Pacemaker Management: Daily Life, Exercise And What To Avoid
Affinity Health, a leading provider of high-quality health cover, will focus on pacemaker management during World Heart Rhythm Week (2–8 June) and offer guidance on daily life, exercise, and what to avoid.
For many people living with heart rhythm disorders, the idea of getting a pacemaker can feel daunting. Will I be able to exercise again? Will people notice it under my skin? Will I be dependent on machines for the rest of my life?
These are just some of the fears that patients express when their doctors first mention the possibility of a cardiac device.
Pacemakers are small electronic devices implanted under the skin near the heart to regulate abnormal heart rhythms, known medically as arrhythmias. These irregular heartbeats can be too slow (bradycardia), too fast (tachycardia), or erratic, as in atrial fibrillation. Left untreated, these conditions can cause fatigue, dizziness, fainting, shortness of breath, and even sudden cardiac arrest.
According to the World Health Organization, cardiovascular disease is the leading cause of death globally, with arrhythmias often being an overlooked contributor.
In South Africa, where access to early cardiac care is uneven, and many rural clinics lack ECG machines, symptoms can go undiagnosed for years. But with the proper medical guidance, a pacemaker can offer a new lease on life.
What Does Recovery Look Like?
After a pacemaker is inserted, typically via a minimally invasive procedure under local anaesthetic, patients are usually discharged within 24 hours. There may be some mild bruising, swelling, or discomfort in the shoulder or chest area for a few days. Patients are advised to avoid lifting the arm on the side of the implant above shoulder height for several weeks to allow the leads to settle securely.
Most people resume normal activities within 4 to 6 weeks. The device is small (often the size of an R5 coin), and most say they stop noticing it after a few weeks. Depending on your doctor’s clearance, driving is generally safe within a few days post-surgery.
Can I Still Exercise?
Physical activity, especially low-impact exercises such as walking, swimming, yoga, or cycling, is encouraged. Once healed, even weight training is possible with proper guidance. However, contact sports like rugby or boxing should be avoided, as any direct impact on the chest could damage the device.
Patients with pacemakers also benefit from cardiac rehabilitation programmes available at select hospitals and clinics. These structured exercise and education sessions help individuals adjust gradually, building strength and confidence under medical supervision.
Can I Travel, Use My Phone, or Go Through Airport Security with a Pacemaker?
Yes, you can do all three. Modern pacemakers are built to handle everyday technology. Cellphones, microwaves, Bluetooth devices, and laptops are safe to use. Just try to keep phones and audio devices at least 15cm away from where your pacemaker is placed.
At airports or shopping malls, metal detectors might pick up your pacemaker. That’s why it’s important always to carry your pacemaker ID card and tell security staff you have one. If needed, you can ask for a manual security check instead.
Some things you should still avoid include:
- High-voltage equipment like industrial welders
- MRI scans (unless your pacemaker is MRI-safe)
- Leaning over a running car engine, especially in older vehicles where electrical fields may be stronger
With a few smart precautions, most people with pacemakers live whole, active lives.
How do I Know if Something’s Wrong?
Most pacemakers are designed to last 8 to 15 years, with built-in alert systems to notify your cardiologist of low battery levels or abnormalities. Some models offer remote monitoring via home devices or mobile apps. But you should always call your doctor if you feel dizzy, short of breath, notice a slow pulse, or experience swelling, redness, or warmth at the implant site.
Conclusion
Living with a pacemaker may require some adjustments, but it doesn’t mean giving up your independence or the things you love. With modern technology, expert care, and a few smart precautions, most people go on to lead full, active, and confident lives.
Affinity Health’s Day-to-Day and Hospital Plans offer affordable access to GPs, chronic condition support, cardiology referrals, and guidance on post-surgery recovery, ensuring you’re never alone on your heart health journey.
About Affinity Health
Affinity Health is South Africa’s leading health cover provider, offering you a range of options at affordable rates, including access to the widest national provider network. We understand the importance of having medical insurance that meets your needs, budget, and lifestyle. Our healthcare products are designed to protect you and your family when it matters the most. We strive to give our clients peace of mind and the highest standard of service. For more information, follow us on Facebook, Twitter, and Instagram.
