How many live with a pacemaker. What you can not do with a cardmaker everyday life with a pacemaker

Cardio-pathologists often accompany the natural process of aging the body. People with a pacemaker are protected from sudden complications that threatening a person without an excessive outcome.

Unrecoverable patients believe that life with exh can be significantly shorter than without it. But practice proves the opposite. The first patient who was implanted with a pacemaker survived his doctor.

Responding to the main question

Order Callback

You can leave your phone number and we will definitely call you in the shortest possible time!

Headings magazine

Among all the people, in the past, the operations or serious therapy, people with an electrocardiomulator are under the special attention of doctors. Such a patient should understand that after surgery he will have to change its some habits, diet, labor activity, hobby, and rules for patients with a hand-made personnel make life.

Rules of behavior on the street and in everyday life, or life with a heart cardiac

How often should you attend a doctor after surgery?

After discharge from the clinic, the patient must come to the first examination of the doctor in three months.

Then, it should be sent to the cardiologist at least two or once a year to the cardiologist - under the condition that the patient with the pacemaker does not bother anything, he has no complaints or newly emerging diseases.

Urgently visiting the doctor you need if the following symptoms arose:

  1. Sensation of electrical discharges in the field of heart, chest.
  2. The pulse is much lower than the norm, which is programmed in the apparatus.
  3. Frequent seizures of Icotes.
  4. Inflammatory processes, pain in the pacemaker, swelling.
  5. The head, fainting or semi-resistant state circles.
  6. Cardiopalmus.
  7. The discharge of the defibrillator occurred.
  8. Exemplary publishes any audio signals.

As is known, the electrocardiographer is very sensitive to all electromagnetic radiation, and these fields are necessary to avoid as much as possible.

On the street and in public places the patient with an electrocardiomulator must be careful:

  1. Do not appear in the zone of high-voltage lines and cables, electric pillars and electrical substation.
  2. Do not be near television gear, radar, satellite antennas, repeaters.
  3. In supermarkets and shops, at the station, at airports and public receptions, such a person cannot be obtained by the impact of metal detectors.

In everybody and in the workplace, a person with an electrocardiomulator should apply certain security measures:

  1. Touch to power plates, wires, work cables, connectors, etc. Hand, which is located on the opposite side of the pacemaker.
  2. Protect the area of \u200b\u200bthe electrocardiotimulator from any impacts - pressure, friction, shocks. You can not try to shift the apparatus under the skin.
  3. The telephone apparatus (stationary and mobile) should always be at a distance of at least 30 cm from the electrocardiotimulator - it does not matter, there is a telephone in standby mode, or the patient speaks it.
  4. The same rule concerns the audio player - it should be worn on the opposite side, at a distance of at least 30 cm from the ex.
  5. The patient should not use ungrounded and uninsulated electric tools, and household appliances.
  6. It is not recommended to work with an electric drill, a construction perforator, a lawn mower.
  7. It is not recommended to work with excessive tension of the muscles of the shoulder belt and breasts - cutting firewood, savage, as well as all kinds of hard physical labor.

As a rule, a patient with an electrocardiomulator doctor allows work on the home computer.

Light lightering exercises and sports are also allowed - swimming, light jogging, sports walking, etc.

Medical procedures prohibited after installation installation operation

Each patient to which the electrocardiality is supplied, has a special document on his hands - a certificate identifies it as a person with ex. This certificate records information about the type of device, as well as the contact details of the attending physician.

This certificate gives the patient right, for example, not to pass the framework of metal detectors at airports, or abandon medical services that are prohibited by a person with ex:

  1. Magnetic resonance tomography (which, if necessary, a person survey, can be replaced by X-ray diagnostics or computed tomography).
  2. Ultrasound, if the sensor of the device must be carried out above the region of the electro-barcardiomulator.
  3. Monopolar electrocoagulation (at the same time, bipolar coagulation in some cases can be performed if the doctor permits).
  4. Lithotripsy.
  5. Some types of physiotherapy - for example, electrical treatment, magnetotherapy.

It should be noted that echocardiography and ultrasound research outside the cardiography zone is not prohibited.

Is it possible to work and play sports after installation?

If the postoperative period passed without complications and the pacemaker works well, most patients return to the execution of their former working responsibilities, but - taking into account new circumstances.

  • The attending physician must be notified if the patient's labor activity is connected with the exploitation of electrical appliances and electrical equipment under high voltage, very strong industrial magnets, radar, other sources of electromagnetic radiation.
  • Patient colleagues with extern must know about this fact and have coordinates, first aid instructions for ventricular tachycardia and any abnormal patient health situations.
  • Just like in everyday life, a person with ex is necessary to avoid working with excessive physical stress, as well as with risk of falling, blows to the chest and heart area, the overvoltage of the breast muscles during physical work. If the patient had harmful working conditions that fall into the category of the above types of work, he needed to change the type of labor activity and move to easier operation.

