Why cant you raise your arm after pacemaker?

Why cant you raise your arm after pacemaker?

You will probably stay in the hospital for a day after having your new pacemaker is implanted. Sometimes, the procedure is so quick that people don’t need to stay overnight. Your doctor will program the pacemaker to match your specific pacing needs before you go home.

It can take a few days to a few months to fully recover from the procedure. You can find some general tips below. But be sure to talk to your doctor about making lifestyle changes and going back to your usual activities.

Important to Know

  • Take a break from heavy lifting or rough contact.
  • Call your doctor if you have any swelling, redness or discharge around your incision, your heart rate drops below the minimum set for your pacemaker or you have a fever longer than two or three days.
  • Carry your Medical Device ID Card with you at all times.
 

As you recover from your procedure, your pacemaker may allow you to return to an active lifestyle. But it’s important to follow your doctor’s instructions, including:

  • Tell all of your doctors, dentists and emergency workers that you have a pacemaker and show them your Medical Device ID Card.
  • Walk, exercise and bathe according to your doctor’s instructions.
  • Don’t wear tight clothing that could irritate the skin over your implant.
  • Avoid rubbing your implant or the surrounding chest area.
  • Ask your doctor if it is safe for you to do activities that could hurt your or others if you lose consciousness, like driving, swimming alone or climbing a ladder.
  • Continue taking medications as instructed by your doctor.
  • Avoid supporting your weight with your arms during sexual activity while your incision is healing.
 

Your doctor will help you decide what level of activity is best for you in the short-term.
Some general guidelines are:

  • Avoid strenuous activity, especially lifting and other activities that use your upper body. This gives the lead(s) time to firmly attach to your heart tissue and allows the incision time to heal.
  • Avoid rough contact that could result in a blow to your implant site.
  • Limit certain arm movements if your doctor tells you to.
  • Avoid lifting heavy objects until your doctor tells you it is OK.
 

It’s important to carry your Medical Device Identification Card with you at all times. This includes going away for the weekend or just running a quick errand,. In an emergency, the card will let medical and security workers that you have a pacemaker.

  • You will get a temporary Medical Device ID Card when you get your pacemaker.
  • We will mail you a permanent card about six to eight weeks after your implant.

Your Medical Device ID Card has your name, your doctor’s name and phone number, and the model numbers of your pacemaker and leads.

Moving or Selecting a New Doctor

Please tell us if you move or get a new doctor. You can use our online patient portal or call us at 1-800-728-3282 to update your record. We will send you a new ID card.

Update Your Medical Device ID Card

 

Many pacemakers can be checked by the doctor’s office remotely using wireless technology. This allows your doctor to access data about your heart rate and rhythm, how your pacemaker is working, adjust settings if necessary and check its battery life.

Remote technology may mean fewer trips to the doctor. But you’ll still need to be seen in person for follow-up visits so your doctor can adjust your pacemaker to best meet your needs. A typical follow-up visit takes about 20 minutes.

 

Your doctor will give you guidelines about when you should call. Here are some general tips on when to call your doctor. Call if you:

  • Have a heart rate that drops below the lowest rate set for your pacemaker
  • Have symptoms of an abnormal heart rhythm and have been told to call
  • Notice swelling, redness or drainage from your incisions
  • Have a fever longer than two or three days
  • Have questions about your device, heart rhythm or medications
  • Plan to travel or move so you can form a care plan for while you are away
  • Notice anything unusual or unexpected, like new symptoms or symptoms you had before your pacemaker
 

Why cant you raise your arm after pacemaker?

Our patient support team is happy to help answer all your questions about living with your device.

Phone: 866.484.3268
Hours: M-F 8:00 a.m. - 5:00 p.m. Central

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As with any medical or surgical procedure, pacemaker implantation has risks as well as benefits.

A blood clot can develop in one of the veins in the arm on the side of the body where the pacemaker was fitted.

This may cause some swelling in the affected arm, but it usually settles in a few days and is rarely a serious problem.

In some cases, you may be given anticoagulant medication, which stops the clot getting bigger.

Some people with a pacemaker can develop a pacemaker infection. This usually happens within the first 12 months of having the device fitted.

Symptoms of a pacemaker infection include a high temperature and pain, swelling and redness at the site of the pacemaker.

Call your GP or cardiologist as soon as possible for advice if you're worried you have developed an infection. 

If this is not possible, call NHS 111 or your local out-of-hours service.

A pacemaker infection is usually treated using a combination of antibiotics and surgery to remove and then replace the pacemaker.

If an infection is not treated, it could spread into your lungs (pneumonia), the lining of your heart (endocarditis), or your blood (sepsis).

As the vein the pacemaker wires are inserted into lies very close to one of the lungs, there's a risk of the lung being accidentally punctured during the procedure.

This means air can leak from the affected lung into the chest area. This problem is known as pneumothorax.

In most cases, the leak is very small and gets better on its own without treatment.

If a lot of air leaks into the chest, this may need to be sucked out using a needle and placing a special drain into the chest area.

If a drain is required, you may need to stay in hospital for an extra day or two.

As with any electronic device, there's a small chance your pacemaker could stop working properly. This is known as a pacemaker malfunction. 

A pacemaker can go wrong if:

  • the lead gets pulled out of position
  • the battery of the pulse generator fails
  • the circuits that control the pacemaker are damaged after being exposed to strong magnetic fields
  • the pacemaker has not been properly programmed

Signs your pacemaker may have failed include:

  • your heart begins beating more slowly or quickly
  • dizziness
  • hiccups
  • fainting or nearly fainting

Seek immediate medical advice if you're concerned your pacemaker has failed.

In some cases, it may be possible to correct a pacemaker remotely using wireless signals or magnets.

Otherwise, the pacemaker will need to be removed and replaced.

Twiddler's syndrome is when the pacemaker generator is pulled out of its normal position because a person is moving it back and forth or round and round under the skin ("twiddling" with it), often without realising.

One possible treatment option is to stitch the generator more firmly to the surrounding tissue so it cannot be moved.

Page last reviewed: 26 July 2022
Next review due: 26 July 2025