IMPLANTABLE DEVICES

For children at risk of a slow heart rate or arrhythmia, the cardiologists may suggest implanting a pacemaker or defibrillator. After the procedure, a patient guidebook and a patient identification card with your electrophysiologist’s name and contact information will be provided.

For infants and young children, the size of the device may appear large or uncomfortable, but children usually adapt to the size without any issues. Working with a physical and occupational therapist will help your child get back on track developmentally.

Regular visits with both your child's cardiologist and electrophysiologist are needed to check the device’s function and battery life. During visits, the doctor will use special equipment to check whether the device has fired and how often. This information helps the doctor determine the course of treatment for your child. 

Guidelines and Precautions

Because pacemakers and defibrillators are electronic devices, there are guidelines for maintaining the device. This information should be discussed with your child’s electrophysiologist and shared with your child.

• Avoid strong electrical or magnetic fields, which can temporarily slow down or speed up the device. Low wattage electrical interference (household appliances, handheld devices, computers, light industrial tools) are safe, but there are some devices that your child should either stay away from or keep a safe distance of at least 12 inches.
• Avoid contact with strong magnets or magnetic wands used by security, high power lines, heavy electrical or industrial equipment (power generators, welding instruments), anti-theft devices at libraries or department stores, engine alternators, and battery-powered cordless power tools (screwdrivers, drills).
• Keep cell phones at least five to seven inches away due to the possibility of interference.
• For emergency reference, carry a patient ID card or take a photo of it with your cell phone. When traveling and going through metal detector alarms, show the ID card to airport security.
• Inform your child's dentist that your child has a pacemaker/defibrillator when scheduling a dental procedure.
• Precautions are needed with medical procedures involving diathermy equipment (intense heat treatment devices), electrocautery equipment (electronic device to stop bleeding), magnetic resonance imaging (MRI), and hi-energy radiation (cancer treatment).
• Follow your physician's recommendations on physical activity and avoid sports or activities that may impact the area around the device.