Can a person with an electrocardiomulant of the heart play sports?

There is an opinion that a person with an exhauscance cannot be engaged in any kind of physical exercises - it is not. Moreover, light sports and some exercise are very useful, and strengthen the heart and vessels, stimulating the body to normal operation.

Before starting the occupation, any kind of sports it is necessary to obtain the recommendations of their attending physician in the number of loads, the time of classes and the feasibility of selected exercise.

For a person with an electrocardiomulator, the following sports and exercises are prohibited:

  • All sports involving direct contact and risk of strikes. For example, game species - hockey, football, as well as oriental martial arts - Taekwondo, karate.
  • The shooting of the gun and rifle - the return of weapons into the location of the stimulator can damage the fabrics above the device, as well as mechanically affect the electrocardiomulator itself.
  • Scuba diving, diving on any depth, diving.
  • All types of sports associated with weight lifting, shaking shoulder belts, risk of falls and strikes in the chest area - jumping in height, boxing, rod.

During the exercise, the physical exercises that the doctor recommended, the patient should focus on his own well-being, and discontinue occupations immediately, as an alarming symptoms or fatigue will arise.

During physical studies and rest on the street in the warm season, it is necessary to protect the area of \u200b\u200bthe stimulator from direct sunlight.

When do the replacement?

The electrocardiomator implanted by the patient must be periodically verified for performance. Consultations for checking ex appointed the attending physician - on average, this period is determined by six months.

  • The electrocardialism is replaced if the battery charge has been released, and its insufficient charge is detected during the control check. Exemplary is also replaced if some emergencieswhich caused a failure in work or even its damage, as well as an inflammatory process in the field of the implanted apparatus.
  • Replacing the electrocardiomulator is an easy procedure, it is performed under local anesthesia.
  • Most often, the replacement does not need the ECA device itself, but an electrode. In this regard, bipolar electrocardiomulants are best in operation, which are more reliable and provide long-term operation without breakdowns.

If at the time of the planned control check for the ex and consulting the doctor's doctor is forced to leave, then it is necessary to determine the clinics in the place of its future stay in advance, which have experience of control of ex with a similar type, and maybe in advance to convene with any clinic and consult about the arrival, possibilities Exposures of ex or replace it.

Patient reviews

The main purpose of this procedure is the elimination of arrhythmias that are dangerous to the life of patients, as well as improving the quality of their lives. List of restrictions that are fraught with ICD implantation will be determined physical condition a person, the degree of severity of the main pathology, the recommendations of the doctor. →

When using and reprinting the material, an active link to the site is required!

Heart pacemaker

The heart pacemaker is a rather miniature device, which, sending electrical expulsions, maintains a normal reduction in an important organ to ensure the necessary livelihoods of the body. Lithium batteries serve as a power supply of the pacemaker. In the design of the electrical impulse generator, the control system and electrocardiographic sensors tracking the rhythm of the heart are provided.

When are the pacemaker?

Indications to the installation of the pacemaker are:

  • all types of bradycardia when the frequency of heart cuts is less than 60 per minute;
  • atrioventricular blockades.

There are practically no contraindications to the implantation of a heart cardiomulator, but there are a number of factors that increase the risk of complications, among them:

  • blood coagulation disorders;
  • excess weight;
  • smoking and excessive alcohol consumption;
  • regular reception of individual drugs.

Cardimulator Installation Operation

Preparation for the operation includes:

  • blood tests;
  • conducting radiography of the chest;
  • removing an electrocardiogram.

The implantation of the pacemaker is carried out at local anesthesia, when only the operated area is anesthetized using injections. The surgeon does in the area of \u200b\u200bthe clavicle incision through which the device is inserted. Small wiring are summarized to the heart muscle through a vein located under the clavicle. The operation time is about 2 hours.

Rehabilitation after installation of a cardiac

After the operation performed, pain may be felt. The doctor to reduce painful sensations is prescribed painkillers. The pacemaker is configured taking into account the individual needs of the stimulation of the heart muscle. The specialist is mandatory in detail instructs the patient about possible complications and how to ensure fast recovery after the operation. As a rule, for normal rehabilitation it is required to follow the following rules:

  1. You can return to the usual way of living 2 weeks after implantation.
  2. Seating behind the wheel of the car is allowed not earlier than 1 week after discharge from the hospital.
  3. Within 6 weeks, significant physical exertion should be avoided.

Throughout further life with a fitted pacemaker, it is necessary to avoid interaction with:

  • radio and telemodests;
  • high-voltage technique;
  • radar installations.

It is impossible to undergo therapeutic and survey procedures, such as:

  • magnetic resonance imaging;
  • heat physiotherapy.

