Implantation procedure

Most pacemaker implantations are performed using local anesthesia to numb the area of any incisions. You may receive additional IV medication to help you relax. Children usually receive general anesthesia. The implantation procedure is done with special X-ray equipment. The doctor inserts a lead (or leads) into a vein under your collarbone and passes it to your heart using X-rays to follow its progress. After the leads are in place, the pacemaker is slipped into a small, surgically created pocket under the skin in the upper chest.

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Usually you will stay in the hospital overnight. The pacemaker will be programmed to fine-tune it to your specific heart rhythm. This is done with a device called a programmer, which works the way a TV remote control does. You'll be able to shower or bathe 48 hours after the implantation procedure; a pain reliever containing acetaminophen, such as Tylenol, can relieve discomfort (medications containing aspirin, ibuprofen, or naproxen may interfere with blood clotting). After the pacemaker is implanted, you should be able to maintain a lifestyle similar to the one you had before. This includes exercise, work, and sexual activity. Your doctor will probably tell you to avoid vigorous activity or heavy lifting for about a month after the procedure.

You will receive a card that identifies you as having a pacemaker. Keep this card with you at all times. You and your family should remember the name of your pacemaker's manufacturer (in case of an unexpected visit to the emergency room).