Implantation of automatic cardioverter defibrillator,

Description implantation of automatic cardioverter defibrillator,

Implantable cardioverter-defibrillator (Idk) is a small device, It operates on battery, controlling the heart rhythm and providing appropriate treatment. Most DCO combine the functions of the pacemaker or defibrillator. If the heartbeat is too slow, DCO can help heartbeat enter the normal rate. If the heart starts beating disordered way, the device accordingly acts on the heart, to restore normal rhythm. Implantation of the DCO is surgery.

Indications for implantation of an automatic cardioverter defibrillator,

Some heart rhythms are extremely dangerous and can lead to sudden death or heart attack. Problems, in which the implant may need to include the DCO:

• Брадикардия – сердцебиение слишком медленное;
• Желудочковая тахикардия – сердцебиение слишком быстрое;
• Фибрилляция желудочков – сердечная мышца сокращается с недостаточной силой.

IDK implanted patients, that:

• We had one or more episodes of serious arrhythmias (irregular heart rhythms);
• Suffered a heart attack and at high risk for arrhythmias;
• Have a weakened heart muscle (a high risk of dangerous arrhythmias);
• There is a high likelihood of developing arrhythmias;
• Patients with hypertrophic cardiomyopathy (Enlarged heart muscle, It does not work properly).

Possible complications during implantation of an automatic cardioverter defibrillator,

If you plan to have surgery, you need to know about possible complications, which may include:

• Damage to the heart or lungs;
• Damage to blood vessels;
• Infection;
• Bleeding;
• Hematoma;
• Inadequate exposure, or malfunction.

Some factors, that may increase the risk of complications, include:

• Obesity;
• Smoking
• Alcohol addiction;
• Bleeding or blood clotting problems;
• The use of some drugs.

As the implantation of an automatic cardioverter defibrillator,?

Preparing for Surgery

Before the operation it is necessary to pass the following tests:

• Blood test;
• Рентген грудной клетки – тест, which uses X-rays, to make pictures of internal organs;
• Electrocardiogram (ECG) – тест, recording the heart's activity by measuring changes in electrical current, passing through the heart muscle;
• Эхокардиограмма – ультразвуковое исследование для оценки строения и функции сердца;
• Стресс-тестирование или катетеризация сердца – для оценки вероятности ишемической болезни сердца.

Perhaps it will be necessary to stop taking certain medicines a week before surgery, eg:

• Aspirin or other anti-inflammatory drugs;
• Do not take blood thinners, such as warfarin, Clopidogrel.

You can not eat after midnight the day of surgery.

If the patient has diabetes, You may need to take special medicines.

Anesthesia

Imtlantatsiya DCO is usually performed under local anesthesia.

After installation, the DCO, to check its operation using general anesthesia.

Activity description

To relax before surgery intravenous sedatives. Area, which will be implanted, IIR was washed with antiseptics. Local anesthesia is injected. Left and right, just below the collarbone made small incisions.

According to one of the cuts will be introduced a special wire through a vein in the upper chest to the heart. X-ray monitor is used, to monitor the implementation process. In this wire signals are transmitted between the heart and the DCO.

In place of the second section is a pocket, which is inserted directly the DCO.

After installation, the DCO in place, Additionally introduces sedatives, and checked the normal operation idk. then the incision is closed.

After operation

After surgery, the patient is sent to the recovery room until the end of anesthesia. Controlled vital signs, X-rays done to,To make sure, that the DCO is operating normally.

How long does the surgery?

The operation takes between one and three hours.

Will it hurt?

During surgery, the patient may experience tremors and twitching at the surgical site. Anesthesia will prevent pain during the procedure. After the operation in place of the cuts could be felt a small pain. Pain relief appropriate pain medicine.

The time spent in hospital

If there are no complications, Out of the hospital made through 1 – 3 day.

Nursing care after surgery

In the hospital

On the next day after the implant, We need to pass an electrocardiogram and blood tests. Operation of the DCO can be checked again. This will require the introduction of sedatives.

Houses

For a normal recovery after surgery is necessary to perform the following procedures:

• Keep clean the surgical site and make timely dressing;
• Check with the doctor, after some time, you can take a bath and a shower;
• Do not drive a car for at least six months after surgery;
• Do not lift anything heavier than 5 kg within two months after surgery;
• Avoid activity for 4-6 weeks after surgery. This especially applies to upper body. You have to be very careful when moving the hand and arm on the side, where the device was introduced. Sudden movements may lead to a shift device DCO;

The patient should avoid:

• Procedures for magnetic resonance imaging;
• Heat therapy, commonly used in physiotherapy (bathroom, sauna);
• Spent close to a source of high voltage, such as welding arc, high-voltage wires, Radar installations, or microwave ovens;
• You can not come close to the radio- and television transmitters;
• Not recommended nasit cell phone in a pocket directly at the IIR. Besides, headphones, worn with MP3-players (eg, iPod), may cause harmful interference to the implant;
• It is necessary to turn off the engine of a vehicle or boat, working with them. They can interfere with the device;
• Devices, generating a magnetic field may affect the operation of an implantable cardioverter defibrillator,;
• We must stick to the doctor's recommendations.

The patient is issued a card, It contains important information about the IDK. At the doctor needs to be present in the first place.

If the heart require intervention DCO in his work, the patient will feel it. When the DCO may feel light or heavy blow to the chest. It should try to stay calm and sit or lie down. If someone is next to the patient, should be asked to look after him. If after hitting the patient feels fine, you need to inform your doctor. Maybe, doctor will prescribe the survey,особенно если это – первый удар. If the patient receives multiple strikes in a row or in a day, you should immediately go to the emergency room.

It is necessary to go to the hospital in cases

• The patient feels a blow;
• Symptoms of infection, including fever and chills;
• Krasnoja, swelling, pain, excessive bleeding, or discharge from the incision site;
• Inability to relieve pain using painkillers;
• Cough or severe nausea or vomiting.

You should immediately call an ambulance the following symptoms:

• Chest pain or shortness of breath;
• Dizzy, but there is no impact to the heart;
• After impact, dizziness persists;
• Three or more hits in a row.