Also, doctors are not recommended to wear a mobile phone in his pocket located in the heart area. It is undesirable to use a MP3 player and headphones. Caution should be taken to passing through the security detector at the airport and similar places. In order not to undergo dangerous health procedure, you need to have a device owner card with you. About the presence of a pacemaker need to warn the doctor of any specialty to which it was necessary to apply for medical help. The service life of the heart cardibility of the heart is from 7 to 15 years, at the end of this time they replace the instrument.

How many of the hearts live with the cardiovel?

For those who are recommended for the installation operation, this question is especially significant. As medical practice shows, subject to the recommendations of the doctor, patients with implant in the heart live as much as other people live, that is, it is safe to declare: a pacemaker does not affect life expectancy.

Copying information is allowed only with direct and indexed reference to the original source

How many live with a pacemaker

In normal condition, the work of the heart muscle occurs completely imperceptibly for a person. As the physical or psycho-emotional state is changing, the heart slows down or on the contrary enhances the intensity of its work, pumping different blood volumes and ensuring, thereby, the timely enrichment of all organs by oxygen. But despite its extremely important role in life support, the heart is not insured against "malfunctions." Their treatment can be carried out by therapeutic or surgical methods. In some cases, it may be decided on the need for an additional assistant to the main pump of the body - a heart pacemaker is installed.

Principle of operation of the device and indications for implantation

The pacemaker is a small electrical device, which, after implantation in the body, is designed to artificially create electrical impulses and ensure the regularity of cardiac abbreviations. In fact, this device is a custom rhythm driver, which in the process of its work "imposes the right beat of the heart.

Installation of the pacemaker is a fairly serious and responsible step requiring good reasons. The process itself is invasive. Impact implantation is the only contraindication to its conduct.

The decision on the operation is made in a strictly individual order, depending on the clinical picture of the underlying disease, concomitant diagnoses, age, gender, the lifestyle of the patient. However, there are a number of diagnoses, the formulation of which is an absolute indication to the implantation of the pacemaker.

These include:

  • bradycardia with pronounced symptomatics - a decrease in cardiac rhythm to an indicator of less than 50 blows per minute;
  • full cardiac blockade - the mismatch of the atrial and ventricular rhythms;
  • severe degree of heart failure;
  • some forms of cardiomyopathies, under which the structural changes arising significantly affect the contractile activity of the heart.

Artificial rhythm drivers can be:

  • single-chamber, regulating the work of only one heart rate - atrium or ventricle;
  • two-chamber, perceiving and stimulating two cells of the organ;
  • three-chamber having a special device for treating heart failure.

The development of science and technology has divided all pacemakers on the frequency-adaptive, automatically increasing the frequency of generated pulses with increasing exerciseAnd no - working in accordance with the specified indicators. The requirements of modern life were forced to supply each of the devices, especially imported, many additional parameters and functions that allow maximum adapting the device under each of the patients.

Sequence of actions when installing a rhythm driver

The installation operation of the pacemaker may last from forty minutes to three and a half hours - depending on the type of device. In general, any of the stimulants consists of an electronic circuit - generator of pulses and electrode conductors. The power source for the device is a battery designed on average for 7-8 years of continuous operation. In order to avoid rejection of the foreign body by the body, the scheme is placed in the titanium case.

Invasive intervention is carried out by a cardiac surgery under the control of x-ray equipment. The presence of anesthesiologist is also necessarily, despite the fact that in most cases local anesthesia is used.

Direct implantation includes the following steps:

  • locking fabric in the region of the clavicle;
  • sequential entry of electrodes through connect venu to the appropriate heart departments;
  • placing the stimulator body in the prepared bed;
  • connecting electrodes to the housing;
  • individual setting of device operation mode.

In order not to create discomfort in the daily life of the patient, modern devices are programmed to "on demand" mode. This means that the pulse feed is carried out until the heart starts to decline in the desired rhythm, after that, the device turns off - the next time it will turn on when the organ stops the signal in a timely manner.

Basic laws of life with an electrocardiomulator

The implantation of the pacemaker conditionally divides the patient's life to "before" and "after". New rules after surgery include a number of requirements and restrictions, the observance of which should be the daily norm. Reviews of people living with a pacemaker for several years have generally testify to improving the quality of life after its installation. A clear observance of the prescription will avoid complications, side effects, painlessly and quickly adapt to new conditions of being.

Life with a pacemaker is divided into three stages, each of which corresponds to their requirements:

This period patient is in the hospital. Under the close observation of the attending physician and medical personnel, seams are healing. It is important to keep a postoperative wound clean and dry. The cardiologist holds regular measurements of cardiac rhythm. In the absence of negative factors, the fifth day after implantation is already allowed to take a light shower, and in a week - the patient is discharged from the medical institution.

