And rehabilitation after the installation of a pacemaker
After implantation, the device will need to stay overnight in the hospital. Doctors will check the heart rate, make sure the pacemaker is working properly.
From a few days to a few weeks, the patient may experience pain in the area where the device is located. Typically, sufficiently moderate pain. The doctor will recommend what is best to take analgesics.
You will need to avoid strenuous activity and heavy lifting for a month. Usually it is missing a few days to return to normal life. Most patients return to work after implantation. Timing depends on many factors, including the type of work activity.
Possible complications after the installation of the pacemaker and the risks
The operation as a whole is safe enough. If problems occur, they may include:
- Swollen state, bleeding, bruising or infection in the area where the device delivered.
- Damage to blood vessel or nerve.
- A collapsed lung (pocket of air in the lungs).
- Poor response to the anesthetic used during the procedure.
Before the operation, the doctor in Assuta describe in detail about the benefits and risks of installing this product.
Restrictions life with a pacemaker - how to live after the operation?
Pacemakers have shields, so most of the items that a person uses or comes into contact with them, do not affect the normal operation of the device. Nevertheless, elements which generate electricity or used, or transmit wireless signals - such as, a portable generator, electric drill or cellular telephone - have electromagnetic fields. Some of these fields may affect its operation. If the electromagnetic field surrounding the object are too close to the pacemaker, the device will detect it, and this may temporarily affect its operation.
Avoid prolonged contact or close an electrical appliance or equipment which has a strong magnetic field:
- MP3-players, cell phones. The radio becomes new frequencies available. Their use of mobile phones make pacemakers less reliable.
- Household appliances, such as microwave ovens, electric drills, electric blankets, electric, heating pads.
- High voltage wires.
- Metal detectors.
- Welding equipment for industrial use.
- electric current generators.
These items break the transmission of electrical impulses to the pacemaker. The patient will not be able to determine whether the failure occurred. The risk depends on the proximity and duration of interactions with the above devices.
If a person feels dizzy, a change in heart rhythm, or gets an electric shock while using any device, you should just stop this interaction. Any temporary effect is unlikely to cause reprogramming or damage a pacemaker. The device is designed to return to normal operation. If symptoms persist, and there is no improvement, should consult a doctor as soon as possible.
If an item is used as intended and in good working order, is not aware of any risks involved in using the following things:
- Charger for household batteries.
- CD / DVD or recorder.
- Curling tongs.
- Electric blanket.
- Electric guitar.
- Electric scales.
- Hair straightener.
- Ionizing the air filter.
- Kitchen appliances (blender opener, refrigerator, oven, toaster).
- Chair massage.
- Remote control.
- Flashlight with batteries.
- Soldering iron.
- Laser pointer.
- Copy machine.
- Laptop, desktop PC.
- Digital music player (iPod).
- Barcode Scanner.
- AM / FM radio
It should be the minimum at a distance of 16 cm from the pacemaker to keep the following items:
- Portable electric kitchen appliances (mixer or knife).
- Remote control, antenna.
- Electric Toothbrush.
- Magnetic exercise bike.
- Hand dryer.
- Sewing machine.
- A vacuum cleaner.
- A circular saw.
- Battery power.
- Schematic chainsaw.
- Hand grinder.
- Lawn mower with electric power.
- Cordless Screwdriver.
- The router.
- Soldering iron.
- Ham Radio - 3 watts or less of the antenna.
- Cell Phone - 3 watts or less of the antenna.
- Wireless communication devices (computers, headsets, modems, routers, smartphones, Bluetooth ™)
- Wireless controllers (game consoles, Xbox ™ *, Playstation ™, Nintendo ™)
It is necessary to maintain a minimum distance of 31 cm between the following objects.
- Vehicle / motorcycle - elements of the ignition system.
- Electric fence.
- Induction cooktop.
- Boat motors.
- car battery.
- Ignition system components tools running on gasoline (lawn mower, snowblower, lawnmower, chainsaw).
It is necessary to maintain a minimum distance of 61 cm between the pacemaker and the following items.
- Connecting cables.
- Welding equipment with currents up to 160 amperes. Not recommended at all to communicate with the welding equipment with current up to 160 amps.
You should not approach within a meter to two welding machines and generators.
