Pacemaker: everything about surgery and life with the device
If I put the pacemaker, will I be dependent on it?
Not necessarily. But if you needed to put a pacemaker the more likely you are already dependent on it. At least some of the time you have bradycardia and it would be needed.
How do I know if I need a pacemaker?
People with very low frequency (less than 40 beats per minute) or pauses (? where it stays without knocking for more than 3 seconds) or with some types of electric lock need pacemaker. This is when these things happen during the day or cause fatigue or dizziness.
It is good to remember that trained athletes have these low frequency and low frequency because of training, and improve during exercise without having to wear pacemakers. These are physiological changes of adaptation.
Who puts the pacemaker?
There is a society of doctors who certifies the training of people for the implantation of the pacemaker, the Department of Artificial Heart Stimulation of the Society of Cardiovascular Surgery.
How is surgery?
This is done in a surgical center or hemodynamic room, with the patient having general anesthesia or sedation and analgesia. It lasts between one and two hours. The person can be discharged on the same day or in two days, depending on the case and doctor. A small cut is made on the chest, usually under the collarbone (about 5 centimeters long).
There are cables going through the heart. The process is accompanied by a machine that makes a "movie" with several sequential radiographs. The dressing needs to be changed or cleaned according to the shape of the skin, stitches or surgical glue.
Do I need to change the battery?
Yes, the more you use the faster the battery runs out. But it still lasts between seven and 12 years (I met a patient with 20 years of battery use). Every three or six months the doctor checks the device with a specific computer for this purpose and sees how much is still missing and adjusts for how the person will use it.
The surgery for the exchange is much simpler: a small cut equal to of the implant is made and the electrodes are unscrewed. The entire generator is replaced by a new one.
What do I need to worry about after I put it in?
Doctors generally ask you not to drive a car, not carry more than 5 kg, and do not even touch the store ( place where the pacemaker generator is under the skin) for a month. After that, normal life.
Can I mess with appliances? And bench seat?
Avoid everything that creates a magnetic field (magnetic resonance, high voltage generators, such as electricity towers - these last an equivalent proximity to being just below the tower), or repetitive movements (crusher, chainsaw • The movements can be felt by the pacemaker during the act and temporarily accelerate or decelerate your heart rate.)
Resonance can be done in some pacemakers, but they need to be programmed for this before and after the examination . Bench door has a small magnetic field, and very rarely could interfere with the pacemaker. But in the best doubt use the next door. The refrigerator and microwave do not do anything with the pacemaker, use it at ease!
Can I do sports?
Leaving the first month you can do activities that do not put the pacemaker and wires at risk of direct impact (yes, this is a device and can break). The chance to fracture an electrode is 10% in 10 years. Exercise is good, but some modalities like fights should be avoided.
Can I have sex?
Yes! Without restriction by the apparatus, color, ethnicity, religion or modality. The pacemaker is designed to increase the quality of life and not subtract.
Can I go to the beach?
Yes, just protect the store from the trauma device. Avoid going to the high seas if your doctor did not release swimming as one of the sports.
Try to face the pacemaker like a sunglass or deafness device: he is there to help you. If you have any questions, always have a frank conversation with your doctor on how to customize your device!
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