A person with a pacemaker placed on dispensary accounting. The first scheduled survey is produced in three months. However, it should immediately turn to the doctor if the patient will feel unreasoning, dizziness, tachycardia, edema or pain in the device installation area, unreasonable attacks of icotes will occur, any audio signals of the device will be heard. During this period, it is recommended to read especially carefully to their body. The mode of life and work should be the most sparing character. Forbidden the lift of cargo is heavier than five kilograms. Even easy work should be performed by hand opposite to the area with a pacemaker.

  • the rest of the period before the replacement of batteries;

After half a year, a patient's control examination is prescribed again, from this point on the frequency of cardiologist's visits in the norm is once every six months. Skip the planned procedures are prohibited. Even if the date of the inspection coincides with the period of a business trip, it is necessary to learn in advance about the opportunity to go through a planned consultation in local clinics.

In the absence of alarming factors, the attending physician may gradually cancel some limitations. However, there are among them and those are permanent, regardless of the implantation of the pacemaker and the patient's well-being.

Sports sports with an artificial rhythm driver

There is an erroneous opinion that sport and life with a pacemaker are incompatible concepts. This is not quite so. There are a number of sports events and exercise, which six months after installing the device not only are not contraindicated, but also extremely useful for the cardiovascular system, namely:

  • measured swimming without diving under water
  • hiking and sports walking
  • gymnastics and yoga,
  • golf,
  • tennis.

The main rule in training should be moderation - it is impossible to overvolt and do something through force. Under the ban, there are diving classes, shooting from a rifle and a gun, paeerlifting, as well as all contact sports, in the process of which the patient can get a blow to the area of \u200b\u200bthe installed pacemaker.

The number of training, their duration and expediency must be coordinated with the attending cardiologist.

What to fear in the home setting

The pacemaker refers to the instruments, extremely sensitively responding to changes in the surrounding magnetic field. This circumstance must be taken into account in the life of the "after" implantation. Reviews indicate that among the electrical appliances surrounding a person in everyday life, the most dangerous are the microwave, TV, power tools (perforator, drill, jigsaw). It is not recommended to approach these devices in running mode. As for the mobile phone, it also refers to the risk group. Completely abandon this "good" in modern world It is hardly possible. But to minimize its use will have to be, as well as wearing it is not in your pocket, but in a bag or purse.

A heart pacemaker is a unquestionable pretext to refuse to check on a metal detector. However, in order to avoid embarrassing situations, you should have a passport of the owner of the pacemaker, which is issued when discharge from the hospital.

Caution should be observed in the passage of medical examinations on related diagnoses. Some types of research is prohibited for people with a pacemaker. Despite the fact that the fact of implantation is usually listed in the patient's medical card, it should be reminded when visiting any doctor. In addition, the installation of the implant should be informed of all those who are most often surrounding the patient, whether relatives or labor team. This will give it possible on time and correctly respond in case of emergency situations in the work of the rhythm driver.

Despite numerous positive reviews About life with a pacemaker, it should be remembered that the artificial driver of the rhythm is by no means a new heart and not a medicine from diseases. This is just the opportunity to live, complying with the precautions.

Types of electrocardiosimulators

The pacemakers are divided into two types: a standard, which "launches" a reduction in the heart chambers, as well as internal, combining the functions of the "ordinary" cardiovellator and the defibrillator (cardioverter-defibrillator).

  • Standard COP sends an electrical pulse through special wires that are attached to the heart. This helps in a situation where a person with a violation of rhythm exists a problem with the generation of a natural electrical signal.
  • The second type of COP is a combination of a defibrillator / standard pacemaker. In addition to performing the function of the artificial rhythm driver, which allows you to control the heart rate and their regularity, it can stop the "lethal rhythm" (dangerous patient-life arrhythmia).

The defibrillator feature implies to summarize the "shock" to make it effectively shrink. The idea of \u200b\u200bshock is the same as with a "manual defibrillator", the work with which many watched on TV, for example, when the ambulance brigade conducts resuscitation activities. Since the wires are sent directly to the heart, the discharge is made much less powerful. Due to this, with a cardioverter-defibrillator "Electrocker" is not so painful.

The installation of the COP does not always allow to solve a one hundred percentage with arrhythmia. It is quite often necessary to receive drugs after installing a pacemaker, which helps the heart more effectively perform its pumping function. It is necessary to follow the instructions of the doctor as accuracy, as well as keep records of the drugs used (receiving time, their dose).

