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General
Pacemaker Information Living
with your pacemaker
Over 2 million people of all ages have a pacemaker,
and - like you - they can expect to lead a normal fulfilling life. This page explains
how your pacemaker will work and how your life will change once your pacemaker
is fitted. But if you have any questions, you are very welcome to ask us at the
cardiac department.
What does a pacemaker do?
Your heart does
not beat regularly on its own, and this causes problems with your circulation
- you may have experienced dizziness, breathlessness, even brief periods of unconsciousness.
Your pacemaker will take over the job of producing the electrical impulses that
trigger your heart beats. This will help relieve the symptoms you have been having.
There are several different types of pacemaker. Some pacemakers stimulate the
lower or upper chambers of the heart (single chamber pacemakers),
while others stimulate both chambers (dual chamber pacemakers).
Both types have the same job - to maintain your heartbeat and prevent slow and
irregular heart rhythms.
How will a pacemaker change
your life?
You may be surprised at
just how quickly you recover from having a pacemaker fitted. As you start to feel
better, you will be able to return to your normal lifestyle and activities. This
may include walking, cycling, swimmimg, household chores, returning to you job,
hobbies, sex and travelling. If you hold a driving licence you must notify the
licencing authority (DVLA) and your insurance compay that you have a pacemaker.
You must not drive for 1 week after the pacemaker is implanted. Click on the link below for information on DVLA
Driving
Vehicles licensing Authority, DVLA
Your pacemaker
is designed to enable you to lead a normal and active life. However active you
are you will not wear it out
Interference from electrical
fields
Modern microwave ovens and
other electrical equipment will not interfere with your pacemaker unless they
are faulty. However, there are some electrical 'fields' that may affect your pacemaker.
These are the kind used in some anti-theft systems such as on the way out of public
libraries or in security checks in airports.
Look out for signs warning people
with pacemakers about this. But dont worry - this interference is almost never
dangerous and in no way damages your pacemaker. We will always be happy to advise
you about any electrical equipmet you come into contact with.
Mobile
Phones
If you use a mobile telephone,
you should not carry it in a pocket directly over your pacemaker. Whether in use
or in standby mode, mobile phones should be kept more than 15 centimetres (6 inches)
away from you pacemaker. If at all possible, use the phone with the ear on the
side away from your pacemaker.
Your pacemaker card
You should always carry your European Pacing Group
Registration card with you. If you have not already been given this, you will
receive it by post soon after you go home. It will show your name, address, pacemaker
details and our telephone number so you can contact us in the unlikely event of
any problems. In case of an accident of any kind, it will let the doctors know
you have a pacemaker.
Checking your pacemaker
Modern pacemakers are remarkably reliable and very
little checking is needed for most people. Nevertheless, it is sensible to undertake
some checks because the batteries do not last for ever and - very very rarely
- some minor problems may crop up. There will be plenty of warning however, when
your pacemaker needs changing.
Check ups at the pacemaker
clinic

You
will need to come in for a pacemaker checkup at least once a year. We ask all our
patients to do this. It is not a general checkup. It is to check the functioning
of your pacemaker and the state of the battery.
You will be seen by a technician
who has been specially trained to monitor pacemakers. If you are a new patient,
or have a particular kind of pacemaker, you may be asked to attend when there
is a doctor present.
If you would like to speak to a doctor about any worries
you amy have, we will try and arrrange it while you are in the clinic. If this
is not possible we will let the doctor know of your request - we may have to ask
you to come back to the clinic on a separate occasion. Any problems will always
be reported to one of the doctors responsible for your care
Checking
your own pulse Some patients with
pacemakers like to check their own pulse, and we will be happy to show you how
to do this. Your pulse rate may be faster than the pacemaker setting and this
is quite normal.
You should not worry about slight variations but if your
pulse rate drops unexpectedly by 5 beats per minute or more lower than the setting
of your pacemaker it is important to have it checked.
If
you have an operation....
Some medical
and dental procedures can interfere with pacemakers, so if you have to come into hospital for an operation, it is important to tell any doctor who attends you
about your pacemaker. You should also tell your dentist prior to any treatment.
Let
us know...
If you feel dizzy when
pushing or lifting, let us know. It may be that your pacemaker is affected by
muscle activity in your chest and this can often be corrected. Though very
unlikely to happen, it is especially important that you let us know immediately
if you have a dizzy turn or fainting attack. Do not wait for your next appointment.
If the area over the pacemaker becomes red or sore, or discharges fluid, telephone
us right away. This too is unlikely to happen, but if it does we need to see you.
Telephone 01273
696955 and ask for the Cardiac Department.
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