A pacemaker implantation is a medical procedure designed to help regulate abnormal heart rhythms. At Epic Cardiology, serving Los Angeles and the Inland Empire—including Chino, Inglewood, Sherman Oaks, Lynwood, San Dimas, and Pomona—multiple providers often explain this procedure as a safe and effective way to support patients with arrhythmias. Understanding the steps involved can help ease anxiety and prepare individuals for what to expect before, during, and after the procedure.

Pacemakers are small devices implanted under the skin that send electrical signals to the heart to maintain a steady rhythm. They are commonly recommended for individuals who experience slow heart rates, heart block, or other rhythm disorders. Knowing the procedure’s details allows patients to approach it with confidence and ensures they can actively participate in their heart health journey.

Preparation for the Procedure

Before a pacemaker implantation, patients typically undergo a series of evaluations, including blood tests, an electrocardiogram (ECG), and imaging studies to assess heart function. The medical team will review medications, allergies, and overall medical history to ensure the procedure is safe. Patients may be advised to avoid food and drink for several hours before the surgery and to arrange for transportation home afterward, as anesthesia and sedatives can affect alertness.

During the preparation phase, the healthcare team will explain the procedure, answer questions, and provide instructions on what to wear and how to care for the surgical site. Patients are encouraged to communicate any concerns about anesthesia or post-procedure recovery. This stage helps both the patient and providers achieve the best possible outcomes while minimizing risks.

The Implantation Procedure

The pacemaker implantation is typically performed in a specialized cardiac procedure room under local anesthesia, often with mild sedation to help the patient relax. The doctor creates a small incision, usually near the collarbone, and inserts leads through a vein into the heart. These leads connect to the pacemaker device, which is then positioned under the skin. The placement is carefully monitored using imaging techniques to ensure proper function.

Throughout the procedure, the patient’s heart rhythm, blood pressure, and oxygen levels are closely monitored. The procedure usually lasts between one and two hours, depending on the patient’s condition and complexity of the implantation. After the device is in place, the provider tests it to ensure it delivers appropriate electrical signals and adjusts settings if needed. Patients are often awake but may feel mild pressure or discomfort near the incision site.

Recovery and Follow-Up

After a pacemaker implantation, patients typically spend a few hours in a recovery area while medical staff monitor vital signs and ensure the device functions correctly. Some soreness and swelling around the incision are normal, and providers usually give instructions on caring for the site, managing discomfort, and avoiding strenuous activity for several weeks. Patients are encouraged to report any unusual symptoms, such as fever, redness, or difficulty breathing, immediately to their healthcare provider.

Follow-up appointments are essential to check the pacemaker’s function and adjust settings if needed. These visits allow providers to monitor the device, review heart rhythm data, and address any concerns. Long-term, pacemakers can significantly improve quality of life for patients with heart rhythm disorders, enabling them to engage in daily activities with reduced risk of complications.

Tips for Patients

• Avoid heavy lifting and repetitive arm movements for a few weeks.
• Keep the incision site clean and dry.
• Monitor for any unusual symptoms and report them promptly.
• Attend all scheduled follow-up appointments.
• Maintain a list of medications and heart health updates for providers.

Conclusion

A pacemaker implantation is a carefully planned procedure that can help manage abnormal heart rhythms and support long-term heart health. At Epic Cardiology, with locations across Los Angeles and the Inland Empire—including Chino, Inglewood, Sherman Oaks, Lynwood, San Dimas, and Pomona—patients can understand the steps of this procedure, from preparation to recovery. Being informed about what to expect allows individuals to approach the procedure with confidence and take an active role in maintaining their cardiovascular well-being.

Resources
McLaughlin, K. A., & Nolen-Hoeksema, S. (2011). Rumination as a Transdiagnostic Factor in Depression and Anxiety. Behavior Research and Therapy.
Kusumoto, F. M., Schoenfeld, M. H., Barrett, C., et al. (2018). 2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay. Journal of the American College of Cardiology.
Wilkoff, B. L., Love, C. J., Byrd, C. L., et al. (2002). Transvenous Lead Extraction: Heart Rhythm Society Expert Consensus on Facilities, Training, Indications, and Patient Management. Heart Rhythm.