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Pacemaker: Leadless: Post-op

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Leadless Pacemaker Placement: What to Expect at Home

Your Recovery

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A leadless pacemaker is a small, battery-powered device. It sends
mild, painless electrical signals to your heart. This keeps it
beating normally. Your doctor used a catheter to place the pacemaker
inside your heart.

Your groin may have a bruise and feel sore for a few days. You can
do light activities around the house. But don't do anything
strenuous for several days.

You'll need to take steps to safely use electric devices. Some of
these devices can stop your pacemaker from working right for a short
time. Check with your doctor about what to avoid and what to keep a
short distance away from your pacemaker. For example, you will need
to stay away from things with strong magnetic and electrical fields.
An example is an electronic body fat scale. You can use a cell phone
and other wireless devices, but keep them at least 6 inches away
from your chest. Many household and office electronics don't affect
a pacemaker.

This care sheet gives you a general idea about how long it will take
for you to recover. But each person recovers at a different pace.
Follow the steps below to get better as quickly as possible.

How can you care for yourself at home?

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Activity

 

  • If the doctor gave you a sedative:

    • For 24 hours, don't do anything that requires
      attention to detail, such as going to work, making
      important decisions, or signing any legal documents.
      It takes time for the medicine's effects to completely
      wear off.

    • For your safety, do not drive or operate any machinery
      that could be dangerous. Wait until the medicine wears
      off and you can think clearly and react easily.

 

  • Do not do strenuous exercise and do not lift, pull, or
    push anything heavy until your doctor says it is okay.
    This may be for several days. You can walk around the
    house and do light activity, such as cooking.

 

  • Try not to walk up stairs for the first couple of days.

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Diet

 

  • If you had dye injected, drink plenty of fluids to help
    your body flush out the dye. If you have kidney, heart, or
    liver disease and have to limit fluids, talk with your
    doctor before you increase the amount of fluids you drink.

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Medicines

 

  • Your doctor will tell you if and when you can restart your
    medicines. You will also be given instructions about
    taking any new medicines.

 

  • If you stopped taking aspirin or some other blood thinner,
    your doctor will tell you when to start taking it again.

 

  • Call your doctor if you think you are having a problem
    with your medicine.

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Care of
the catheter site

 

  • For 1 or 2 days, keep a bandage over the spot where the
    catheter was inserted. The bandage probably will fall off
    in this time.

 

  • Put ice or a cold pack on the area for 10 to 20 minutes at
    a time to help with soreness or swelling. Put a thin cloth
    between the ice and your skin.

 

  • You may shower 24 to 48 hours after the procedure, if your
    doctor okays it. Pat the incision dry.

 

  • Do not soak the catheter site until it is healed. Don't
    take a bath for 1 week, or until your doctor tells you it
    is okay.

 

  • Watch for bleeding from the site. A small amount of blood
    (up to the size of a quarter) on the bandage can be
    normal.

 

  • If you are bleeding, lie down and press on the area for 15
    minutes to try to make it stop. If the bleeding does not
    stop, call your doctor or seek immediate medical care.

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Other
instructions

 

  • Keep a medical ID card with you at all times that says you
    have a pacemaker. The card should include the manufacturer
    and model information.

 

  • Wear medical alert jewelry stating that you have a
    pacemaker. You can buy this at most drugstores.

 

  • Tell all of your doctors, dentists, and other health
    professionals that you have a pacemaker before you have
    any test, procedure, or surgery.

 

  • Ask your doctor for a list of electric devices that you
    might need to keep a short distance from your pacemaker.

 

  • Check your pulse as directed by your doctor.

 

  • Have your pacemaker checked as often as your doctor
    recommends. In some cases, this may be done from your
    home. Your doctor will give you instructions about how to
    do this.

Follow-up care is a key part of your treatment and safety. Be
sure to make and go to all appointments, and call your doctor if you
are having problems. It's also a good idea to know your test results
and keep a list of the medicines you take.

When should you call for help?

../images/Call-for-help_icn.jpgCall 911 anytime you think you may need emergency care.
For example, call if:

 

  • You passed out (lost consciousness).

 

  • You have trouble breathing.

Call your doctor now or seek immediate medical care if:

 

  • You are bleeding from the area where the catheter was put
    in your blood vessel.

 

  • You have a fast-growing, painful lump at the catheter
    site.

 

  • You have symptoms of infection, such as:

    • Increased pain, swelling, warmth, or redness.

    • Red streaks leading from the area.

    • Pus draining from the area.

    • A fever.

 

  • Your leg looks blue or feels cold, numb, or tingly.

 

  • You are dizzy or lightheaded, or you feel like you may
    faint.

Watch closely for changes in your health, and be sure to contact
your doctor if you have problems.

Current as of: June 24, 2023

Content Version: 14.0

Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.

© 2006-2025 Healthwise, Incorporated.
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