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YOUR PRACTICE WORKSPACE

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YOUR PRACTICE NAMELeadless pacemaker · Understanding

START HERE

Your leadless pacemaker checklist

Keep this guide with your medication plan and discharge instructions.

Before you arrive

  • Read the medication and fasting plans. Your team must complete any intentional blanks before you follow them.
  • Complete scheduled tests. Bring your current medicine list and allergy information.
  • Arrange an adult driver and someone to stay with you after sedation.

Procedure date / arrival time:

Facility / check-in location:

Before you leave

Keep the current medication list, recovery instructions and follow-up details together. Have conflicting instructions resolved before discharge. Use the emergency warning signs in this guide.

Follow-up appointment or timeframe / booking instructions:

Practice phone: ____________________

After-hours number / route: ____________________

UNDERSTANDING YOUR PROCEDURE

Leadless pacemaker

Before and after a leadless pacemaker implant

What the procedure does

A leadless pacemaker is a small device placed directly inside the heart through a catheter, without a chest pocket or wires passing from the chest to the heart. Depending on the system and your pacing needs, one device or a pair of devices may be used. It treats slow heartbeats; it does not deliver defibrillator shocks and is not suitable for every pacing need.

On the day

The team numbs the groin and uses sedation or anesthesia as needed. A delivery catheter goes through a vein to the heart, where the pacemaker is secured and tested. The catheter is removed and the access site is closed with pressure, stitches or a closure method. You lie flat for the prescribed observation period. The team checks the device and access site before discharge; same-day discharge or an overnight stay depends on recovery.

Benefits and risks

Pacing may improve fainting, dizziness or fatigue caused by a slow heart rate. Risks include bleeding, injury or clots in the access vein, infection, heart perforation or fluid around the heart, device movement, pacing problems and need for another procedure. Serious complications and death are uncommon but possible. Battery depletion later requires an individualized replacement or retrieval plan.

YOUR PRACTICE NAMELeadless pacemaker · Preparation

Getting ready

Medicines and fasting

Use the individualized blood thinner and antiplatelet plan below. A leadless implant does not automatically mean these medicines should be stopped, bridged or newly started. Access-site bleeding risk, clotting risk, drug timing and kidney function matter.

Blood thinner / antiplatelet plan

Food and drink plan

SGLT2 medicines

GLP-1 medicines

Other preparation instructions

Any separate written instructions for insulin or other diabetes medicines take priority; do not apply a general morning-medicine instruction to them.

YOUR PRACTICE NAMELeadless pacemaker · Recovery

Recovering at home

What to expect

Mild improving groin soreness and bruising can occur. Worsening swelling, pain or difficulty walking needs assessment. The pacemaker does not cure every rhythm disorder and does not automatically replace your medicines.

Your recovery instructions

Groin dressing & shower
Activity after catheter access
Driving
Device follow-up

Follow-up

Appointment / return-to-work details:

Driving clearance date / review plan:

Living with your leadless pacemaker

Carry your device ID card. Tell the imaging team before MRI: eligibility, scanner conditions and any required programming depend on your exact system. Follow the manufacturer’s instructions for magnets and medical equipment. Ordinary household appliances in good condition can generally be used. Do not assume that “leadless” means every MRI or strong magnetic source is safe.

YOUR PRACTICE NAMELeadless pacemaker · When to get help

When to get help

Call 911

  • Severe or sudden chest pain or trouble breathing, fainting, or stroke symptoms such as facial droop, arm weakness or trouble speaking.
  • Heavy or continuing bleeding despite firm pressure, or rapidly growing painful swelling with weakness or faintness. Lie down, keep firm pressure on the bleeding site and have someone call 911.
  • A cold, pale, numb or severely painful leg, especially on the catheter-access side.

Do not drive yourself. Do not wait for a message or remote-monitor response.

Contact the clinic the same day

Increasing groin swelling, redness, warmth, drainage or pain; fever or chills; return of dizziness or near-fainting.

For warning symptoms after hours, use the contact route below. If you cannot reach the team and symptoms are worsening, seek urgent assessment. Use 911 for the severe symptoms listed above.

Practice phone: ____________________

After-hours number / route: ____________________

Follow your personalized medication and recovery plan. This guide supports, but does not replace, the consent discussion or your treating team’s instructions.

PatientReady · Leadless pacemaker · 24 Sep 2026
Evidence behind these instructionsLeadless pacemaker · For your practice’s review

These notes explain the original template, not custom wording or older saved guides. Basis labels distinguish guidelines from manufacturer information and local protocols. A source-check date is not clinical approval. This provider-only section does not print.

