Showing posts with label Rate Responsive Pacemaker. Show all posts
Showing posts with label Rate Responsive Pacemaker. Show all posts

Thursday, 29 January 2015

Paediatric Heart Surgery in India with the Best Paediatric Heart surgeons in India


Paediatric Heart Surgery in India with the Best Paediatric Heart surgeons in India is what you would want if your little one is suffering from any heart ailment. MedWorld India affiliate Paediatric heart surgeons in India are among the top paediatric heart specialists and offer best in paediatric heart care. Affordable Pediatric Heart Surgery in India at Best Cardiac Hospitals with Top Pediatric Cardiac Surgeons in India with MedWorld India.

Sometimes heart surgery in children is required for repairing defects in the heart which a child might have born with (known as congenital heart defects) and heart diseases which he gets after birth, which require surgery. Pediatric Cardiac Surgery deals with operative procedures in the newborn and unborn children and youngsters suffering from cardiac dysfunctions, structural, functional and rhythm-related issues of the heart also.

Major Types of Cardiac Defects in Children :-






Thoracotomy: This Procedure is used for some type of heart defect repairs, wherein the incision is made on the side of the chest, between the ribs. It is also called a closed-heart surgery. This surgery is done with the help of special instruments and a camera.In one kind of procedure a few small tubes are inserted into an artery in the leg and pass them up to the heart. Only some heart defects can be repaired in this fashion.

Heart Surgery in India with the Best Heart surgeons in India is what medical tourists coming to India look for and is delivered at Best Cardiac Hospitals in India . No other destination in the world can match the unparalleled clinical excellence, technology infrastructure and cost advantage offered by MedWorld India affiliated heart hospitals in India to deliver 99 percent and above successful outcomes for heart surgery.

 
Our aim is to reduce the deadly consequences of cardiovascular diseases through innovative therapies for patient care. Our healthcare professionals at state of the art, heart specialty hospitals have a dedicated team of Cardiac surgeons and cardiologists who work in tandem to provide comprehensive, multidisciplinary care to patients suffering from heart ailments.

MedWorld India Affiliated Best Heart Hospitals in India offer: - The ultimate destination for international patients who want World Best, Affordable Heart Surgery

For more information visit:          http://www.medworldindia.com      
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Please scan and email your medical reports  to us at care@medworldindia.com and we shall get you a Free Medical Opinion from India’s Best Doctors.

Call Us : +91-9811058159
Mail Us : care@medworldindia.com

Monday, 27 October 2014

When are Pacemakers Used? - Pacemakers may be Prescribed for a Number of Conditions

Artificial pacemakers are devices that are implanted into the body, just below the collarbone, to take over the job of the heart’s own electrical system and prevent slow heart rates. Although they weigh only an ounce and are the size of a large wristwatch face, a pacemaker contains a computer with memory and electrical circuits, a powerful battery (generator), and special wires called “leads.” The generator creates electrical impulses that are carried by the leads to the heart muscle, signaling it to pump.

Getting a pacemaker does not require open-heart surgery — the procedure usually takes only about two hours. The pacemaker generator is implanted in a small pocket made under the skin. The leads are usually placed in a vein near the collarbone, and then moved to the heart with the help of an X-ray machine. The leads touch the heart muscle on one end, and are connected to the pacemaker generator on the other end. The pacemaker is programmed to send signals to the heart, and settings can be changed at any time. Routine monitoring, some­times even by phone, makes sure the pacemaker is working properly. The battery in the generator lasts 5-10 years and must be replaced when it runs out.

  • Single Chamber Pacemakershave one wire that is placed in the right upper chamber (atrium) or lower chamber (ventricle).
  • Dual Chamber Pacemakershave two wires, one in the atrium and one in the ventricle.
  • Biventricular Pacemakers have three wires, one in the right atrium, one in the right ventricle and a third in the left ventricle. These more complicated pacemakers take more time to implant, and can be used to improve pumping in patients with heart failure.
  • Rate Responsive Pacemakers adjust the heart rate to a patient’s level of activity. They pace faster when a patient is exercising and slower when a patient is resting.

