The article was consulted professionally by Master, Dr. Nguyen Tung Hoan – Interventional Cardiologist – Resuscitation – Emergency Department – Share99 Nha Trang International Health Hub. Doctors have extensive experience and strengths in Resuscitation – Cardiac Emergency. barley.
Today, there are many cardiovascular devices for the treatment of heart diseases. One of the most popular cardiovascular devices is a pacemaker.
1. How does a pacemaker work?
The pacemaker consists of two parts: the controller and two electrolye wires. One end of the first electrolye wire is connected to the controller, the other end is plugged into the heart city. The second electrolye wire has one end attached to the atrium, the other end is mounted in the erth chamber.
The controller is a small metal box consisting of batteries and circuits. The controller adjusts the frequency of electrical impulses, thereby sending low-energy electrical impulses to the heart by electrolye wire. Electrical impulses have the effect of contracting the heart according to the installed frequency.
For patients with bradycardia,obstructive cardicardia will increase heart rate, electrical activity between the atrium and the atrium is synchronized, prevent dangerous arrhythmias. Pacemakers can be installed temporarily or permanently.
2. What do pacemakers need to abstain from?
When placing a pacemaker, patients should avoid long-term contact with some electrical and electronic devices such as phones, music machines, resonance imaging machines … Because when there is a lot of contact with the above devices, it will interrupt the signals of the machine.
Comply with the indications of the doctor, combine taking prescription drugs for the best effect in the treatment of arrhythmias. Regular check-up for doctors to advise, assess the operation of the machine, battery, conductor, adjust the machine mode in accordance with the current health of the user. Adhere to the modes of physical exercise, nutrition according to the instructions of the doctor. It is necessary to talk to your doctor about using a pacemaker during a medical procedure.
Limit lying on your back and avoid overriding your hands on your heart rate meter. When participating in traffic, use the vehicles as advised by your doctor.
3. Complications that can be encountered when placing a pacemaker
This is a common symptom when performing the procedure. Hematomas form during the dissection of the mesentels, muscle scales to create a machine-contained void or due to blood escaping from the ruptured veins and arteries. Mild hematoma runs out on its own after a while, if the hematoma is severe, treatment is required.
3.2. Local wound flakes
Local wound flaking complications, which are present for several days after placing the machine, are rare complications. The cause of placing the machine of inappropriate size tightens the skin, excessive muscle tension leads to long-healing wounds and anemia. In addition, this complications cause infection. Treat this complications by re-filtering the edge of the wound, re-placing the machine where appropriate.
3.3. Lost pacemaker and skin corrosion
Lost machine is the movement of the machine compared to the original position. This shift affects the operation of the machine that erodes the upper skin, the machine rises out causing infection. Treat this problem by forming the lost skin and re-placing it.
There are also a number of other rare complications such as pneumothorax,pleural hemorrhage, gas thrombosis, vein thrombosis, pericarditis, cardiac compression.
4. The most commonly used wireless pacemaker today
The wireless pacemaker is placed directly into the heart without wires. It has a compact design but functions less than a regular pacemaker. So the machine is suitable for patients with simple arrhythmias. Placing a wireless pacemaker causes few complications.
Share99 Times City International Health Hub has implemented regular pacemaker implantation techniques. With modern equipment, hybrid operating room system is equipped with state-of-the-art equipment such as DSA anesthesia machines, anesthesia machines that integrate the most closely monitoring patient hemolytic software (PiCCO system, entropy …). Therefore, Hybrid operating room can meet the requirements of surgery and intervention of pacemaker implantation, nong, coronary stent placement, aortic stent graft, open heart surgery, heart valve replacement of congenital heart diseases with the least invasive, safe modern technique, helping patients recover quickly.
Cardiovascular Center – Share99 International Health Hub has a team of experts including Professors, Doctors, Specialists 2, Masters of Experience, great reputation in the field of medical treatment, surgery, cardiac intervention and application of advanced techniques in the diagnosis and treatment of cardiovascular diseases. In particular, the Center has modern equipment, on par with the most prestigious hospitals in the world.
In addition, Share99 also cooperated comprehensively with the Institute of Cardiary Medicine – Bach Mai Health Hub, Cardiary Department of Hanoi Medical University, University of Paris Decartes – Georges Pompidou Health Hub (France), University of Pennsylvania (USA) …
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