has thick stuff in his chest I assume he means phlegm he said he feels really hot then icy cold so I felt his forehead and its cold then normal but sweating and he is coughing alot too has anyone else experienced this? My Dad has been battling heart disease since he was 38 his dad died at age 40 of a massive heart attack and my dad has suffered a heart attack a massive stroke a mild stroke n a siezure in a yr
96
Indra Seahra
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Dec 25, 2015 @ 7:19 pm
Hi, I got Defibrillator on Nov.18, 2015. Since I got this I have some symptom. I feel something bad less or more every day. My sugar got too high
even I take Insulin. Sometime I regret why I got this pace maker in my body. I think my body did not like the pacemaker. I don't know what to do.
Please advice. Thanks, Indra
97
Becky Miller
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Jan 23, 2016 @ 1:01 am
My pacemaker is very near the surface and I can feel the wires. Is this normal?
98
Deborah
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Mar 29, 2016 @ 10:22 pm
Pacemaker implanted dual chamber in 2008 after inserted never felt well but did not think it was the pacemaker ran fever on and off felt like my bones hurt was so tired had to get my husband to take me to the dr because I was so tired they found blood in urine with no infection this went on for a year any exertion sent my temp up infection markers went up in hospital 4 times with asthma and lungs full and horrible cough I was so sick lost 25 pounds then my pacemaker started to pinch me and hurt had chest pains so went to cardiologist he tested for infection and found that my pacemaker had been infected all this time took out all of pacemaker but I continued to run fever after I've and po antibotics then pocket became infected so opened me up and left opening for drainage and packing of incision antibotics again Iv and po con't fever ultersound showed another abscess back to hospital for testing and antibotics to my suprise they found a pice of metal tip wedged between my rat atrium and rat ventricle of my heart nobody seems to know what to do and I am having trouble finding a dr at this point I have grown nothing in cultures so they guess at antibotics but they know I have infection because they have seen it I have pain in my chest, under arm and enlarged lymph nodes seen in ct scan one cardiologist said don't worry about had it and your body is used to it I wonder how he would feel if it was his chest I am so scared and have no dr at this time I am an educated person and never thought I would be in this situation at 63 please tell me what you think I should do
99
Debra Roesser
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May 10, 2016 @ 11:11 am
I had my pace maker put in sept. 2015 I have had pain every day since,when I lift my arm up,it moves under my collar bone,my shoulder hurts,i wish they never would have put it in.I can say I would never have it done again,I want it removed.My doctors tell me if I do I would die on the table,is this true?
100
Lorna
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May 25, 2016 @ 10:22 pm
My dad (84 yrs old) had a pacemaker put in almost 5 years ago and has undergone bladder tumor surgery in which a catheter had to be put in place till things heal. All seemed ok till he ended up with blood clots in the catheter and he experienced extreme pain . I'm wondering if extreme pain will offset a pacemaker ???
101
Juanita
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Jun 2, 2016 @ 2:14 pm
my sister has an irregular heartbeat; either high or low blood pressure and high or low heart rate. she has been on meds that have not resolved the problem. She had ablation surgery 3 times to no avail. she's back in the hospital. she also said she has a defective heart valve that can't be repaired. Will a pacemaker do her any good?
