Search - Implantable Cardioverter Defibrillator ICD

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Description

Arrhythmia, that is, the irregular beating of the heart is a condition which can turn fatal and can even cause sudden death. An Implantable Cardioverter Defibrillator (ICD) is a device that is planted near the collar bone. It sends electric shocks through the heart to stabilize the erratic beating back to normal.A similar device known as the Subcutaneous Implantable Defibrillator (SICD), works alike but is placed just under the chest skin.

Symptoms

Doctors may recommend the insertion of an ICD if The patient has already suffered a case of fatal irregular heartbeat rhythm and may be at the risk of another.The patient has suffered from a fatal irregular heartbeat rhythm, but tests show susceptibility. Such a case may occur in patients with Cardiomyopathy (Heart muscle disease), Long QT Syndrome (causes disturbances in heart rhythm) and Brugada Syndrome (causes disturbances in heart rhythm and prevents the flow of sodium ions).The patient suffers from some other type of heart conditions, such as risk of a heart failure.The patient has had other types of treatment for the condition, but with unsuccessful results. The patient has already suffered a case of fatal irregular heartbeat rhythm and may be at the risk of another. The patient has suffered from a fatal irregular heartbeat rhythm, but tests show susceptibility. Such a case may occur in patients with Cardiomyopathy (Heart muscle disease), Long QT Syndrome (causes disturbances in heart rhythm) and Brugada Syndrome (causes disturbances in heart rhythm and prevents the flow of sodium ions). The patient suffers from some other type of heart conditions, such as risk of a heart failure. The patient has had other types of treatment for the condition, but with unsuccessful results.

Pre Procedure

Generally before the surgery following standard tests are done EKG (records heart beat)Echocardiography (uses sound waves to form a moving image of the heart) EKG (records heart beat) Echocardiography (uses sound waves to form a moving image of the heart)

During Procedure

Implantable Cardioverter Defibrillator surgery is a minor one, and is done under the influence of local anaesthesia. Firstly, the area where the ICD will be placed is numbedThe doctor then inserts the ICD wires through a veinAn x-ray movie helps him to thread the wires correctlyAn incision is made and the device is placed. The device is tested and the incision is sutured. Firstly, the area where the ICD will be placed is numbed The doctor then inserts the ICD wires through a vein An x-ray movie helps him to thread the wires correctly An incision is made and the device is placed. The device is tested and the incision is sutured.

Post Procedure

After the surgery, the patient is kept under hospital care for about a day or two. During this period the heart beat is regulated and the ICD device is checked for effective functioning. Patients are recommended to arrange for a relative or friend to drive them home. There can be swelling and pain over a few weeks, in the region where the ICD is placed, but it goes away with time. After ICD implantation, the doctor will advise Avoiding strenuous activity for 1 to 2 monthsAvoiding prolonged contact with digital and electric devices like cell phones, household appliances, electric generators and high-tension wiresAvoiding contact sports, for instance football or basketball. A direct hit in the chest region may cause the device to dysfunction. Avoiding strenuous activity for 1 to 2 months Avoiding prolonged contact with digital and electric devices like cell phones, household appliances, electric generators and high-tension wires Avoiding contact sports, for instance football or basketball. A direct hit in the chest region may cause the device to dysfunction.

Risk And Complications

The risks of ICD are The device can sometimes dysfunction or a damaged wire can lead to unwanted electrical shocks.Inflammation, bruising and infection in the region where the device is placed.Bleeding from the region where the incision is madeDamage of a blood vessel, nerve or even the heartLung collapse (escape of air from the lungs) The device can sometimes dysfunction or a damaged wire can lead to unwanted electrical shocks. Inflammation, bruising and infection in the region where the device is placed. Bleeding from the region where the incision is made Damage of a blood vessel, nerve or even the heart Lung collapse (escape of air from the lungs)
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