Managing Patients after Implantation of a Cardiac Rhythm Management Device
Patients with cardiac rhythm management devices such as pacemakers and defibrillators are cared for jointly by GPs and cardiologists. GPs can manage issues such as wound care, bleeding and pain and provide guidance regarding work, travel and household appliance use. Early complications are best referred back to the interventional cardiologist; they include wound-related issues (active bleeding, infection, large haematoma), unusual postprocedural pain (pericardial or pleuritic pain) and noncardiac muscle twitching.
Modern Medicine – Dec/Jan 2019