Advice Following Pacemaker Generator Box Change

  • Reference Number: HEY-604/2014
  • Departments: Cardiology


This leaflet is intended to provide information for you after you leave hospital following your pacemaker generator box change procedure.  Most of your questions should be answered by this leaflet.  It is not meant to replace discussion between you and your doctor, but may act as a starting point for discussion.  If after reading this leaflet you have any concerns or require further explanation please discuss this with a member of the health care team caring for you.

Wound care

There may be some discomfort at first, near where the pacemaker box has been changed. You are advised to take painkillers such as paracetamol to ease the discomfort. Avoid painkillers that contain aspirin (although you should take prescribed aspirin in the normal way).

Keep the wound clean and dry and look for signs of swelling, redness or discharge. If you notice any of these or have excessive pain at the wound site you should contact your GP.

The wound is normally closed with dissolvable stitches or glue, which do not need to be removed. You will be informed by your nurse there are any stitches to be removed. The dressing should be kept on for 48 hours after the procedure, after which it may be removed. If the wound is clean and dry it may be left without a dressing.

If you have any concerns about the wound site you can either make an appointment to have it reviewed with the Practice Nurse at your GP surgery or contact the ECG Department directly on telephone number 01482 461537.

Once the dressing has been removed you may shower and bathe and female patients may wear a bra as usual.

When to contact your GP or seek medical advice

If you experience any of the following, notify your doctor immediately.

  • Difficulty in breathing, dizziness or fainting.
  • Prolonged weakness or fatigue.
  • Swelling of the legs, ankles, arms or wrists.
  • Chest pain or prolonged hiccupping.

Identification card and follow up

You will be given a new pacemaker identification card by the ECG technician when your pacemaker is checked on the ward. It is important you carry this card at all times. In case of an accident, this card will inform those attending you that you have a pacemaker. This card supplies basic information about your pacemaker.

General advice

You should not drive for 7 days after the generator box change. Avoid heavy lifting and physical activities for one week. You may return to work when your doctor feels you are fit to do so, normally after 3-7 days.

It is important you tell other doctors and your dentist that you have a pacemaker.
You do not need antibiotics for any dental or surgical procedure unless you have another problem with a heart valve. If in doubt ask your doctor.

Should you require further advice on the issues contained in this leaflet, please do not hesitate to contact:

Cardiology 5 Day Ward – (01482) 461517 / 461518 (Mon-Fri).
ECG Department – (01482) 461537 (Mon-Fri).

General Advice and Consent

Most of your questions should have been answered by this leaflet, but remember that this is only a starting point for discussion with the healthcare team.

Consent to treatment

Before any doctor, nurse or therapist examines or treats you, they must seek your consent or permission. In order to make a decision, you need to have information from health professionals about the treatment or investigation which is being offered to you. You should always ask them more questions if you do not understand or if you want more information.

The information you receive should be about your condition, the alternatives available to you, and whether it carries risks as well as the benefits. What is important is that your consent is genuine or valid. That means:

  • you must be able to give your consent
  • you must be given enough information to enable you to make a decision
  • you must be acting under your own free will and not under the strong influence of another person

Information about you

We collect and use your information to provide you with care and treatment. As part of your care, information about you will be shared between members of a healthcare team, some of whom you may not meet. Your information may also be used to help train staff, to check the quality of our care, to manage and plan the health service, and to help with research. Wherever possible we use anonymous data.

We may pass on relevant information to other health organisations that provide you with care. All information is treated as strictly confidential and is not given to anyone who does not need it. If you have any concerns please ask your doctor, or the person caring for you.

Under the General Data Protection Regulation and the Data Protection Act 2018 we are responsible for maintaining the confidentiality of any information we hold about you. For further information visit the following page: Confidential Information about You.

If you or your carer needs information about your health and wellbeing and about your care and treatment in a different format, such as large print, braille or audio, due to disability, impairment or sensory loss, please advise a member of staff and this can be arranged.