Pacemakers may be prescribed for a number of conditions, including:

  • Bradycardia
    A condition in which the heart beats too slowly, causing symptoms such as fatigue, dizziness or Fainting spells.
  • Atrial fibrillation (AFib)
    A common heart rhythm disorder in which the heart beats too fast and chaotically. Sometimes, people with AFib can also have slow rhythms. Medications used to control atrial fibrillation may result in slow rhythms, which are treated by pacemakers.
  • Heart failure
    A condition in which the heartbeat is not strong enough to carry a normal amount of blood and oxygen to the brain and other parts of the body. A special pacemaker can be programmed to increase the force of heart muscle contractions. This is called “biventricular pacing” or “resynchronization” therapy.

  • Syncope
    A condition best known as “fainting,” usually not serious. Some patients faint when their heart rate becomes too slow. A pacemaker prevents slow heart rates and can cure syncope 
    in some patients.
    Heart Surgery in India with the Best Heart surgeons in India is what medical tourists coming to India look for and is delivered at best cardiac hospitals in India . No other destination in the world can match the unparalleled clinical excellence, technology infrastructure and cost advantage offered by MedWorld India affiliated heart hospitals in India to deliver 99 percent and above successful outcomes for heart surgery.
    Our aim is to reduce the deadly consequences of cardiovascular diseases through innovative therapies for patient care. Our healthcare professionals at state of the art, heart specialty hospitals have a dedicated team of Cardiac surgeons and cardiologists who work in tandem to provide comprehensive, multidisciplinary care to patients suffering from heart ailments.
    MedWorld India Affiliated Best Heart Hospitals in India offer: - The ultimate destination for international patients who want World Best, Affordable Heart Surgery
    • »
    • Latest and best available techniques globally like Robotic Heart Surgery, Minimally Invasive Valve & coronary Heart Bypass Surgery, Primary and complex Coronary Angioplasties and Stenting. Percutaneous Valvular interventions including aortic valve replacement need a special mention.
    • »
    • Many of the world's finest heart hospitals are located in India with 98-99 % success rate for most procedures.
    • »
    • Cost of Surgery just 1/6th of cost in USA, UK or Europe with finest quality implants, prosthesis and consumables imported from Leading International Companies.
    • »
    • The highly trained team of Electrophysiologists have tremendous experience in doing all kind of radiofrequency ablations, device implantations, electrophysiology studies, and pacemaker and resynchronization therapy.
    • »
    • Computer Navigation Surgery System for excellent outcomes and use of finest quality implants, prosthesis and consumables imported from Leading International Companies.
    • »
    • Specialized Physiotherapy and Rehabilitation services for quick rehabilitation after cardiac surgery in India.
    • »
    • India’s leading hospital for children’s heart surgeries performs almost 3 times as many surgeries as Children’s Hospital, Boston, the leading children’s hospital in the USA




Saturday, 28 December 2013

Questions about Pacemakers - Best Cardiac Hospitals in India

Heart rhythm problems (arrhythmia) occur when the electrical impulses produced by your heart that coordinate heartbeat do not function properly, causing your heart to beat too quickly, too slowly, or irregularly.Age increases the probability of experiencing an arrhythmia. It can occur in people who do not have heart disease.Some heart arrhythmias are harmless, though some types, such as ventricular tachycardia (fast heart rates), are serious and even life threatening.
Pacemakers represent one of the earliest and most successful nonpharmacological therapy for arrhythmias. Millions of pacemakers have been implanted since the very first pacemaker was implanted. Drugs are no longer used except in the very acute setting before implantation of a temporary or permanent pacemaker.

A cardiac pacemaker is a device that is used to regulate the heart rate.

If you have been found to have a heartbeat that is too slow, a pacemaker can be implanted in the body to take over the function. This small electronic device automatically monitors and regulates the heartbeat, by transmitting electrical impulses to stimulate the heart when it is beating too slowly. A pacemaker consists of a pacing lead and a pulse generator. Single chamber pacemakers have only a single lead while dual chamber pacemakers have two leads with one lead in the atrium and the other in the ventricle. Dual chamber pacemakers are more physiological but more expensive.

