Treatment FAQ

what does a pacemaker do to help during chemo treatment

by Addison Nicolas Published 2 years ago Updated 1 year ago

“The device works to restore the normal electrical activation of the heart while also monitoring for and treating dangerous life threatening heart rhythms.” Fradley was a co-author on a recent study out of Massachusetts General Hospital that was published in the Journal of the American Medical Association (JAMA).Nov 18, 2019

Full Answer

What are the benefits of having a pacemaker?

Having a pacemaker should improve symptoms caused by a slow heartbeat such as fatigue, lightheadedness and fainting. Because most of today's pacemakers automatically adjust the heart rate to match the level of physical activity, they may can allow you to resume a more active lifestyle. Your doctor should check your pacemaker every 3 to 6 months.

What happens if you have radiotherapy with a pacemaker?

The radiation can cause chemical changes in the structure of the pacemaker and electrical energy disturbances during the treatment. It depends on the type and model of your pacemaker and the dose of radiotherapy you are going to have.

Can a nurse monitor a pacemaker during treatment?

But a nurse or trained radiographer (sometimes called a radiotherapist) might monitor the pacemaker before, during and after treatment if your pacemaker is directly in the radiotherapy field. This is most likely to be for people who have cancer of the lung or breast.

How does chemotherapy work for cancer?

Chemotherapy is a type of cancer treatment. It works by using strong drugs to slow or stop the growth of cancer cells, which grow and divide more quickly than many healthy cell types. However, it’s still possible for chemotherapy to target healthy cells that also divide quickly.

Can you have chemotherapy with a pacemaker?

Pacemaker-like device improves heart function in patients with chemotherapy-induced cardiomyopathy. With the advent of new therapies, cancer patients are surviving longer than ever before -- but the incidence of side-effect chemotherapy-induced cardiomyopathy (CHIC), or weakness of the heart muscle, is increasing.

Does a pacemaker interfere with the dying process?

Pacemakers are not resuscitative devices, and they will not keep a dying patient alive. Most dying patients become acidotic before cardiac arrest, which effectively renders a pacemaker nonfunctional, as under such conditions, the myocardium does not respond to the pacemaker's discharges.

Does a pacemaker make you feel better?

Having a pacemaker can help you be more active. It may also help you stay out of hospital and live longer. Above all, you should feel better. Previous symptoms, such as breathlessness or dizziness, should disappear.

How can I protect my heart during chemo?

Stay healthy after treatmentGet to and stay at a healthy weight.Get regular exercise.Eat a healthy diet, with an emphasis on fruits, vegetables, and whole grains.Get recommended cancer screenings.Create a survivorship care plan.Keep your follow-up appointments.Take care of your emotional health.

What should you avoid if you have a pacemaker?

What precautions should I take with my pacemaker or ICD?It is generally safe to go through airport or other security detectors. ... Avoid magnetic resonance imaging (MRI) machines or other large magnetic fields. ... Avoid diathermy. ... Turn off large motors, such as cars or boats, when working on them.More items...

How long does a pacemaker extend life?

As per research, patients with a biventricular pacemaker have better survival rates after the diagnosis is made. The average life increases approximately between 8.5 and 20 years, depending on the overall health, age, and lifestyle. All subgroup women had significantly longer survival than men.

Will a pacemaker give you more energy?

By regulating the heart's rhythm, a pacemaker can often eliminate the symptoms of bradycardia. This means individuals often have more energy and less shortness of breath.

How do you sleep with a pacemaker?

Sleep on your side. “In heart failure patients, lateral sleep positions on the side, left or right, can often decrease sleep apnea.” A bit of controversy surrounds whether the left or right side is best, says Khayat. If you have an implanted defibrillator, sleep on the opposite side.

How serious is having a pacemaker put in?

Inserting a heart pacemaker is a fairly straightforward and safe surgical procedure. A period of rest will be necessary, but a person can usually return to their regular routine within a few days. For the first 8 weeks , it is important to avoid sudden movements that involve moving the arms away from the body.

