Had mine fitted last Thursday under local looking forward to getting back to normality.

Anyone have any tips 

1. how to get used to having it in your chest

2.Exercise when to start again.

3.Sleeping Positions



It's very personal

by crustyg - 2021-05-13 17:43:32

I was very lucky, very little post op pain, fitted on Wed under local only, back on my roadbike on Sun - for me, with SSS+CI it made a big difference.

How to get used to it in your chest: ignore it, don't touch/feel/fiddle with it.  Easy to say, but it does work over time.

Sleeping position: I'm a Left-sided sleeper, so that was difficult for the first week, after that it was easier.  Ironically on my L side I used to get 40kicks in the chest (no AV-sync), but with PM it was 50BPM but more gentle and less distracting.  Lying on the L makes the heart fall forward and closer to the chest wall (hence why they lie you like that for an echo), so the beats of an enlarged heart will be more apparent, but you get used to that.

I can't sleep on my back (too bony, and upper airway closes), so it's either L or R sided: I just toss and turn, but you can learn and practice getting off to sleep by clearing your mind (easy in my case!).

Best wishes.

New Stuff

by Theknotguy - 2021-05-13 22:18:28

1) Eventually your body gets used to the pacemaker being in the pocket and you don't notice it's there. People will report "ant bites" and sometimes sharp pains in the pocket area as the nerves heal. The healing  can take up to a year to go away.  
2) You start exercise immediately.  Going on walks and gently moving your arm will help.
After the skin wound heals over, you can start to do more exercise, but start out slowly and don't push it.  
3) Sleeping is the hardest.  If you sleep on the left side, the pacemaker usually gets pinched and you can't stay in that position for very long.  It took me several years to be able to sleep on my left side and only for short periods of time.  Sometimes using pillows will help.  I finally learned how to sleep on my back.


by AgentX86 - 2021-05-13 22:57:10

1.  Do you notice your little toe?  Soon enough your PM won't be much different.  Like your little toe, unless you whack it it's just there.

2. Exercise.  I started my normal walking the day after I got home.  My EP wouldn't let me go to the gym for a month so I didn't do the treadmill until then.

3. Sleeping.  When I had a CABG, I slept in a recliner for several months.  I just did it again after my PM.  I'm normally a stomach sleeper so that was out.  If not my stomach, I normally sleep on my right side, perhaps because of my PM.  It doesn't hurt, I'm just not used to it.  I can't sleep on my back because, like Crusty, I can't breathe normally.  I also got leg cramps, which weren't any fun when they woke me.  Sleeping in the recliner mostly fixed the above (used a pillow under my knees to avoid cramps).



Just like before

by Tulp - 2021-05-14 06:37:58

Welcome to the club you wish you never needed to join.

Try to see it as your new gardian Angel. I réfer to mine as my room-mate.

As for sleeping, I was lucky to be able to sleep on both sides after less then 2 weeks, but I know that is not common.

But it does happen...

I think k you have already dealed with the worse part.



by dwelch - 2021-05-15 00:35:44

You are only a week in.  The first week sucks for sleep, you might not expect to still be making it through the night the first week.  Second week the expectation is better, but on the other side, but might be close to start moving over to that side.  Expect the first few weeks to not be normal.  But normal will  come and it wont take very long.

Like your belly button or a toe you know you have one but dont think about it, you will be there before you know it.

You need to keep the arm moving, but not tennis or golf or whatever.  A little bit more every day.  Deal with washing your hair with both hands which can take days or weeks.  Depending on the sports or activities in question it may take months....but it will happen.

sleeping positions

by Julros - 2021-05-15 00:41:09

Here are a few that worked for me, although usually only for an hour or two at a time. I sleep primarily on my side, with a pillow propping up which ever arm is on top, or hugging the pillow. Sometimes having a pillow tucked in behind my back and then leaning against it, and sometimes in a recliner. But even in a recliner tucking a pillow behind one side of my back was more comfortable, plus a pilllow under my arm. 

Eventually you will forget it is there!

by asully - 2021-05-15 01:38:18

I don't remember when I stopped being aware of it at all times but it wasn't long.  Once your raw nerves heal it just kind of feels like part of you.  The only time I notice mine is when I accidentally bump or rub it against something hard, which doesn't happen too often.

I started exercising right away, in fact I did cardiac rehab following my first device and was lifting weights and jogging in no time.  Of course follow any instructions your doctor gives you about how much weight you can lift etc during the first few weeks, but after it's healed up get moving!

My device was abdominal so I can't give any tips really on sleeping positions, however following any surgery I have ever had I use extra pillows to prop me up in ways that are comfortable, and if I really am struggling to lay flat I use a travel neck pillow and sleep propped up or in a recliner.  You can buy super comfy memory foam travel neck pillows on Amazon for cheap!


by ggggareth - 2021-05-20 15:42:39

Hi All,  

Thank you very much for the comments, I'm still struggling to sleep on my LHS but it is getting easier. Managed 7 miles yesterday walking so getting back to my old self.

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