Useful video

About how the pacemaker interacts with the heart, see this video:

Operation Risks

In addition to general risks that carry any surgical intervention and anesthesia, there are problems related to the COP implantation operation. Statistics shows that 5% of patients have complications after installing the cardimulator, which they need to know about. These include:

  • damage to the nerve in the field of dissection of fabrics;
  • pnemothorax (collapse of the lung);
  • bloodstocks at the placement of the COP (a frequently found side effect of surgical intervention, heaviness depends on the number of accumulated blood);
  • damage to tissues or blood vessels located near the heart;
  • a faulty pacemaker that does not work properly after the operation (it is very rare);
  • the defect of the wire through which the electrical signal moves from the pacemaker to the heart (also observed very rarely);
  • the rupture of the wire, which may occur after the operation due to improper placement;
  • infection of postoperative wound.

Recovery after surgery

Rehabilitation after installing the pacemaker usually lasts from week to month. Below are some tips, how to behave in the recovery period. For more information, it is worth learn from your attending physician. Only he can tell you in detail about the necessary adjustments of the lifestyle, depending on the specific situation. What you should pay attention to:

  • It is necessary to try to avoid raising heavy items, excessive physical exertion. This will allow the postoperative wound to hear the postoperative wound, "to fix" the cardiogram.
  • Exclude the pressure after installing the pacemaker to the area where it is placed in the tissues.
  • Inform to your doctor if swelling, redness or release from the postoperative wound appeared.
  • Contact the doctor if the subfebrile temperature does not disappear within 2 days.

One of the complications of the implantation of a pacemaker, which may arise in the long run, is the swelling of the left upper limb.

Wires directed from the device to the heart, first penetrate the vein, which passes along breast wall up. Through it, they fall into the vein, according to which the blood flows from the upper limb. Then the wires penetrate into the upper hollow and the heart. They are quite thick, which can cause inflammation of the veins and their narrowing - this leads to stagnant phenomena in hand, her edema.

When a hand hurts after installing the pacemaker, it can be one of the symptoms of the inflammation of the vein. The state is diagnosed with ultrasound research or phlebography. The latter procedure provides for the introduction of a contrast agent. In case of confirmation of the diagnosis, such a problem can be resolved using balloon angioplasty. Another option is to move wires from damaged veins to another.

How fast the patient gets used to the pacemaker, what sensations are experiencing, look in this video:

Life with a pacemaker: on the street and in everyday life, medical procedures

Contrary to popular belief, there are no strict restrictions after the installation of a home appliance cardiac cards. Even the microwave does not have any influence. Nevertheless, there are devices that require specific attention, compliance with certain precautions.

The patient to whom a pacemaker is installed, makes sense to remind any doctor (dentist, cosmetologist, and so on) about its feature before passing the medical manipulation.

The above recommendations are not such burdensome. Their fulfillment is not such a difficult task. You just need to be attentive. This will allow you to quickly return to your usual life after installing a pacemaker, avoid serious problems.

Physical activity and sports

The presence of a pacemaker does not mean that sports is contraindicated. There are certain rules for behavior under the conditions of active physical exertion:

  • Exclude excessive loads of the muscular apparatus of the upper half of the body. During the first month, it is necessary to minimize the motor activity in the hand on the implantation side.
  • Avoid pressure, shocks in the area where the COP is installed. An occupation of various kinds of martial arts (karate, boxing, judo) and weightlifting must be completely limited. And also should not be engaged in the shooting of the rifle.
  • Gaming sports, such as basketball, volleyball, limit hockey are located next to a red feature. On the one hand, with them the amplitude of the movement of hands is maximum, which can lead to the separation of the electrodes, on the other - the risk of serious trauma of the implantation area is not excluded.
  • Hiking, fitness, swimming, dancing - the best options for people with cardiovemifiers.

Regular inspections

Control visits to the doctor - an integral part of therapeutic process. Even if the patient feels good, he should not be neglected by an appointed inspection, during which Dr.:

  • through special programs Check the performance of the COP;
  • check the battery charge;
  • if there is a need, it will make adjustments to its settings.

Usually inspection takes no more than 20 minutes.

Replacing the battery is usually produced under local anesthesia. Sometimes it is required to change the electrodes or the complete replacement of the pacemaker. In this case, general anesthesia can be claimed.

When it costs ahead of time to disturb the attending physician

The following situations are a reason to consult a doctor before the designated period of regular inspections:

  • if cardiac frequency is below the minimum value on the device;
  • when the swelling, redness or selection in the area where the COP is installed;
  • there were questions related to the work of the pacemaker, drug intake;
  • any unusual, before that does not cause a change in health state (for example, newly appeared symptoms).

But there may be other reasons. Usually, when discharge, the doctor describes situations when it is necessary to continue to contact him.

The pacemaker is installed to prevent or eliminate the problem, and not create it. If you comply with constant precautions that are not so burdensome, and follow the instructions of the attending physician, then the problems do not arise. This allows you to conduct a normal lifestyle, devoid of practical restrictions.