Is chemo hard on your heart?

These side effects, including high blood pressure, abnormal heart rhythms, and heart failure, can be caused or exacerbated by chemotherapy and radiation therapy, as well as by newer forms of cancer treatment, such as targeted therapies and immunotherapies.

What damage does chemo do to the heart?

Some types of chemotherapy (primarily in a class of drugs called anthracyclines) weaken the heart muscle from a buildup of calcium and other chemical reactions in the body that release harmful free radicals. Thus, chemotherapy side effects include cardiomyopathy (an enlargement) or congestive heart failure.

Does chemo cause permanent heart damage?

Cardiotoxicity can develop during cancer treatment - or - can occur within days or months or years after cancer treatment, once patients are cancer-free. Heart damage caused by chemotherapy-induced cardiotoxicity can reduce quality of life and increase the risk of death from cardiac-related causes.

What is a pacemaker?

The pacemaker consists of a pulse generator, which contains the battery and programming circuitry, and one to three leads, which provide access to the chamber of the heart being paced (right atrium, right ventricle, or coronary sinus for left ventricle pacing). Contemporary pacemakers have numerous programmable features that can be changed to optimize function. The pacing mode selected depends on the underlying rhythm disturbance, associated medical problems, and exercise capacity.

What is the most common indication for pacemaker therapy?

Sinus node disease is the most common indication for pacemaker therapy. This includes sinus bradycardia, sinus arrest, sinus pauses, chronotropic incompetence (inability of the sinus node to accelerate), or tachy-brady syndrome, which refers to alternating periods of tachycardia (often atrial fibrillation with rapid ventricular response) and then bradycardia (often prolonged sinus pause after termination of the atrial tachyarrhythmia). Most cases are due to idiopathic degeneration and fibrosis of the sinus node although it can also be due to medication, hypothyroidism, advanced liver disease, hypothermia, amyloidosis, elevated vagal tone, hypoxia, and hypercapnia. Sick sinus syndrome is the combination of symptoms (pre-syncope, syncope, decompensated heart failure) and sinus bradycardia or sinus pauses.

Why is evidence based care important?

It is important to incorporate evidence based care into clinical practice so that patients with sinus node dysfunction and atrioventricular conduction abnormalities who would benefit from permanent pacemaker implantation can be identified. The general practitioner is commonly involved in the evaluation of patients with presyncope and syncope. Clinical history and the 12 lead electrocardiogram are central in the initial evaluation to identify patients with potential cardiac etiologies, including bradyarrhythmias, who are at increased risk of mortality. Clinicians should be familiar with the current guidelines for pacemaker therapy so these patients can be appropriately referred to cardiology. It is also important to understand what elements from the history are important in the evaluation of patients with a pacemaker as well as some of the common issues encountered by patients with these devices in the hospital.

Why do you need a pacemaker?

A pacemaker is a small device that's placed under the skin in your chest to help control your heartbeat. It's used to help your heart beat more regularly if you have an irregular heartbeat (arrhythmia), particularly a slow one. Implanting a pacemaker in your chest requires a surgical procedure.

What is an implanted pacemaker?

An implanted electronic pacemaker mimics the action of your natural electrical system. A pacemaker comprises two parts: Pulse generator. This small metal container houses a battery and the electrical circuitry that regulates the rate of electrical pulses sent to your heart. Leads (electrodes).

How many wires are in a pacemaker?

Depending on your condition, you may have a pacemaker with one to three flexible, insulated wires (leads) placed in a chamber, or chambers, of your heart. These wires deliver the electrical pulses to adjust your heart rate. Pacemakers are implanted to help control your heartbeat. They can be implanted temporarily to treat a slow heartbeat ...

What is a biventricular pacemaker?

