رجل عمره ٧٧ سنة رُكب له منظم ضربات دائم أمس بسبب إحصار قلبي كامل، والجهاز تحت الترقوة اليسرى. الجرح نظيف، ونبضه ٧٠ منتظم. يستعد للخروج ويحب يصلي ويشتغل في حديقته. أي تعليمات صحيحة للأسابيع الأولى؟

A 77-year-old man had a permanent pacemaker inserted yesterday under the left clavicle for complete heart block. The wound is clean and HR is 70 regular. He is going home and likes praying and gardening. Which instructions are correct for the first weeks?

1. Do not raise the arm on the device side above shoulder level, as advised
2. Avoid using the microwave in the kitchen
3. Stop checking your pulse because the device controls it
4. Carry the mobile phone in the shirt pocket over the device

Answer: A) Do not raise the arm on the device side above shoulder level, as advised. Limiting arm elevation on the device side in the first weeks prevents lead displacement. Microwaves are safe, phones are kept on the opposite side, and clients are taught to check their pulse.