102
manoharverma
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Jun 12, 2016 @ 7:07 am
DOCTORS HAVE DIGNOSISED A SINUS BRADYCARDIA IN 2015JULY, AND MY HEART RATES ARE UNDER 40PM AND IT INCERSASES WITH EXERCISE . BUT I HAVE NO SYMTOMPS OF DIZINESS OR BREATHLESSNESS. AND HAVING CADIOMYOPATHY NON OBSTRUCTIVE. I AM NOT AN ATHELETE AND HIGH BP 140/90 SINCE 1989 BUT I HAVE A REGULAR WALKING OF3-5KM DAILY IN THE MORNING WHICH INCLUDE A CLIMBING OF 426 STAIRES DAILY . MY LVEFIS 73% ON DATED 2-6-2016 AND MY AGE IS 57YEARS, SHOULD I GO FOR A PACE MAKER
103
manoharverma
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Jun 12, 2016 @ 7:07 am
DOCTORS HAVE DIGNOSISED A SINUS BRADYCARDIA IN 2015JULY, AND MY HEART RATES ARE UNDER 40PM AND IT INCERSASES WITH EXERCISE . BUT I HAVE NO SYMTOMPS OF DIZINESS OR BREATHLESSNESS. AND HAVING CADIOMYOPATHY NON OBSTRUCTIVE. I AM NOT AN ATHELETE AND HIGH BP 140/90 SINCE 1989 BUT I HAVE A REGULAR WALKING OF3-5KM DAILY IN THE MORNING WHICH INCLUDE A CLIMBING OF 426 STAIRES DAILY . MY LVEFIS 73% ON DATED 2-6-2016 AND MY AGE IS 57YEARS, SHOULD I GO FOR A PACE MAKER
104
Tammy
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Jun 29, 2016 @ 11:23 pm
I just had my pacemaker put in on june 27 2016.i am very tired all the time and i am dizzy when will this stop?there is alot of pain from getting it. I know my body needed it but the pain sometimes is hard to handle.when will it stop hirting so much?i lay down alot now if im up to long i feel dizzy and i have been getting alot of headaches when will this go away?
105
Sharon
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Jul 5, 2016 @ 1:13 pm
Tammy, I had my duel pacemaker fitted on 24 July 2016 and it had taken over a week to stop feeling uncomfortable, tired and out of sorts. I understand it can be normal, that it can take up to and beyond 2 weeks for pain (if you are experiencing) to settle or stop, Its getting slightly easier every day, I found sleeping sitting up, using one of the v shaped cushions helped, make sure you are very hydrated as this will help alleviate headaches and possible low blood pressure. I am still finding my left side very uncomfortable, very bruised. results of pacemaker fitted and loop reveal taken out. Please contact your doctor or cardiologist if you are still experiencing problems, they do not expect you to deal with them on your own.
I hope this helps, good luck
106
John Benjamin
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Jul 22, 2016 @ 3:15 pm
I had a pacemaker fitted 19/07/2016 at Barnet Hospital, ENGLAND, on the National Health. I must say how wonderful the staff were I'm a little bit sore this is only the 3rd day.
I had a light breakfast at 6am was taken to hospital for 8am. Chest shaved, blood pressure taken ,I was second on the list the chap before me was having a new pacemaker as the old one was 11 years old and time for a new one. I went for mine at 10:15 am was back at 11:30am for cup of coffe and sandwich (very nice) then i was taken for chest Xray.
The pacemaker was then programmed. I was told the do's and dont's and after the Xray results was allowed to go home at 3:15 pm. Must say I feel great.
107
Dorothy Bergquist
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Aug 5, 2016 @ 10:10 am
I had a pacemaker put in about a year ago and now my left arm is starting to swell and I am short of breath and can not walk far without having to stop and rest, and then last night my left ear started to bleed a little. I hoe you can give me a answer. Dorothy
108
Wanda Jewett
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Sep 24, 2016 @ 11:11 am
My husband has had a pacemaker for nine years; he did have extreme fatigue after implantation but when we told the doctor, his pacer was adjusted to a faster heartbreak, nearer to what his heartbeat had normally been and he has had no issues with fatigue since. They started his pacemaker at 60 beats per minute and that was just too low. He was even trying to fall asleep at stop lights - no, I'm not exaggerating. The raised it to 70 beats per minute and he has been just fine since.
109
GORDON SHILLADY
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Oct 2, 2016 @ 1:13 pm
MY FREIND/WORK COLLEAGUE aged 45 had pacemaker fitted after collapsing after 8 weeks he is ill his surgeon who fitted it is not able to see him his secretary phones him and tells him then have not forgotten about him he awaits MRI scan, no one can do this MRI scan as they are uncertain if the pacemaker needs switched off his foot is infected and his metabolism is low he has never had antibiotics prescribed he is now lost all faith with doctors and now considering going to citizens advice next step to find some direction , why he is not getting to know why and how he feels so bad his doctor has suggested writing to the specialist but still await he is struggling bad dizziness tired feels a constant flu feeling when moving he sweats terribly had the pacemaker checked all well but again as the nurse doing the check could not advice him of anything else he asked when he can go back to work no one will give him any idea ,but at this stage could not go back to work .can someone point him in the right direction please

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