Cardiac Pacemakers
What my patients need to know before implant
Irina Staicu, MD , RPVI, FACC
Nuclear Cardiology Diplomat
ABVLM Diplomat
What is a pacemaker and how it works
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A small device implanted under the skin, designed to mimic the heart's natural pacemaker
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When the heart natural " battery" becomes depleted , the artificial pacemaker is implanted to take over.
What is a pacemaker and how it works
A Pacemaker has two purposes
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Pacing- sending an impulse when your own heart rhythm is too slow, " taking over your heart" when needed
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Sensing- or " monitoring" your heart activity; when you have a normal heart beat, will not deliver an impulse
Your own,normal heart Beat
Longer pause, Pacemaker senses and next, takes over
Pacemaker delivers the impulse
When do you need a Pacemaker
Slower pulse than normal (bradycardia) or pauses > 3 sec
Fainting, Dizziness, Fatigue, Chest pain, Shortness of breath, Palpitations, Decreased stamina
What I tell my patients before implant
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The P won't prolong your life; will make it safer - no falls, passing out
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The P improves quality of life; more energy, better stamina
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Won't correct Atrial Fibrillation; you will still need to take the blood thinners!
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Your lifestyle wont change after P; will be better by increasing the level of activity
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Cosmetic scars after implant? You will be satisfied with my skills.
What I tell my patients before implant
Every invasive procedure may result in complications
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Infections at implant site
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Allergy to the dye or anesthesia
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Bruising, Bleeding at incision, if on blood thinners
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Collapsed lung
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Heart Perforation
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Lead dislodgement with second procedure for reinsertion
I always say before procedure:
"Lets work together to avoid any complications; my record so far is great "
Advocate Heart Institute
Chicago Illinois