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kathyhg avatar

Blood clot following pacemaker insertion?

Heart & Blood Health | Last Active: May 25 8:09am | Replies (12)

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Profile picture for Colleen Young, Connect Director @colleenyoung

Hi @kathyhg, great to see you in the Heart Health group too.

According to this article on pacemaker implantation (https://www.nhs.uk/conditions/pacemaker-implantation/risks/) "A blood clot can develop in one of the veins in the arm on the side of the body where the pacemaker was fitted. This may cause some swelling in the affected arm, but it usually settles in a few days and is rarely a serious problem. In some cases, you may be given anticoagulant medication, which stops the clot getting bigger."

It sounds like the blood clot has since been resolved. Are you concerned about ongoing issues and that is why you're seeking a second opinion from an electrophysiologist? Has this issue been resolved? What concerns do you continue to have?

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Replies to "Hi @kathyhg, great to see you in the Heart Health group too. According to this article..."

@colleenyoung I see my reply is 5 1/2 years late! My ongoing concern is mixed information I’m getting about whether I should stay on ASA 81mg (baby aspirin) or not.

The hematologist I saw (after stopping warfarin) told me that I should be on the ASA81mg forever because there was some damage in the elasticity of the subclavian vein but one electrophysiologist said no need for that. I will see another electrophysiologist in September.

One of the reasons that I am still stuck on this is that I have been screened for blood clots three times in the last 5 years, including when I had covid. The doctors have recommended screening because of the blood clot after I had the pacemaker. I keep wondering if this would not be an ongoing concern if I was still on ASA 81mg.

Thanks,