Our heart rhythm specialists use the latest implantable cardiac rhythm management devices, such as pacemakers and defibrillators, to treat abnormal heart rhythms or arrhythmias.
UPMC heart rhythm experts are among the region’s most experienced electrophysiologists who treat all types of irregular heart rhythms.
There are two common types: pacemakers and implantable cardioverter defibrillators.
In addition to these two main types of devices, our heart rhythm specialists offer a range of implantable devices and services, including:
If you have been diagnosed with an abnormal heart rhythm or sudden cardiac arrest, your doctor may recommend a cardiac rhythm management device. People with heart failure and inherited heart conditions may also benefit from a cardiac rhythm management device.
You may be a candidate for a cardiac rhythm management device if you:
Cardiac rhythm management device insertion is safe and effective when it is performed by an experienced electrophysiologist. However, there are risks associated with any medical procedure. Risks of cardiac rhythm management device insertion include:
On the day of your procedure, be sure to bring your photo ID and health insurance card(s). Leave valuables such as cash and jewelry at home.
Your doctor will let you know if you will be discharged the same day or stay in the hospital after your procedure. If you are discharged the same day, you will need to arrange for a ride home. If you will be staying in the hospital, you should bring toiletries, a robe, slippers, a cell phone and charger, medications, and a change of clothes.
Your cardiac rhythm management device insertion procedure will take 1-2 hours.
After you are positioned on your back on the procedure table, you will be connected to monitors that measure your vital signs (heart rate, blood pressure, breathing rate, and oxygenation level) during the procedure. You will also be connected to an electrocardiogram (ECG or EKG) that records and monitors the electrical activity of your heart using small electrodes that stick to your skin. Your procedure will most likely be performed under monitored anesthesia to keep you comfortable.
After the device insertion site is cleansed, your doctor will make a small incision where the lead will be inserted into a blood vessel and guided into the heart. The device’s generator will be slipped under your skin through the incision (just below your collarbone) after the lead is attached to the generator.
Your doctor will perform certain tests to make sure the device is working and use the ECG to monitor the results.
After your doctor confirms that your device is working properly, your skin incision will be closed, and a sterile bandage or dressing will be applied.
After your procedure, you may be taken to the recovery room for observation or returned to your hospital room where a nurse will monitor your vital signs. You should immediately inform your nurse if you feel any chest pain, tightness, or any other pain at the insertion site. The insertion site may be sore or painful and pain medication may be administered if needed.
After a period of bed rest, you may get out of bed without assistance. A nurse will assist you the first time you get up and will check your blood pressure while you are lying in bed, sitting, and standing. You should move slowly when getting up to avoid any dizziness from the period of bed rest. You will be able to eat and drink after you are completely awake.
After you arrive home, it will be important to keep the insertion site clean and dry. You will be given instructions about bathing and showering. You should be able to return to your daily routine within a few days. Your doctor will tell you if you need more time to return to your normal activities. In addition, you should avoid lifting or pulling on anything for 4-6 weeks (about 1 and a half months).
You may be instructed to limit movement of the arm on the side where your device was placed. If your device delivers a shock to reset your heartbeat, you will be given specific instructions about what to do the first time a shock occurs. For example, you may be instructed to dial 911 or go to the emergency room in the event of a shock from the device. Calming yourself with slow, deep breaths can be helpful if you are anxious after a shock.
Based on the nature of your job, your overall health, and your progress, your doctor will determine how soon you may return to work. You will not be able to drive until your doctor says it’s OK. These limitations will be explained to you if they are applicable to your situation.
You should call your doctor if you are having any unusual symptoms, including:
Your doctor may give you additional or alternate instructions after the procedure, depending on your situation.
With a cardiac rhythm management device, you may live as long as any other person who does not have heart problems. Although you will need routine follow-up care and device maintenance, your device will enable you to live a normal life.
Cardiac rhythm management devices are more than 95 percent effective at treating abnormal heart rhythms. ICDs are an effective treatment for preventing death from sudden cardiac arrest.
Our physicians implant hundreds of cardiac rhythm management devices each year and use the latest technology and techniques. If you require additional cardiovascular care, the specialists at UPMC have the skills and experience needed to perform advanced cardiovascular procedures and offer you the latest treatment options.
Last reviewed by a UPMC medical professional on 2024-10-01.
