When people hear the word pacemaker, they often imagine hospitals, surgery, and fragility. But for thousands across Britain who rely on this small, life-saving device, living with a pacemaker often means the exact opposite: restored energy, renewed confidence, and reclaimed independence.
Philip, 80, shares his experience:
“After experiencing fainting spells due to a low heart rate—including two recent episodes, one while on holiday in Spain—my wife and I were anxious about travelling. I felt constantly tired, lethargic, and would often fall asleep during the day. The pacemaker procedure was straightforward and done under local anaesthetic. I was home the same day. Since then, my energy has returned, and the anxiety about fainting has disappeared. I feel reassured that I can live normally again—go to work, the gym, travel—without worrying. That peace of mind is priceless.”
What Is a Pacemaker?
A pacemaker is a small electronic device that helps control abnormal heart rhythms. Implanted under the skin, typically just below the collarbone, it connects to the heart via fine wires called leads. These leads send gentle electrical signals to maintain a steady heartbeat. Pacemakers are used to treat conditions such as bradycardia (a slow heart rate), heart block, and certain types of heart failure. Some devices are equipped with defibrillator capabilities if needed. Thanks to continual medical innovation, today’s pacemakers are more compact, intelligent, and durable than ever before.
Life Before the Pacemaker
The lead-up to receiving a pacemaker is often filled with uncertainty. Common symptoms—dizziness, fainting, fatigue, breathlessness—stem from the heart’s inability to pump effectively. Margaret, 72, recalls: “I just thought I was getting old. But I was breathless even walking across the room. When I fainted one morning, my doctor told me I needed a pacemaker. I was terrified.”
The Implantation Experience
Pacemaker implantation is usually a simple and swift procedure, performed under local anaesthetic with light sedation. Most patients go home the same day or the following morning. David, 60, discovered his slow heart rhythm during a routine check-up: “I was surprised how simple it all was. Within a week, I felt better than I had in years.”
Rediscovering Life One Beat at a Time – Adjusting to Daily Life
Once recovered, most people return to their regular routines. While a few short-term precautions are advised—like avoiding heavy lifting during the first 4-weeks and being mindful around strong magnets—daily life continues largely uninterrupted. Many pacemakers are now monitored remotely, adding convenience and reassurance. Margaret shares: “I had to learn a few small things, like not leaning over the microwave when it’s on—but it’s no big deal. I walk every day now. My energy’s back.”
Emotional Wellbeing
The psychological adjustment can be as important as the physical one. Some patients initially feel vulnerable or anxious, concerned about the device, or uncertain about their limitations. However, with time and support, confidence typically grows. Support groups (Arhythmia Alliance and The British Heart Foundation), cardiac rehabilitation programmes, and counselling can be beneficial resources. As David puts it, “It took me a while to trust the device, but now I hardly think about it. It’s just part of me, quietly doing its job.”
Common Misconceptions
Pacemakers are often surrounded by myths: that you can’t travel, use amobile phone, or go through airport security. These concerns are mostly outdated. In reality, modern pacemakers are built to handle the demands of everyday life. Patients can fly, use household electronics, exercise, and work in most professions.
Beyond the Myths
Despite medical progress, misconceptions persist. “The biggest myth is that a pacemaker means your life is over,” says David. “Actually, it means your life is just beginning again.” Today’s devices are robust and discreet. Remote monitoring allows many check-ups to be done from home, reducing the need for hospital visits.
The Invisible Companion
Perhaps the most remarkable part of life with a pacemaker is how quickly it becomes unremarkable. Something that once felt foreign becomes an unseen ally—working quietly, steadily, reliably. “Some mornings, I forget it’s even there,” Margaret says. “Other days, I touch the small bump beneath my skin and feel deeply grateful—for this second chance.” For Philip, Margaret, David, and many others, a pacemaker is far more than a medical device. It’s a promise: of freedom, reassurance, and the steady rhythm that supports the rest of their life.
Looking Forward
A pacemaker is not a restriction. It’s a release. For many, it marks a profound turning point—from fear and fatigue to stability, energy, and possibility. As Margaret sums it up: “It’s not just a device. It’s the reason I’ll be able to dance at my god-daughter’s wedding next autumn!”
Remember, a healthy rhythm is the key to a healthy life. Let’s take it to heart!
Dr Aruna Arujuna Cardiologist and Heart Rhythm Specialist – MBchB, MD, FHRS, FACC, FESC, FRCP
Tel: 07538385325
Email: Careteam@avahealth.life
