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Medical Video: Implantable Cardiac Device
Heart failure, heart disease, and heart defects can be life threatening if symptoms persist after treatment and management of the surgery. Medical implant devices can improve certain heart conditions for the long term, or they can act as a transition between more serious treatments, such as transplants. Estimates cost around $ 30,000 (around Rp. 395 million) or more. However, the value of the tool is considered invaluable because it can save your life.
Pacemaker
Who needs it?
A pacemaker is the most commonly known medical implant device for patients with heart disease. This small component is included with a surgical procedure through the abdomen or chest cavity of a person suffering from arithmetic or an irregular heartbeat. Arithmetic patients can experience breathing patterns that are too fast, long or uneven.
Less invasive treatment methods can include medication, electric shock "cardioversion" or ablation therapy (a catheter procedure that destroys abnormal tissue that contributes to an irregular heartbeat pattern). A pacemaker is the solution if the first treatment fails to stabilize arithmetic.
How does it work?
The National Heart Lung and Blood Institute (NHLBI) describes a pacemaker as an internal monitor system in the heart to measure electrical activity, pulse patterns, heart rate, and even blood temperature. When the heart's electrical system gets off track, a pacemaker that uses a battery leads the heart to return to its normal rhythm with electrical impulses. Batteries and generator pacemakers last around 7 years and need to be replaced.
Procedure
Pacemaker installation operations are carried out in hospitals with general anesthesia. The surgeon will place the device and battery inside the skin and attach a wire to your blood vessels to the heart. The procedure takes around a few hours, and you will stay at the hospital to be monitored. The recovery time is quite short. You may experience pain in the incision area for several days, but you can go back to work when you feel better.
The risk of installing a pacemaker is low, but can include:
- Swelling or bruising in the incision
- Infection
- Damage to blood vessels or nerves
- Deflation of the lungs
Warning
Patients who use a pacemaker must be aware of potential interference from electronic objects, such as cellphones, microwave ovens, and metal detectors. Keep electronic objects away from the pacemaker, store the cellphone in a pants pocket rather than in a shirt pocket, and avoid being near a microwave for a long time. Tell the airport clerk or other location that has a metal detector, because it can interfere with the work of your pacemaker.
Ventricular Assist Device
Ventricular Assist Device (VAD) or commonly called Left Ventricular Assist Device (LVAD), because it helps the left part of the heart chamber work, is a tool that is used temporarily to prevent fatal heart failure. The left heart space is the largest space in the heart, and is responsible for pumping blood from the heart throughout the body.
Patients with heart disease who are on a transplant list can need an LVAD (artificial pump) to do too weak heart tasks.
VAD is often referred to as a "transplant bridge" according to the American Heart Association. This tool is used before a suitable heart donor is found.
Risks from this operation include:
- Infection
- Device failure
- Heart failure
- Blood clots
LVAD surgery is open heart surgery and lasts 4-6 hours. You will be fitted with a ventilator and heart-lung machine, while the appliance is implanted in your chest cavity. After the surgery, you will spend a few days in the ICU. It aims to make sure the pump is working properly, adjusting blood thinning drug levels, and preventing infection. The recovery process depends on your health before surgery. Some patients can go home quickly and some need to stay in the hospital until a heart donor is available.
Implantable Cardoverover Defibrillator
Implantable Cardioverter Defibrillators resemble pacemakers and both are used to treat arithmetic. ICD is more commonly used in patients who experience ventricular fibrillation (VF). VF is a serious twitch in the heart that contributes to heart failure, because blood is not pumped properly. VF is usually fatal, but can occur during a non-fatal heart attack or from lack of oxygen.
Defibrillator delivers electrical current to the heart torestart muscle due to VF or other forms of arithmetic. Like a pacemaker, the ICD is implanted under the skin, usually in the area below the collarbone or abdominal area. A wire is installed from an ICD battery inside the heart muscle.
A study published in the Archives of Neurology in 2009 indicated that men were more able to be treated with an ICD than women. Female patients have a 70% increase in the adverse effects of ICD surgery compared to men. But the difference in response to the machine can be due to a lack of studies on ICD in women. Further research is needed on women related to ICD.
Hello Health Group does not provide medical advice, diagnosis or treatment.