The doctor is always aware of the work of your heart.

In 2009, a revolutionary event occurred for cardio-medicine. The patient was first implanted by the Biotronik German manufacturer with the removal system with the attending database database on the patient's heart muscle. Featuring the functioning of the heart is performed in constant monitoring mode, which allows you to fix the minimum deviations in the work of the heart muscle. Information The doctor enters through a special application on a mobile phone. A significant part of the measurements that extends the German brand Biotronik was previously carried out only in equipped clinical centers. The mobility of the diagnostic procedure in the coupe with its implementation in constant surveillance mode has discovered new opportunities to preserve human life.

The installation of the tracking electrocardiomulants can be carried out in the German cardiological clinic Delius Praxis. The installation of modern extends to level the risks of sudden death, which has a positive effect on statistics of life expectancy with a pacemaker.

The pacemaker can save life from the occurrence of an accident

Many people know minor restrictions that are experienced by the ex: avoid magnetic framework of detectors, do not use firearms, do not dive with scuba, do not engage in contact types of struggle.

But there is also the reverse side of the medal. The pacemaker is capable of preventing a heart stop with a deadly hypothermation of the body. There are cases when climbers, travelers, people who have fallen into the accident survived despite the maximum low temperatures that their body fought. Excellent people did not give the heart to stop, allowing them to survive the situation in which a person without a pacemaker would have remained less chances.

Responding to the main question

And still. How many patients live with a heart cardiomulator? Life expectancy is not least limited to this factor. We only note that in the Delius clinic there are patients who have been extended every month of life for three decades. And we note, these patients have a rich and active life. Modern exof well protected even from MRI radiation, they are reliable, trouble free and do not give to develop pathogical changes without the knowledge of the doctor and the patient himself.

1Exscurs in history

For less than 70 years since the development of the first portable exhibition, the pacemaker's industry has done a huge leap in its development. The end of the 50s - the beginning of the 60s of the twentieth century is the "golden years" in pacemakers, since in these years a portable exe was developed, the first implantation of the heart pacemaker was produced. The first portable device had large sizes, and also depended on the external electricity. In this was his huge minus - he was connected to the outlet, and if there were interruptions with electricity, the device immediately disconnected.

In 1957, the 3-hour electricity shutdown led to the death of a child with a heart cardiovel. It was obvious that the device requires improvement, and after a few years, scientists have developed a fully portable portable stimulator, which was fixed on the human body. In 1958, a pacemaker was implanted for the first time, the device itself was located in the abdominal wall, and the electrodes directly in the heart muscle.

Each decade, the electrodes and the "filling" of the devices, their appearance was improved: in the 70s, a lithium battery was created, due to which the service life increased significantly, two-chamber exemplies were created, therefore it became possible to stimulate all heart cameras - and atrial and ventricles. . In the 1990s, ex with a microprocessor were created. It became possible to store information about the rhythm and frequency of abbreviations of the patient's heart, the stimulator not only "asked" the rhythm himself, but could adapt to the human body, only adjusting heart work.

The 2000s were marked by a new discovery - a two-stimulatory stimulation was possible in severe heart failure. Due to this discovery, the reduction of the heart, as well as the survival of patients, has significantly improved. In short, a pacemaker from the middle of the twentieth century to this day was a lot of stages in his formation, thanks to the discoveries of doctors, scientists, physicists. Thanks to their discoveries, millions of people today live a more full-fledged and happy life.

2 Decision of the modern device

The pacemaker is also called the artificial driver of the rhythm, because it is he "asks" the pace of heart. How is the modern cardiac handmaker? The main elements of the device:

  1. Chip. This is a "brain" of the device. It is here that the generation of impulses, control of cardiac activity, timely adjustment of heart rate disorders. Developed devices that work regularly, "impressing" a certain rhythm of the cutting of the heart, or work "on demand": when the heart is reduced normally - the exeise is inactive, and as soon as the heart rhythm is broken - the device is included in the work.
  2. Battery. Any brain needs food, and the chip needed the energy generated by the battery, which is inside the instrument housing. The exhaustion of the battery does not happen suddenly, the device checks its work every 11 hours automatically, and also gives information how much the pacemaker can last. This allows you to still normal operation of the device when the time is already suitable, think about it.

If the doctor speaks of the need to replace the instruments, then, as a rule, it can still work normally for more than one month. To date, the battery for ex lithium, they have 8-10 years. But to say exactly about the duration of the cardiomimulator in a particular case is not always possible, this indicator is individual, its validity period depends on the parameters of stimulation and other factors.