Food, drink and morning medicinesPractice protocol — not a universal guideline
Template default
Nothing to eat or drink after midnight; approved morning medicines with small sips of water.
Why this choice
Midnight is this template’s selected local cutoff, not an ASA requirement. ASA allows clear liquids until 2 hours before anesthesia in appropriate healthy elective patients.
Exceptions & limits
Longer fasting is not automatically safer. Anesthesia must set the appropriate plan for aspiration risk, diabetes, delayed gastric emptying and procedure timing. Insulin and other diabetes medicines need a separate plan.

Sources last checked:

SGLT2 medicinesDrug-label-based guidance
Template default
Hold empagliflozin, dapagliflozin and canagliflozin at least 3 days; ertugliflozin at least 4 days.
Why this choice
The differing intervals address perioperative ketoacidosis risk. ACC summarizes the FDA intervals; the linked ertugliflozin label also specifies restart after clinical stability and oral intake resume.
Exceptions & limits
Applies to scheduled surgery/prolonged fasting. Urgent procedures, suspected ketoacidosis, poor intake or dehydration need individualized management. Combination tablets must be identified.

Sources last checked:

GLP-1 medicinesMultisociety clinical guidance
Template default
Continue for patients assessed as low risk for delayed stomach emptying.
Why this choice
The 2024 guidance uses risk assessment rather than a blanket one-week hold. Stopping therapy also has metabolic and access consequences.
Exceptions & limits
Dose escalation, significant GI symptoms, higher doses and other causes of delayed gastric emptying may require a 24-hour liquid diet, modified anesthesia or deferral. The routine text presupposes anesthesia screening; it does not perform that screening.

Sources last checked:

Procedure scope and anesthesiaGuideline / primary patient education
Template default
Before and after a leadless pacemaker implant
Why this choice
Leadless pacing avoids a chest pocket; single- and dual-chamber systems differ.
Exceptions & limits
MRI and monitoring capabilities are model-specific. No assumption that all systems have home monitoring.

Sources last checked:

Blood thinners and antiplateletsIndividualized plan; no universal hold
Template default
Leave the drug-specific before/restart plan for entry or handwriting.
Why this choice
Avoid importing an AF ablation hold schedule or starting aspirin/anticoagulation solely because of this procedure.
Exceptions & limits
Large-bore venous access and drug/renal factors matter; transvenous pocket protocols are not interchangeable.

Sources last checked:

Wound care, movement and drivingEditable clinic protocol — not universal guideline
Template default
Simple groin dressing off / shower after 24 hours (48-hour option); 7-day no-soaking and 10-pound heavy-use limit.
Why this choice
Protect the vascular access site while maintaining gentle walking.
Exceptions & limits
No chest-incision or shoulder restrictions from leadless implantation alone. A special closure, retained suture, complication or concomitant procedure overrides the simple-site protocol; driving requires documented clearance.

Sources last checked:

Follow-up and monitoringEditable scheduling default
Template default
Device check 4–6 weeks; earlier access-site review if required.
Why this choice
Provide appointment details at discharge to avoid unnecessary scheduling questions.
Exceptions & limits
These are clinic-selected windows, not universal guideline mandates. PVC monitoring, flutter/AF surveillance and device-model-specific connectivity may require additional testing. Remote monitoring never substitutes for emergency assessment.

Sources last checked:

AI-assisted research; primary sources checked 24 September 2026. Not a live literature monitor or independent clinical certification. Local defaults need practice adoption. Patient-specific instructions take priority.

Check & record a practice version

No practice review recorded for this version.

    Advisory checks only—not a clinical safety check. Printing is never blocked. Intentional blanks can be completed by hand before handing the guide to a patient.

    Records the current wording and date; later edits require a new review. This is your practice’s attestation, not certification by PatientReady. Logo changes are not part of the clinical wording record.

    Reviewed version history

    Match the document ID printed on a saved guide to a record below. IDs identify wording, not the logo or later changes to a PDF. Review records are private to the issuing account and this procedure.

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    Compare & consider template updates

    Base 2026-09-25.2: follow-up wording accepts booked appointments or a timeframe with booking instructions. Follow-up intervals, warning signs and saved edits are unchanged. Prior update — Base 2026-09-24.2: new procedure-specific guide with optional defaults and provider evidence notes. Saved edits are never replaced automatically. Compare and adopt updates only after practice review.