Some heart failure patients may need an additional device called an internal cardioverter defibrillator (ICD), which prevents cardiac arrest in a person at high risk for the condition. How Do I Prepare for the Biventricular Pacemaker Implant Procedure?

Ask your doctor what medications you are allowed to take. Your doctor may ask you to stop certain medications several days before your procedure (such as blood thinners and aspirin). If you have diabetes, ask your doctor how you should adjust your diabetes medications.

• Do not eat or drink anything after midnight the night before the procedure. If you must take medications, drink only small sips of water to help you swallow your pills. • When you come to the hospital, wear comfortable clothes.

You will change into a hospital gown for the procedure. Leave all jewelry and valuables at home. What Should I Expect During the Pacemaker Implant Procedure?

Pacemakers can be implanted two ways: Endocardial (transvenous) approach: Two leads are placed into a vein and then guided to the right atrium and right ventricle of your heart. The lead tips are attached to your heart muscle. The other ends of the leads are attached to the pulse generator, which is placed under the skin in the upper ... more.

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