Insertion Site

1. Remove the initial bandage 24 hours after surgery. We recommend that you leave your incision uncovered. A dry dressing may be applied if there is oozing from the site.
    
2. It is normal to have a small amount of bruising at the site. Seek medical assistance if you have a large amount of bruising or develop a hard lump on or near the incision.
    
3. If your incision becomes red, hot, more painful, swollen or begins to drain fluid, notify your physician immediately. These symptoms along with a fever could indicate an infection.
    
4. You may shower and gently pat dry your incision.
    
5. There may be slight soreness around the incision site. If required, pain medication may be taken to relieve this discomfort.
    
6. You will be instructed to make an appointment with your family doctor or with the surgeon for suture removal within 10-14 days post insertion.

Activity

In the 4 weeks following your implant avoid sudden, jerky movements of your arms, or stretching or reaching over your head. Avoid circular type movements involving your shoulder. Most patients may resume regular activities in 4 weeks.

Follow-up

1. Symptoms associated with the condition that lead to your implant should diminish or disappear. Inform your physician about any new sensations that you have experienced as a result of your implant. Your physician may use this information to adjust your program settings to suit your individual needs.
    
2. Follow-up appointments at the Pacemaker Clinic at the hospital will be scheduled. Your first follow-up visit will be in 6 weeks and then every 6 months or as required. During these sessions the cardiologist or technologist will assess your implant's function and battery. It is important to regularly attend these visits to ensure the optimum function of your pacemaker.
    
3. The notice of your appointment will be mailed to you. We request that you confirm your appointment 2 days prior.
    
4. Carry your Pacemaker Identification Card with you at all times. This identification provides health care professionals with information specific to your pacemaker. Application forms for Medic Alert Bracelets will also be provided for you.

Medical Follow-up

• If you have any concerns call your Family Doctor, Cardiologist, the Pacemaker Clinic or the Emergency Department.
• You may also contact Telehealth Ontario at 1-(866)-797-0000 at any time for free access to a registered nurse to answer any questions that you may have.