Experts do not advise to carry phones or players in a shirt over the pacemaker. The phone can keep the ear, MP3-player - in his hand, away from the pacemaker.
Medical treatments can also affect the operation of the pacemaker, to treat them:
- MRI, which uses a powerful magnet to create images of internal organs. Metal objects are attracted to a magnet, they are not used near the MRI. The magnet may interrupt stimulation and brake operation. If you need to conduct a survey, some models may be reprogrammed. To discuss the possible risks and benefits with your doctor before scanning.
- Extracorporeal shock wave lithotripsy (ESWL) - a non-invasive procedure that uses shock waves to break up kidney stones. This method is safe for most patients with a pacemaker with reprogramming capabilities. Will need to be carefully monitored after lithotripsy and within a few months to make sure that the device is working properly. Patients with certain types of pacemakers implanted in the abdominal cavity, to avoid this procedure. Each specific case is discussed with a doctor before and after treatment.
- Transcutaneous electrical nerve stimulation is used to treat acute or chronic pain. Several electrodes placed on the skin and connected to the pulse generator. Most studies have shown that this procedure is rarely inhibits bipolar electrical stimulation. It may sometimes briefly inhibit unipolar pacing. This is eliminated by reprogramming of the pulse generator.
- The diagnostic radiation (e.g., X), it seems that it does not exert any influence on the pacemaker pulse generators. However, the therapeutic radiation (e.g., for the treatment of cancer) can cause damage to the device. The degree of damage is unpredictable and can vary depending on the hardware system. But the risk is considerable and increases with increasing radiation dose. It recommended maximum protection to a pacemaker, to move, if it is in the immediate zone of irradiation. During such treatment should be regularly undergo an electrocardiogram to monitor the condition of the heart. Also, between and after the procedure to check the pulse generator.
- Electrocautery, used to stop bleeding during surgery.
- Dental equipment does not adversely affect pacemakers. However, some patients may experience an increase stimulation during a drill.
- Shortwave diathermy uses microwave or high intensity signals. They are able to bypass the protection of the pacemaker, interfere with or permanently damage the pulse generator.
Medical procedures that require some precautions. It is necessary to inform the doctor that implanted device:
- Argon ablation.
- Means for stimulating bone growth.
- Colonoscopy - removal of polyps.
- Computerized axial tomography.
- Electroconvulsive therapy.
- Electrosurgery and other procedures that use the electric probe for controlling bleeding.
- External defibrillation.
- Hyperbaric oxygen therapy.
- Magnetic therapy.
- Therapy interference currents.
- Microcurrent therapy.
- Mechanical ventilation.
- Electronic Muscle Stimulator.
- Neutron radiation.
- Radiation therapy (external x-ray radiosurgery).
- Stereotactic surgery.
- Transcranial magnetic stimulation
- Transcutaneous nerve stimulation.
- Transurethral needle ablation.
- Transurethral resection of the prostate
- Virtual colonoscopy with CT.
It is necessary to notify health care providers engaged by the patient, there is a pacemaker, including dentists, medical technicians. The equipment used by doctors and dentists, may affect the operation of the pacemaker. The presence of this device also shows - special cards, bracelets and jewelry for the neck.
In most cases, the pacemaker does not interfere with sports or any physical exercise (for example, it may be bowling, golfing, playing tennis, fishing, etc.). You should avoid contact sports - martial arts, wrestling, boxing, football, etc. As they may damage the unit or move the wire in the heart.
About once every three months, the doctor will check the pacemaker. Unfortunately, over time, the device cease to function properly:
- Displaced or broken wires.
- Battery becomes unusable.
- The disease progresses.
- Other equipment violates the transmission of electrical signals.
Several times a year will need to visit the doctor to check the operation of the pacemaker. Certain functions may explore remotely via phone or Internet.
Electrocardiogram performed in order to identify changes in the heart's electrical activity.
Replacing the pacemaker - lifetime
Battery life of 5 to 15 years (average 6-7 years), depending on how the device is active. The doctor will replace the generator with the battery before the battery starts to run down. Replacing them is less severe operation than the original. They can also change the device wires. Dr. notified during subsequent visits whether you want to change any components.
Removal of such systems is potentially a high risk procedure. The most common reason - infection. If an infection of any part of the system, it is usually impossible to cure the infection without complete removal of all equipment from the body. Doctors pulse generator is disconnected from the chest wall and remove all the cables from the veins and heart. Another reason - Faulty wiring or insulation failure.
