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Early Mobilization After Pacemaker Implantation.
Jiří Šmíd1, Vlastimil Vančura1, Martin Brada1
1Department of Cardiology, University Hospital and Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.
Pacing and Clinical Electrophysiology : PACE
|February 27, 2026
Summary
Early mobilization after pacemaker implantation is safe, showing no increase in complications compared to traditional late mobilization. This approach supports shorter hospital stays and faster patient recovery.
Area of Science:
- Cardiology
- Medical Devices
- Patient Recovery
Background:
- Increasing use of cardiac implantable electronic devices (CIED) leads to more procedure-related complications.
- Need for improved post-procedure protocols for CIED implantation.
Purpose of the Study:
- Assess safety and feasibility of early mobilization post-pacemaker implantation.
- Evaluate the potential for same-day discharge after permanent pacemaker procedures.
Main Methods:
- Randomized trial of 200 patients comparing early (4h) vs. late (16-24h) post-procedure bed rest.
- Primary endpoints: composite of hematoma, bleeding, infection, pneumothorax, lead dislodgement.
- Secondary endpoints: individual complications and CIED technical parameters; 1 and 6-month follow-ups.
Main Results:
- No significant difference in composite complications between early (4%) and late (7%) mobilization groups.
- Similar rates of lead dislodgement and wound infections between groups.
- CIED technical parameters remained stable in both arms.
Conclusions:
- Early mobilization protocol following permanent pacemaker implantation is safe.
- Incidence of complications is not higher with early mobilization compared to late mobilization.
- Supports the feasibility of early mobilization and potential for same-day discharge.
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