  • Electrodes. Communicate between the instrument and heart, and are attached through the vessels in the hearts. Electrodes - special conductors of pulses from the device to heart, they also carry information in the opposite direction: on the activity of the heart to the artificial rhythm driver. If the ex has one electrode, this stimulator is called a single-chamber, it can produce a pulse in one heart chamber - atrium or ventricle. If two electrodes are connected to the instrument - then we are dealing with a two-chamber pacemaker, which can generate pulses simultaneously and in the upper and lower cardiac chamber. There are also three-chamber devices, with three electrodes, respectively, most often this type of exemplary is used in heart failure.
  • 3kom showing installation?

    When does a person need to install an artificial rhythm driver? In cases where the patient's heart is not able to independently produce pulses with the desired frequency in order to ensure full-fledged contractual activity and normal heart rate. The reading to the installation of the pacemaker are the following states:

    1. Lowering heart rate up to 40 and less under clinical symptoms: dizziness, loss of consciousness.
    2. Hearty Heart Blocks and Conductivity Disorders
    3. Attacks of paroxysmal tachycardia that are not subject to medication treatment
    4. ASISTOLY episodes for more than 3 seconds registered on the cardiogram
    5. Vetricular tachycardia heavy, life-degraded fibrillations, drug therapy resistant
    6. Heavy manifestations of heart failure.

    Most often, the stimulator is installed in bradyarithms when the patient has developed blockages against a low pulse - the conduction disorders. Such states are often accompanied by the clinic - episodes of Morgana-Adams - Stokes. With this attack, the patient suddenly pale and loses consciousness, without consciousness it is from 2 seconds to 1 minute, less than 2 minutes. Funnyness are associated with a sharp decrease in blood flow due to heart impairment. Usually, the consciousness after the attack is completely restored, the neurological status does not suffer, the patient after the permission of the attack feels lightly brokenness, fatigue. Any arrhythmias accompanied by such a clinic - reading to install ex.

    4 Operation and life after it

    Currently, the operation is produced under local anesthesia. Anesthetic is introduced into the skin and calendous tissues under it, a small incision is made in the connector region and the doctor, the electrodes in the heart chamber introduces through the connective vein. The device itself is implanted under the worship. Electrodes are connected to the device, the required mode is set. There is a lot of stimulation modes today, the device can work constantly and "imparting" your fixed rhythm to the heart, or to enable "on demand".

    The "Demand" mode is popular with frequently repeating attacks of consciousness. The stimulator runs when the spontaneous frequency of heart cuts becomes below the specified level program, if the "native" heart rate is higher than this cardiac rhythm level, the pacemaker is turned off. Rare complications after surgery, they happen in 3-4% of cases. Thrombosis, infections in the wound, fractures of electrodes, violations in their work, as well as malfunctions in the device can be observed.

    In order to prevent the development of complications after the operation of the implantation of the pacemaker, patients should be observed with a cardiologist, as well as 1-2 times a year with a cardiac surgeon, an ECG control is required. About 1.5 months is required for reliable encapsulation of the head of the electrode in the fabric, about 2 months is necessary for the psychological adaptation of the patient to the instrument.

    Bringing to work after the operation is allowed after 5-8 weeks, not earlier. Patients with a heart pacemaker is contraindicated with working with stay under the conditions of magnetic fields, microwave fields, working with electrolytes, in vibration conditions, significant physical exertion. Such patients can not be held by MRI, apply physiotherapeutic treatment methods so as not to disrupt the operation of the device, to linger for a long time near the metal detectors, lay the mobile phone in the immediate vicinity of the stimulator.

    You can talk on a mobile one, but to have it near the ear on the side opposite to the one on which the stimulator is implanted. Watch TV, use the electric shaver, the microwave is not rebeling, but it is necessary to be at a distance from the source. In general, if you do not take into account small restrictions, the life with the pacemaker is not much different, from the life of an ordinary person.

    5 When the pacemaker is banned?

    There are no contraindications of absolute to installation. To date, there are no age restrictions on the operation, as well as some diseases, in which the exemplary formulation is not possible, even with a sharp infarction, a pacemaker can be installed according to readings. Sometimes an instrument implantation can be delayed if there is a need. For example, when aggravating chronic diseases (asthma, bronchitis, ulcer of the stomach), sharp infectious diseases, fever. With such states, the risk of complications after the operation increases.

    You can receive information on this issue in more detail on the subject section of our website: pacemakers

    Learn more on this topic:
    Search for questions and answers
    Form for adding a question or revocation:

    Please use the search for the responses (the base contains over the Supreme). Many questions are already answered.

    Parts of the human body who live after death

    Prostheses, breast implants and pacemakers are additional parts of the human body. What happens to them after the death of millions of their owners?

    Where do prostheses and implants come out after the death of their owners?

