Although the implantation of a permanent cardiac pacemaker is already considered a routine procedure it can have many complications on the day of the operation or after a few days or months. (1) Nursing care of the patient immediately after implantation of the pacemaker and education of patients and families can help prevent some complications.

In this study we will present the case of a 47-year-old patient who was hospitalized at the Department of Cardiology at University Hospital Dubrava because of syncope and previously known hypertension. The patient was diagnosed with the second degree atrioventricular block in the electrocardiogram. Treatment of the patient is with implementation of a permanent single-chamber cardiac pacemaker and is discharged to home treatment. After a few days, the patient is readmitted in the Department of Cardiology due to dislocation of the electrode of pacemaker. After repositioning the electrode, the patient has a positive postoperative period and seven days later released on home treatment with regular check-in infirmary for pacing.