Pacemaker Placement: Recovery at Home

Most people return to their normal routine in 1 to 2 weeks.

You may feel a hard ridge or see the outline of the device under your skin; this usually softens over the coming months.

CRITICAL: The Arm Movement Rule

Do not raise your arm (on the pacemaker side) above shoulder level.

You must follow this rule until your doctor says it is okay. This prevents the leads from pulling out of your heart while they heal.

Activity Guidelines

  • Walking: Encouraged. Be active, but rest when tired.
  • No Straining: For 3-4 weeks, avoid pushing mowers, vacuuming, golfing, or swimming.
  • Driving: Ask your doctor when it is safe to drive again.
  • Work: Expect to take 1-2 weeks off, depending on your job.

Incision & Medicine

  • Showering: Okay after 24-48 hours. Pat dry. No baths/swimming for 2 weeks.
  • Bandages: If you have tape strips, leave them until they fall off (about 1 week).
  • Medicines: Do not take NSAIDs (Advil, Aleve) unless approved. Use Tylenol if needed.
  • Diet: Normal diet is fine. Stick to bland foods if your stomach is upset.

Living with a Pacemaker

  • Identification: Carry a medical ID card and wear a medical alert bracelet/necklace at all times.
  • Electronics: Keep cell phones 6 inches away from the device. Avoid strong magnetic fields (like MRI machines, unless your device is MRI-safe).
  • Inform Others: Tell all dentists and doctors about your implant before any procedure.

When to Call for Help

Call 9-1-1 Immediately

  • You pass out (lose consciousness).
  • You have severe trouble breathing.

Call Your Doctor Now

  • Infection: Fever, pus, red streaks, or increased warmth at the site.
  • Bleeding: Bright red blood soaks the bandage.
  • Malfunction: You hear an alarm/vibration, or have frequent hiccups.
  • Physical: Dizziness, fainting feeling, or pain not helped by meds.