The indications of pacing are now well established. The most important indication of pacing however remains complete heart block and the sick sinus syndrome which account for 95% of the indication for pacemakers implanted in Singapore. During the last pacemaker survey in 2005 in Singapore, the implant rate was 91 per million. With our ageing population, we can expect that the need for pacemaker implantation in Singapore will rapidly increase.



Single chamber pacemakers are pacing systems that use one lead in either the right atrium or the right ventricle of your heart.
A single lead in the right atrium is commonly used in conditions where the normal pacemaker of the heart is not working adequately, such as in the case of sick sinus syndrome. Atrial pacing is used when the sinus node is sending out signals that are too slow or irregular. However, to use this method of pacing, the rest of the heart's normal conduction system must be functioning normally.
More commonly, the single lead is placed in the right ventricle to help correct a slow or irregular heart beat. This is most often the case when the electrical flow is slowed or blocked in the region of the atrio-ventricular (A-V) node and the normal impulses from the atria cannot reach the ventricle. This would result in too slow a heart beat. The pacemaker system would keep the heart beating at a steady rate

Dual chamber pacemakers are pacemaker systems that use a lead in the right atrium as well as the right ventricle (figure 6). This type of pacing most closely mimics the heart's normal conduction pattern by pacing sequentially from atria to ventricle thus maximizing the heart's pumping ability. By having a lead in both the atria and ventricle the pulse generator is able to continuously regulate the heart's electrical activity in both chambers. These are the most commonly used pacemakers at the present time.

Commonly asked questions about pacemakers

Will I need to make any lifestyle changes after my pacemaker is implanted?
There are no significant lifestyle changes that you will need to make as a result of having a pacemaker implanted. Most patients resume their normal activities soon after implantation. Specific issues or concerns should be addressed with your pacemaker physician or nurse.
How often will I need to have my pacemaker checked?
Your pacemaker system will need to be evaluated by your pacemaker physician, nurse, or your local cardiologist's office at least twice yearly. A special computer called a programmer is used to perform a comprehensive evaluation of your pacemaker system. The programmer has a wand (like a computer mouse) that is used to communicate with the pacemaker. The wand is placed on your chest directly over the pulse generator and a radio wave signal is used to send and receive information from the pulse generator. Changes in the pacemaker settings can be done via this method as well. A complete assessment of the pacemaker's sensing and pacing functions, battery life, and diagnostic information is obtained, which enables your pacemaker physician/nurse to fine tune your care.
How is the battery changed?
The battery that is used to power your pulse generator is tightly sealed within the metal shell of the device. Therefore, when the battery's energy is depleted a whole new pulse generator must be implanted. The skin over the pulse generator site is numbed up with local anesthetic. You may also receive a light sedative through a intravenous line to help you relax. A new incision is made in the skin and the pacemaker pocket is opened. The pulse generator is removed and lead(s) disconnected. At this time the lead(s) are hooked to a special analyzer that evaluates the lead(s) for any evidence of potential malfunction. A new pulse generator is then attached to the lead(s) and the system is reimplanted in the same pocket. The incision is sutured (sewn) together and a small dressing applied. Most patients can go home the same day as their procedure.
Can I use a microwave?
Microwave ovens will not interfere with the proper functioning of your pacemaker. You can use a microwave oven without concern.
Can I use a cell phone?
It is possible that a cellular phone might interfere with the normal functioning of your pacemaker. The interaction is temporary, however, and will only affect the pacemaker during the time that your cellular phone is close to your pacemaker. To avoid this potential interference, it is recommended that you hold the cellular phone on the opposite side of your body away from the pacemaker. You should also not store your cellular phone in your breast pocket.You should always try to maintain a distance of at least 6 inches between your cellular phone and your pacemaker system.
Do I have to take any precautions at the airport?
If you were to walk through the metal detector at the airport, it will not harm you nor your pacemaker. However, because the pacemaker is encased in a metal shell, it is possible that the pacemaker may set off the security alarm. To avoid this problem, it is generally recommended that you show your pacemaker identification card to the security agent and inform him/her that you have an implanted pacemaker system. They should let you pass around the metal detector. If the airport security wants to scan you with the "hand wand", they can everywhere except over the device. This information also pertains to any metal detector such as at a courthouse or federal building.