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Pacemaker Complications

Problems that may arise during permanent pacemaker implantation and long-term follow-up.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kardiyoloji department. Book Appointment →

What is Pacemaker Complications?

Permanent pacemaker implantation is lifesaving for many patients but may cause various complications during the procedure or long-term. Early complications include pneumothorax, hematoma, lead dislodgement and infection.

Late complications include pocket infection, systemic endocarditis, lead dysfunction, venous thrombosis, Twiddler syndrome and pacemaker syndrome. Device-related arrhythmias and new conduction disturbances are common follow-up issues.

Diagnosis relies on clinical evaluation, device interrogation, chest radiography and echocardiography. Infected systems generally require complete device and lead extraction in experienced centers.

Symptoms

Redness and discharge at the pocket
Fever and chills
New palpitations or bradycardia
Chest pain and dyspnea
Swelling of the neck or face (venous thrombosis)
Pacemaker syndrome (weakness, dizziness)
Loss of capture in Twiddler syndrome

Risk Factors

Advanced age
Diabetes and immunosuppression
Renal failure
Prior device infection
Multiple leads
Anticoagulant therapy
Poor subcutaneous tissue

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Pain, redness or discharge at the pocket
  • Fever and chills
  • New syncope or palpitations
  • Chest pain and respiratory distress
  • Swelling of the neck/face or arm

Treatment Methods

01
Chest tube for pneumothorax
02
Lead repositioning for dislodgement
03
Antibiotics and system explantation for pocket infection
04
Anticoagulation for venous thrombosis
05
Mode change for pacemaker syndrome
06
Regular device checks and firmware updates

Which Department to Visit?

You can visit our Kardiyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.