Living With a Pacemaker: What You Need to Watch For

For our patients who receive a pacemaker, the return to daily life is usually very smooth; still, being informed about a few practical matters makes the process even more comfortable. In this article I will explain what to watch for when living with a pacemaker.

In Which Situations Is a Pacemaker Implanted?

We implant a pacemaker when the heart’s own electrical system works too slowly (bradycardia) or when a block develops in the conduction pathways, in order to keep the heart beating regularly and at an adequate rate. The device consists of a small box placed under the skin and thin wires (electrodes) that run to the heart.

Using a Mobile Phone and a Microwave Oven

Modern pacemakers are designed not to be affected by most electronic devices encountered in daily life; microwave ovens are completely safe. When using a mobile phone we recommend that you use the ear on the opposite side from the device and avoid carrying the phone in a breast pocket directly over it; these simple precautions provide adequate safety.

Battery Life and the Replacement Process

The battery of a pacemaker generally has a life of between 8 and 12 years; this depends on the device settings and how heavily it is used. When the battery runs low, a small procedure to replace only the generator unit is enough; the leads running to the heart are usually left in place without being changed.

Frequently Asked Questions

Can I have an MR scan with a pacemaker? Many modern pacemakers today are MR compatible; however, this depends on the model of the device, so we recommend that you always consult us beforehand.

Can I do sport with a pacemaker? You can safely continue most sporting activities; in heavy contact sports we recommend that you avoid direct blows to the area where the device sits.

When will my device be replaced, and how will I know? At your regular check-ups we monitor the battery level of the device and inform you in advance when the time for replacement approaches.

Conclusion

Apart from a few simple practical precautions, living with a pacemaker does not restrict your daily life. Regular check-ups ensure that the device works trouble-free and is serviced at the right time.

You can book an appointment to discuss any questions about your pacemaker or your daily life.

References

1. Glikson M, Nielsen JC, Kronborg MB, et al. 2021 ESC Guidelines on Cardiac Pacing and Cardiac Resynchronization Therapy. Eur Heart J. 2021;42(35):3427-3520.