Office Services

Pacemaker Clinic

Patients who have permanent pacemakers, implantable cardiac defibrillators or implantable loop recorders require specialized, perhaps more frequent, office visits. Patients who have a device are seen in our device clinic and often a representative from the company who manufactured the device is also present.

What happens during this visit?

Through computerized equipment, implantable devices are “interrogated” on a routine basis. Some of this may be done remotely from your home; however, it is necessary for an in-office visit at least annually. This testing is done through the use of a piece of equipment called a pacemaker programmer. A few ECG (electrocardiogram) leads will be attached to the skin. A sensor, which often looks like a donut, is laid on top of the device. This sensor is attached to the computerized programmer via a cable. This is a painless process and allows the programmer to “look at the activity of the device.” Special testing is done to ensure proper function of the device. During this process, reports are printed from the programmer and placed in your chart. A letter about the testing results is then sent to your primary care physician.

What is remote monitoring?

Remote monitoring is a means by which the device can be monitored without leaving home. Depending on the type of device, this can be done in one of two ways.

The first is called Transtelephonic or TTP. Using special home equipment and a regular home phone, signals are transmitted through a computerized system. This information is then reviewed by a technician and reported to your pacemaker nurse/physician.

The second method is a wireless system. Using a home, remote system, devices are monitored wirelessly. Often times, this occurs while the patient is sleeping. Regardless of which method you choose, the necessary equipment is supplied to you by the manufacturer of the device.