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Atrial fibrillations (an irregular heartbeat) have become a common heart ailment. Cardiac Device Implantation is the surgical placement of an electric device under the chest to monitor and correct an irregular heartbeat. The device connects to the heart with the help of leads (wires). The implanted cardiac device can be a pacemaker, implantable cardioverter defibrillator (ICD), or a cardiac loop recorder, depending on the patient’s heart condition or the severity of the heart ailment. The implanted device sends impulses or shocks in waves to restore the heart’s normal rhythm. Pacemaker surgery in Bhubaneswar is recommended for individuals who cannot combat their heart ailment with lifestyle changes or medications.
A pacemaker is a temporary device implanted near the chest to correct an irregular heartbeat, especially a slow heart rate following a heart attack. The pacemaker is not recommended for the long term unless damage to the electrical conduction system of the heart has occurred, causing changes in heart rhythm and rate.
Your doctor may recommend a pacemaker if your heart’s natural pacemaker is not functioning properly. The following issues could have caused a change in your cardiac rhythm:
A heartbeat that’s too rapid or slow
A partial or complete block in your heart’s electrical pathway
Irregular heart rhythm
Platinum-group metal alloys, or CoCr, are used for leads, which are covered by an insulating sleeve. Polyurethanes and silicones are also commonly used to insulate pacemaker wires due to their acceptable physicochemical and mechanical properties.
Pacemaker rhythms are distinguished by a prominent vertical mark known as a "spike." An atrial pacemaker rhythm is one in which the spike precedes the P wave. A ventricular pacemaker rhythm occurs when a spike precedes ventricular depolarisation.
Anything that creates a strong electromagnetic field, such as an induction stove, can interfere with a pacemaker. Most typical household electrical appliances, such as hairdryers and microwave ovens, will not cause an issue as long as they are kept at least 15 cm (6 inches) away from your pacemaker. If you use an induction hob, keep at least 60 cm (2 ft) between the hob and your pacemaker. If this is an issue, you might want to consider replacing the appliance with something more appropriate.
If you become dizzy or your heart rate increases while using an electrical device, simply move away from it to enable your heartbeat to return to normal.
Most pacemaker batteries last from 6 to 10 years. Following this, you may need to get the batteries replaced. Consult your doctor about how you will know when the battery needs to be replaced or recharged. Changing the batteries requires replacing the pacemaker box with a new one. This is a straightforward surgery that may or may not necessitate an overnight stay in the hospital. The original lead or leads are normally left in situ, but they may occasionally need to be replaced.
After having a pacemaker installed, you will need to attend follow-up appointments for the rest of your life. These can occur every 3 to 12 months, depending on the type of pacemaker you have and how effectively it functions. The technician or physician will check the pacemaker's discharge rate, assess the electrical impulse's strength, and record the impact on your heart during your follow-up appointment. Most current pacemakers can save data on the battery's status and the pulse generator's performance. If necessary, your pacemaker can be adjusted to your ideal settings.
An implanted cardioverter defibrillator, or ICD, is a device that is inserted beneath the skin, similar to a pacemaker. It also has a computer that monitors your heart rate and rhythm. The primary difference is that if your heart beats too quickly or is out of rhythm, the ICD sends a shock to get it back to rhythm.
The ICD is recommended in the following cases:
If individuals are at risk of recurrent, sustained ventricular fibrillation or tachycardia
To help prevent sudden cardiac death
To restore a normal heart rhythm
Most modern cardiac devices are designed to be safe near metal detectors and other electrical gadgets. However, it is best to carry a card or wear a medical alert bracelet to alert security officers about the device.
Most current cardiac devices are MRI-compatible. However, it is critical to notify healthcare providers about the device prior to any medical operations to ensure safety and thorough monitoring.
Signs of a problem with the device include recurrent dizziness, fainting, palpitations, chest pain, and swelling or redness around the implant site. You should contact your doctor as soon as possible if you have any of these symptoms.
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