Biventricular pacemaker. Biventricular pacing, also called cardiac resynchronization therapy, is for people with heart failure with abnormal electrical systems. This type of pacemaker stimulates the lower chambers of the heart (the right and left ventricles) to make the heart beat more efficiently.

How far away from pacemaker should I keep my phone?

Cellphones. It's safe to talk on a cellphone, but keep your cellphone at least 6 inches (15 centimeters) away from your pacemaker. Don't keep your phone in a shirt pocket. When talking on your phone, hold it to the ear opposite the side where your pacemaker was implanted. Security systems.

How long does it take to get a pacemaker implanted?

You'll likely be awake during the surgery to implant the pacemaker, which typically takes a few hours. You'll have an intravenous line placed, through which you might receive medication to help you relax.

Which type of pacemaker carries electrical impulses to the right ventricle?

Single chamber pacemaker. This type usually carries electrical impulses to the right ventricle of your heart. Dual chamber pacemaker. This type carries electrical impulses to the right ventricle and the right atrium of your heart to help control the timing of contractions between the two chambers. Biventricular pacemaker.

Who monitors a pacemaker?

But a nurse or trained radiographer (sometimes called a radiotherapist) might monitor the pacemaker before, during and after treatment if your pacemaker is directly in the radiotherapy field. This is most likely to be for people who have cancer of the lung or breast.

What doctor will talk to before starting treatment for cancer?

Before you begin treatment your cancer doctor will talk to your heart specialist. They will get a detailed history of why you have a pacemaker and the type of pacemaker you have. Many different specialists are involved in radiotherapy treatment. The two people most involved in planning your radiotherapy are the radiotherapy doctor ...

What does a physicist do in radiotherapy?

The physicist helps the radiotherapy doctor decide: the best way of delivering the amount of radiation prescribed. the exposure you should have to a particular radiotherapy machine to get the dose you need. They also make sure the radiotherapy equipment is accurate and safe.

Can radiation affect pacemaker?

The radiation can cause chemical changes in the structure of the pacemaker and electrical energy disturbances during the treatment. It depends on the type and model of your pacemaker and the dose of radiotherapy you are going to have.

Can a pacemaker be controlled remotely?

Some types of pacemaker can be controlled remotely by a specialist from your heart (cardiology) team during the treatment. When you finish your radiotherapy, your heart specialist will continue to keep a close eye on you.

How to get rid of low energy after chemo?

2. Stay hydrated. Diarrhea, vomiting and other chemotherapy side effects can cause you to become dehydrated. Not only can this cause you to have low energy, but it can also cause other health issues. So, be sure to drink plenty of water during your treatment. Decaffeinated tea, juices and milk can also help.

Why is it important to eat when you have chemo?

Eat when you can. Chemotherapy can cause nausea and appetite loss, so it’s important to eat when you can to avoid becoming malnourished. Keep in mind that many foods may taste different as you go through treatment. For some patients, food may have a metallic aftertaste during and after chemotherapy. 4.

How to keep yourself busy during chemotherapy?

Keep things around that bring you comfort. Bring your favorite blanket, a yummy snack, your best friend, a good book or whatever brings you the most comfort and keeps you busy while you wait. 7. Stay ahead of your nausea. Many patients experience nausea during and after chemotherapy.

How long does it take for hair to fall out after chemo?

Most cancer patients who undergo chemotherapy experience hair loss, usually starting around seven to 21 days after the first treatment. For some, hair falls out gradually, while others wake up with big clumps on their pillow. But whether you lose your hair depends on the type and dosage of chemotherapy you’re receiving.

How to get back to normal after chemo?

1. Get some rest. Fatigue is the most common side effect experienced by cancer patients, especially those undergoing chemotherapy. So, get plenty of rest and avoid pushing yourself too hard, even if you feel good. Be patient with yourself and others since it may take some time to get back to your regular energy levels.

How to get rid of cancer in your mind?

