Pacemaker Implantation

The heart has its own electrical system that helps keep it in rhythm. Sometimes that system doesn't work right, and a pacemaker can help.

What is a pacemaker?

A pacemaker is a small, battery-powered device that sends out painless electrical signals to make the heart muscle contract. Thin wires, called leads, carry the signal between the pacemaker and the heart.

There are different types:

  • Some help the heart beat in a regular rhythm.
  • Others help the heart pump more blood by making the lower chambers pump at the same time.

1. Before the Procedure

Preparing to get a pacemaker may be stressful, but knowing what to expect can help. Before the surgery, you will have an assessment to check that you are fit for the procedure.

? Important Medication Note:

Tell your doctor about all medicines and natural health products you take. Especially blood thinners, as these can raise the risk of bleeding. Your doctor will tell you which medicines to stop taking.

? What to Bring
  • Photo ID
  • Health insurance card
  • Any requested paperwork
?️ Fasting
  • Follow directions on what you can eat or drink.
  • You typically stop eating the night before.

2. During the Surgery

During the surgery, you will be kept comfortable and safe by your anesthesia provider. You may get medicine that relaxes you or puts you in a light sleep.

Step-by-Step

  1. Numbing: The area being worked on (usually below the collarbone) will be made numb with anesthetic.
  2. The Incision: The doctor makes a small cut (incision) on the left or right side of your chest.
  3. Placing the Leads: Using an X-ray to see inside your chest, the doctor guides the thin wires (leads) through a vein and into the right place in your heart.
  4. Connection: The leads are connected to the pacemaker device.
  5. Implantation: The device is placed under the skin of your chest.
  6. Closing: Once the pacemaker is stitched into place, the cut is closed.

Note: This describes the most common method (Transvenous). In rare cases (like for children), surgery may be done under general anesthesia through the abdomen (Epicardial method).

3. After the Procedure

You may spend the night in the hospital to ensure the device is working correctly.

Questions? If you have any concerns about your recovery or the procedure, you can always call your doctor.