Pacemaker Upgrade

What is an Pacemaker Upgrade?

A Pacemaker Upgrade is a procedure performed to replace or upgrade an existing pacemaker device to improve heart rhythm management or address issues such as device malfunction, battery depletion, or changes in your heart condition.

In most cases, the existing leads (wires) remain in place and only the pulse generator (battery unit) is replaced. This allows continued support of your heart rhythm using updated or improved technology. The procedure is performed by a Cardiologist in a Cardiac Catheterisation Laboratory.

What to expect before your procedure

Please note this booklet provides general information about your procedure. The hospital booking team will contact you prior to your procedure with personalised instructions specific to your medical history.

Before

Your Cardiologist may request a blood test.

You may be asked to stop taking some medications.

You are required to fast from midnight, or for at least 6–8 hours prior to your procedure (as instructed).

If you are a diabetic, please contact us for specific instructions.

Please pack an overnight bag, as you will be required to stay overnight for observation.

In some cases, a Transoesophageal Echocardiogram (TOE) may be required prior to the upgrade, depending on your Cardiologist’s recommendation.

On the day of your procedure

Make transport arrangements to and from the hospital as you won’t be able to drive after the procedure.

Arrive at the Hospital at least two hours prior to your procedure.

During the procedure

The procedure is performed in a Cardiac Catheterisation Laboratory.

You will be given light sedation (also known as twilight sedation) to keep you comfortable.

An incision is made at the existing pacemaker site.

The pulse generator is disconnected from the existing leads.

The new upgraded device is connected to the existing leads.

The device is tested to ensure correct function.

The incision is then closed.

Post procedure care & discharge information

You will be taken to a recovery area for observation and monitoring.

Once stable, you will be transferred to a patient room and monitored regularly.

You may be required to lie flat for approximately one hour to support healing at the incision site.

In most cases, your Cardiologist will be able to provide results on the day of your procedure.

A full report will be sent to your referring doctor.

If discharged the same day, ensure someone is available to stay overnight with you.

Avoid strenuous activities such as:

Sports

Heavy lifting

Vigorous housework

for at least 2 days, or as directed by your Cardiologist.

Drink plenty of fluids to support recovery.

Please contact our rooms on (08) 9389 8658 to book your post-procedure follow-up appointment for 4–6 weeks, or as instructed by your Cardiologist.

Important information

Please seek URGENT medical care by visiting your closest Emergency Department if you experience any of the following:

Chest pain or shortness of breath that does not go away with rest

Fever or chills

Bleeding or new bruising or swelling at the incision/catheter site

Light headedness or vision impairments.

Increasing pain or discomfort.

Numbness, tingling, change in skin colour, or weakness developing in your limbs

Important Contact Information

Should you have any queries relating to your procedure, patient care or hospital admission, please contact our office on:
p. 08 9389 8658 – press option 1 and 2
OR
email: hospital.bookings@accesscardiology.com.au