Stick to your normal routine as much as possible. That could be something as small as getting dressed up every day, or having a meal with your family. These rituals can help take your mind off cancer.

Can you take a nauseous pill before chemotherapy?

Many patients experience nausea during and after chemotherapy. So, get your nausea prescriptions filled before you start chemotherapy, and take them before treatments so they kick in before the nausea does. If your nausea medications don’t work, ask your doctor to try a different prescription.

How does chemotherapy help with cancer?

It can help cancer patients change their feelings and thinking about the disease and improve their physical and psychological well-being, according to a 2008 Georgetown University study. 6. Improve your sleep. Worrying about your chemotherapy treatments not only will give you insomnia but will also sap your energy.

What to do if you have anemia and blood test?

If blood tests indicate anemia, ask your doctor about supplements with iron or medications that can make your body produce more red blood cells. Dr. Standish takes a slightly different approach, recommending daily B-complex vitamins, because they give the body the necessary raw materials to rebuild marrow.

Can anxiety cause fatigue after chemotherapy?

Anxiety was linked to fatigue in chemotherapy patients in a 2008 study published by the American Society of Clinical Oncology. “If you’re under months of stress, your immune system doesn’t function well,” Dr. Standish explains.

Can you eat pudding after chemo?

Some patients may have to nibble all through chemotherapy treatment to keep their stomachs settled — or they might find themselves able to eat just one food, such as pudding. “Some people have mouth sores from chemotherapy, and all they can eat is mashed potatoes,” Szafranski explains.

Can cancer patients be fatigued?

Second, 50%-90% of all cancer patients suffer from fatigue, according to a 2011 Brazilian study. Plus, anti- cancer drugs may sap your strength. But you can fight fatigue, say cancer experts. Simple changes in diet and lifestyle can keep your body fortified while you battle the effects of chemotherapy and cancer.

Can you lose muscle mass during chemotherapy?

But you can lose a lot of muscle mass during chemotherapy,” warns Mich ele Szafranski, a registered dietitian for the American Cancer Society and a co-author of What To Eat During Cancer Treatment: 100 Great-Tasting, Family-Friendly Recipes to Help You Cope (American Cancer Society).

Can chemotherapy cause fatigue?

Cancer is debilitating, but so is chemotherapy treatment. You might be nauseated and sore, but the most common chemo side effect is unrelenting fatigue. Still, you don’t have to just lie there and give in to tiredness. We talked to experts to find 8 ways to improve your strength and stamina while receiving cancer treatment ...

How does chemotherapy work?

It works by using strong drugs to slow or stop the growth of cancer cells, which grow and divide more quickly than many healthy cell types. However, it’s still possible for chemotherapy to target healthy cells that also divide quickly. Some examples include cells in the digestive tract, immune system, ...

Why is it important to keep up with your body during chemotherapy?

Because of this, you’ll need to have extra calories and protein in your diet.

What are the side effects of chemotherapy?

When this happens, it can lead to side effects like lowered immunity, hair loss, and nausea or vomiting. There are certain precautions that you can take to limit your side effects and help make treatment safer. We’ll explore nine things to avoid during chemotherapy treatment.

How to stop chemotherapy?

Avoid gyms. Since chemotherapy can weaken your immune system, it’s a good idea to avoid crowded gyms during your treatment. Know when to stop. If you experience symptoms like shortness of breath or chest pain during your workout, stop the workout and speak with your doctor about other ways to stay active.

What to do during chemotherapy?

These include things like eating a nutritious diet, staying active, and using support services like counseling and support groups. Last medically reviewed on May 5, 2021.

Can chemotherapy drugs cause urine?

Because of this, it’s possible for these drugs to be present in various body fluids, including urine, stool, and vomit during this time. Because chemotherapy drugs can affect healthy cells, coming into contact with them in various body fluids can be potentially harmful to yourself or others.

Does smoking affect chemotherapy?

As such, smoking during chemotherapy can negatively impact your treatment. One way that it can do this is by making side effects worse.