Specialized companies have developed guidelines for safe disposal or recovery device. They contain instructions for removal, information on the qualifications and training of the attending physician, the methods and tools. Israeli surgeons carrying out operations of pacemaker replacement and removal in accordance with international standards.
Questions from our patients
- Can there be painful blows pacemaker during intimacy or some daily activities?
This rarely happens. The device is programmed in such a way that there is no such action. This can happen in the event that set specific criteria. When unexplained painful bumps need to see a doctor to determine the cause and make corrections in the device program.
- Is it possible to resume sexual activity after installing a pacemaker?
It is a natural part of life. Of course, that person wants to resume sexual activity when they feel comfortable. Nevertheless it, if such question arises, it will be useful to discuss it with the doctor.
- Do pacemakers with MRI-compatible devices?
Currently, most pacemakers under the influence of MRI change settings or temporarily out of order. However, there are special models, which under certain conditions may apply when undergoing an MRI.
- Is it possible to go through the stores antitheft protection sensors?
Such sensors in stores and libraries generate electromagnetic fields that identify embedded "tags" on the products. Under special circumstances, these fields may temporarily affect the operation of the pacemaker. Considerable intervention is hardly possible, if at a pace to go through the detectors. recommended:
- Be aware that they are there.
- In a normal pace to go through them.
- Do not linger near these systems.
If symptoms occur, you need to quickly move away from the equipment. The pacemaker will resume the previous mode, as soon as one leaves the field of action of this technique.
- Is it possible to pass through the security systems that are installed in airports or the courts?
Given the short period of the inspection, it is unlikely that the detectors will affect a pacemaker. To minimize the risk of a temporary intervention in the operation of the device must pass inspection without touching metal surfaces around the equipment. Do not stop and do not linger, passing through the archway at a normal pace. If you are using a manual metal detector, notify the employee not to keep it on the pacemaker. Alternatively, you can request a manual inspection. In the case where there is any doubt about the safety of the system, it is possible to present an identification card of the device, seek an alternative test and follow the instructions.
- Do the household magnets pacemakers and implantable defibrillators?
Despite the fact that most of the electromagnetic fields in the home environment is rarely affect the function of the pacemaker, it is recommended to keep away from predmer device, keeping a minimum distance of 15 cm.
It may be microwaves, kitchen appliances, cordless phones, radios, televisions, video games, CD players, hair dryers, electric shavers, electric toothbrushes, electric blankets, lawn, garage door openers, computers, and so forth.
Removal of the subject pacemaker returns to the normal state.
It is not recommended to use mattresses and pillows with magnetic inserts, since it would be difficult to keep 15 cm distance between them and a pacemaker.
- Why should avoid the welding?
Unlike most other household tools, welding equipment with a current of 160 amperes has a temporary effect on the normal function of the pacemaker.
- And what if you have to use a welding machine?
It is recommended to avoid the use of welding equipment in excess of 160 amperes. It is important to take precautions to minimize the risk of interference with the operation of the device.
- It is necessary to work in dry conditions with dry gloves and shoes.
- Hold 60 cm distance between the device and the implanted device.
- The welding cables should be as far away from the pacemaker. Distance working zone must be approximately 1.5 m.
- It should be shut down immediately if there is dizziness or fainting.
9. Why should avoid the use of a chainsaw?
Electromagnetic energy generated by a chainsaw, similar to power other electrical tools running on the gasoline engine. If an electromagnetic interference in the apparatus having symptoms such as vertigo and lightheadedness. In this case, running a chainsaw carries a very high risk of injury, in comparison with other power tools.
- Is it possible to fly a plane with a pacemaker?
There is no any specific risks associated with the flight.
In general, patients with implanted pacemakers can fly a few days after the operation, if there was no pneumothorax, if it occurred - in two weeks.
- You can ride in a car with a pacemaker?
Not less than seven days after the operation for installing the device can not go at the wheel, after the restoration - possible. It should further consult with your doctor.
- How many people live with a pacemaker?
The first pacemaker transplant in 1958 at the Karolinska Institute in Sweden. The first patient who received an implanted device, became Arne Larsson, who died in 2001 at age 86, having survived the inventor and surgeon.