Pacemakers: Lifestyle Changes and Health Concerns

Cardiac pacemaker

Dr.
Bu: Hello! My mother underwent a 24-hour electrocardiogram at the hospital, and the doctor recommended that she get a pacemaker due to her heart stopping for 2.5 seconds.
However, I have heard that after getting a pacemaker, all daily activities need to be changed, such as avoiding electrical appliances that generate electromagnetic fields.
My mother is unwilling to get the pacemaker, and I have also heard that even with the device, she may only live a few more years.
I am very concerned.
Is this true? How should someone with a pacemaker arrange their daily activities, and what precautions should they take? Thank you for your help.
(My mother is 73 years old, has left ventricular hypertrophy, and experiences bradycardia—her heart rate was about 41-42 beats per minute before medication, and about 50-60 beats per minute after.
She gets very short of breath when climbing stairs—she is very thin, has fluctuating blood pressure that sometimes rises to 150-160, and is currently taking medication to control her blood pressure.
She often feels dizzy and has neck stiffness.) Wishing you good health, Justine.

Justine, 40~49 year old female. Ask Date: 2008/06/28

Dr. Bu Shiyun reply Cardiology

Many elderly individuals require the implantation of a pacemaker, and most of them can lead a normal life afterward.
The presence of a pacemaker does not prevent the use of common household electrical appliances (it has almost no impact!).
How long one lives is ultimately determined by fate and is not related to the implantation of a pacemaker.
We have patients who have lived into their 90s and needed to replace their pacemakers due to battery depletion (typically, they last about 7 to 10 years, depending on usage).
However, a pacemaker can only improve issues related to heart rate; it may not have any effect or improvement on individuals with pre-existing cardiac or pulmonary dysfunction.
This should be discussed with her physician.

Reply Date: 2008/06/28

More Info

Hello Justine,
Thank you for your question regarding pacemakers and the lifestyle changes that may be necessary after implantation. It's understandable to have concerns about your mother's health and the implications of having a pacemaker. Let's break down the information regarding pacemakers, their function, and the lifestyle adjustments that may be required.

A pacemaker is a small device implanted under the skin of the chest to help regulate the heart's rhythm. It is particularly beneficial for individuals who experience bradycardia, which is an abnormally slow heart rate. In your mother's case, her heart rate has been quite low, and the pacemaker can help ensure that her heart beats at a more appropriate rate, thus improving her overall quality of life and reducing symptoms such as dizziness and fatigue.

Lifestyle Changes After Pacemaker Implantation
1. Avoiding Strong Magnetic Fields: While it is true that individuals with pacemakers should avoid strong electromagnetic fields, this does not mean they must completely change their daily lives. Most household appliances, such as microwaves, televisions, and computers, are safe to use. However, it is advisable to keep a safe distance from strong magnets, such as those found in some industrial settings or certain medical equipment.

2. Medical Devices: Your mother should inform all healthcare providers about her pacemaker before undergoing any medical procedures. Some medical devices, like certain types of MRI machines, may not be compatible with pacemakers. However, many modern pacemakers are MRI-compatible, so it’s essential to check with her cardiologist.

3. Physical Activity: After recovery from the surgery, most patients can return to their normal activities, including exercise. However, it is crucial to follow the doctor's recommendations regarding the intensity and type of exercise. Light to moderate activities are typically encouraged, but high-impact sports or activities that may involve a risk of trauma to the chest area should be avoided initially.

4. Follow-Up Care: Regular follow-up appointments with her cardiologist are essential to monitor the pacemaker's function and make any necessary adjustments. These visits are crucial for ensuring that the device is working correctly and that her heart rhythm is stable.

5. Medication Management: Your mother is already on medication to manage her blood pressure and heart rate. It is important to continue taking these medications as prescribed and to communicate any side effects or concerns to her healthcare provider.

6. Diet and Lifestyle: Maintaining a heart-healthy diet, managing stress, and avoiding smoking and excessive alcohol consumption are beneficial for overall heart health. Encouraging her to engage in light physical activities, such as walking, can also be helpful.

Addressing Concerns About Longevity
It is a common misconception that having a pacemaker will only extend life by a few years. While it is true that a pacemaker is not a cure for underlying heart conditions, it can significantly improve quality of life and reduce symptoms associated with bradycardia. Many patients live full, active lives with a pacemaker, and the device can help prevent complications that may arise from an untreated slow heart rate.

Conclusion
In summary, while there are some lifestyle adjustments that your mother may need to make after getting a pacemaker, many of these changes are manageable and do not drastically alter daily life. The benefits of having a pacemaker, particularly in improving heart function and overall well-being, often outweigh the concerns. It is essential for her to have open discussions with her healthcare team to address any fears and to receive personalized advice on managing her condition.

If your mother is still hesitant about the procedure, it may be helpful for her to speak with her cardiologist about her concerns. Understanding the benefits and addressing any misconceptions can often help patients feel more comfortable with their treatment options.

Wishing you and your mother the best of health.

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