![]() ![]() The doctor uses X-ray images to guide the wires to the heart. To place a pacemaker, a doctor inserts one or more wires into a major vein under or near the collarbone. During the pacemaker surgery, you may be fully awake or lightly sedated. This medicine is called local anesthesia. Usually, medicine is used to numb the skin where the pacemaker will be inserted. Medicine called a sedative goes through the IV. A member of your health care team puts an IV into your forearm or hand. Your chest is cleaned with a special soap. Surgery is needed to place a pacemaker in the body. Sometimes, a stress test is done with other imaging tests, such as an echocardiogram. Exercise tests show how the heart responds to physical activity. These tests often involve walking on a treadmill or riding a stationary bike while the heart's rate and rhythm are watched. It shows how blood flows through the heart and heart valves. An echocardiogram uses sound waves to create pictures of the beating heart. A Holter monitor may be able to see irregular heart rhythms that an ECG missed. It may be done if an ECG doesn't provide enough details about a heart problem. This portable device is worn for a day or more to record the heart's rate and rhythm during daily activities. Ask a member of your health care team if this is an option for you. Some personal devices, such as smartwatches, can check the heartbeat. This quick and painless test checks the heart's electrical activity. Several tests are done to determine if a pacemaker is right for you. Moving or shifting of the device or leads, which could cause a hole in the heart.Blood in the space between the lung and the chest wall.Blood clots near where the device is placed.Swelling, bruising or bleeding, especially if you take blood thinners.Infection near the site in the heart where the device is placed.Possible complications of a pacemaker device or its surgery may include: ![]()
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