How to support someone who is receiving chemotherapy?

If you’re looking for ways to support someone going through chemotherapy, here are some suggestions to start. 1. Listen With Care. Listening is a skill that anyone can learn to do better.

Why do people not want to come to chemo?

When someone is going through chemo, they may not want visitors. There are many reasons for this. Chemo may cause nausea, fatigue, and general malaise. Someone may not be feeling or looking their best and might be embarrassed to receive visitors.

What does it mean to support someone with cancer?

Supporting someone with cancer often means supporting that person while they undergo chemotherapy and other forms of treatment . Chemotherapy refers to any drug that treats disease, but it is more often associated with cancer treatment.

What to do when someone is diagnosed with cancer?

You can be a gentle reminder that the caregiver needs support too. Suggest self-care ideas such as time off, good nutrition, exercise, and relaxation techniques.

What to do when you have cancer?

Do Research. During cancer treatment, you can offer to do some research on treatments, side effects, and comfort solutions. The other possibility is looking for good cancer support and caregiver blogs and forums for advice and interaction .

What to take to a doctor appointment for chemo?

Don’t forget to take all of the supplies that might be needed during and after the appointment including: Tissues. Magazines and books. Water and snacks.

Is chemotherapy good for cancer?

Chemotherapy can be an effective treatment for cancer but can have serious and debilitating side effects. Some of the side effects commonly associated with chemotherapy are fatigue, nausea, loss of appetite, mouth sores, low blood count, hair loss, and fever. Dealing with a diagnosis of cancer is hard enough.

Overview

Image
A pacemaker is a small device that's placed (implanted) in the chest to help control the heartbeat. It's used to prevent the heart from beating too slowly. Implanting a pacemaker in the chest requires a surgical procedure. A pacemaker is also called a cardiac pacing device.
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Why It's Done

  • A pacemaker is implanted to help control your heartbeat. Your doctor may recommend a temporary pacemaker when you have a slow heartbeat (bradycardia) after a heart attack, surgery or medication overdose but your heartbeat is otherwise expected to recover. A pacemaker may be implanted permanently to correct a chronic slow or irregular heartbeat or to help treat heart failu…
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Risks

  • Complications related to pacemaker surgery or having a pacemaker are uncommon, but could include: 1. Infection near the site in the heart where the device is implanted 2. Swelling, bruising or bleeding at the pacemaker site, especially if you take blood thinners 3. Blood clots (thromboembolism) near the pacemaker site 4. Damage to blood vessels or nerves near the pac…
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How You Prepare

  • Before your doctor decides if you need a pacemaker, you'll have several tests done to find the cause of your irregular heartbeat. Tests done before you get a pacemaker could include: 1. Electrocardiogram (ECG or EKG). This quick and painless test measures the electrical activity of the heart. Sticky patches (electrodes) are placed on the chest and sometimes the arms and legs…
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What You Can Expect

  • Before the procedure
    You'll likely be awake during the surgery to implant the pacemaker, which typically takes a few hours. A specialist will insert an IV into your forearm or hand and give you a medication called a sedative to help you relax. Your chest is cleaned with special soap. Most pacemaker implantatio…
  • During the procedure
    One or more wires are inserted into a major vein under or near your collarbone and guided to your heart using X-ray images. One end of each wire is secured at the appropriate position in your heart, while the other end is attached to the pulse generator, which is usually implanted under th…
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Results

  • Having a pacemaker should improve symptoms caused by a slow heartbeat such as fatigue, lightheadedness and fainting. Because most of today's pacemakers automatically adjust the heart rate to match the level of physical activity, they may can allow you to resume a more active lifestyle. Your doctor should check your pacemaker every 3 to 6 months. Tell your doctor if you g…
See more on mayoclinic.org

Clinical Trials

  • Explore Mayo Clinic studiesof tests and procedures to help prevent, detect, treat or manage conditions.
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