Device Clinic

Upstate Cardiology Pacemaker & Device Clinic

The Upstate Cardiology Pacemaker & Cardiac Device clinic evaluates and manages the care of patients prior to and following the implantation of cardiac devices such as pacemakers and automatic internal cardiac defibrillators.

The frequency of a patient's evaluation is based on the cardiologist's recommendation. A typical schedule will include both clinical visits and telephone or remote monitoring.

The Upstate Cardiology Pacemaker & Device Clinic is open Monday through Friday from 9:00am to 4:00pm. Clinic visits are by appointment only.

Pacemaker and device batteries last approximately six to ten years. Our clinic can check cardiac devices for battery depletion, lead malfunction, pulse generator malfunction, and pacemaker pocket erosion. Single and dual-chamber pacemakers should be tested about every three months. You will be given an appointment upon discharge from the hospital to have your incision and cardiac device checked in the office. At each appointment you will be given your next appointment.

Sometimes, pacemakers are checked over the phone. Newer models have a wireless transmitting device that sends information to your doctor during the night. The staff in the Cardiac Device Clinic works closely with your physician to customize the settings of your pacemaker for your particular situation.

When your pacemaker battery starts to deplete, but before it is dangerously low, the staff will alert your physician so that a generator change out can be scheduled. This will be scheduled at the hospital, but the procedure is not as complicated as getting a new pacemaker. The existing pacemaker pocket is opened, exposing the generator. The doctor will then disconnect the leads from the old battery, plug them into the new one, and replace the battery in the same pacemaker pocket. Stitches, staples, or glue are then used to close the pocket. There are not as many restrictions on arm movement after a battery change out because the lead wires are well seated in the heart muscle. You will be able to get back to your normal level of activity as soon as the incision heals.