Why does a patient develop weight gain and insomnia after pacemaker implantation?

Q. After pacemaker, the patient suffers from insomnia, weight gain, swelling, etc. Why?

Answered by
Dr. Sagar Ramesh Makode
and medically reviewed by Dr. K Shobana
This is a premium question & answer published on May 03, 2017 and last reviewed on: Jun 05, 2023

Hi doctor,

The patient is a 38 years old female. She has a medical history of congenital heart disease. Her heart rate usually ranges between 50 and 55 bpm. Before two months, she had a pacemaker implantation. After pacemaker implantation, her heart rate is 70 to 80 bpm. Now, the patient is suffering from insomnia, sudden increased weight and abdomen, swelling of the face and both legs, scanty urine for the last two to three weeks and mentally disturbed. I want your help to know what has happened to her. Please help.



Welcome to icliniq.com.

Is it a single chamber pacemaker or double chamber? It is mostly a pacemaker syndrome if the patient did not exhibit similar kind of symptoms before pacemaker implantation. In treatment, you need to visit her cardiologist for changing the settings of the pacemaker. One echocardiogram would be necessary to rule out other causes and get one hemoglobin levels done, if not done recently. Also, I suggest drugs called as diuretics like Furosemide, which will remove the excess of fluid out of the body. Consult her cardiologist, discuss with him or her and take medicine with consent. It is necessary to follow strict salt restriction and avoid more fluids like water, tea, coffee and water-containing food items.

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