    Under the watchful window of the guards of the investigative insulator of Davidson, the metropolitan municipality of half a dozen prisoners in blue overalls are tested with foot prostheses. After analyzing them into parts, they fold separately screws, bolts, connectors and other components of prostheses. The prison workshop is a place to cooperate the authorities with the American charitable organization Standing With Hope (Life with Hope), based in Nashville, Tennessee. The essence of charity ─ processing of used prostheses for developing countries of the world. In the disassembled form, the prostheses of the legs will be sent to Ghana, where trained local doctors will restore and customize them for specific patients.

    These leg prostheses will receive a second life, but other types of prostheses and implants are usually another fate. The question of the secondary use of additional parts of the human body, to which they no longer need (mainly due to the death of the owner) is becoming more and more urgent problem. Modern medicine offers a long list of spare parts ─ from whole extremities to metal hips, shoulders and joints.

    But there are other additional parts of the human body, such as pacemakers, internal heartfill defibrillators, dentures and silicone breast implants. What happens to these parts of the body when people die?

    Archaeologists in the future can detect many silicone implants during the excavations of the graves

    Chemically inert devices, such as breast implants and prostheses hip, as a rule, are not removed after the death of a person mainly because there is no good reason for this, and they do not represent a big threat to the environment. So, most likely, the archaeologists of future centuries will find these peculiar objects in the graves of a thousand years ago: silicone rounded items, plastic teeth, metal bones.

    A completely different story is obtained by the cremation of the body. In the furnace, the silicone crematorium can burn, but will remain entirely implants made of metals such as titanium or cobalt alloy. They can be separated from ash and disposed of separately. With the help of a metal detector, even tiny amounts of precious metals can be detected, for example, gold.

    Prosthetic hip joint

    The metal components of the prosthesis of the hip joint can be processed after cremation in the details of the car or aircraft.

    In recent years, some enterprising organizations intervened in this process of disposal of additional parts of the bodies of the dead people. In particular, the Dutch company Orthometals collects 250 tons of metal annually from hundreds of crematoriums throughout Europe. At its factory in Steenbergen, it sorts and intersects the assembled metal into bars before selling companies producing cars and aircraft. A similar American company, Implant Recycling, sells the same and recycled metal back to the medical industry. Thus, after the death of a person, a small piece of his body can be on a plane, wind turbine, or even in the body of another person.

    Cardiosimulators and defibrillators, on the contrary, are often removed from the body after the death of a person and almost always before cremation, because the batteries can explode when heated. The same applies to spinal cord electrostimulators containing built-in electronics, controlling the anesthesia and the operation of internal pumps, helping to introduce drugs.

    After removing implants, as a rule, are written off into waste, as in the European Union and the United States there are rules that prohibit the reuse of implanted medical devices. Nevertheless, currently developing activities to restore them for reuse in developing countries (Russia is also developing a country?).

    Defibrillator DKA in the chest

    The implantable cardiodephibrillator (DKA defibrillator) contains batteries that can explode during body cremation.

    For the price of new implants of $ 4,000 for a pacemaker and $ for a cardioverter defibrillator (ICD), Second-hand implant is the only way for millions of people to purchase this saving equipment. In the UK, there is a Charitable Pace4Life Charitable Society, which is engaged in having taken from the funeral bureaus remote from the bodies of dead cardiosmulators for their reuse in India.

    Annals of Internal Medicine magazine (Annals of Internal Medicine) published the results of the American Program called "Project My Heart Your Heart" (Project My Heart ─ Your Heart), which showed that in 75 patients who received used CEOs, no signs were detected infection or malfunction of implanted defibrillator converters. In this regard, the FDA (United States Drug Control Management and Drug Administration) submitted an application for sending to a turn of used implantable devices that adjust the work of the heart.

    As mentioned above, in Nashville come in the same way, sending the used foot prostheses to Ghana. Co-founder of a charitable organization, Grassi Rosenberger, at 17 he fell into a difficult road and traffic accident, as a result of which she lost both legs. Like many with amputated limbs, Grassi over the years has acquired new prostheses, which made her think about how it would be better to use old prostheses, driving off the deposit after or legs rose, or new, more comfortable, designs appeared. In addition, when the disabled is dying, his family often remains with a good prosthesis, not knowing who could be given it.

    Now the disabled and their families can send old foot prostheses by mail to the charitable organization of Rosenberger.

    Fitting the prosthesis in Ghana donated Standing with Hope

    Now the purpose of the Standing Wit Hope charity organization is to beat last year's record ─ 500 leg prostheses delivered to Ghana as part of charity.

    Like a donor that gives his own body to another person, people who make their medical implants may say goodbye to this world with a sense of satisfaction, knowing that after death their implants will give someone a second chance to life, whether it is a man with a heartless heart in India , poor woman with the need to replace the hip joint in America or a child with a missing limb in Ghana.

    Such emotions are experiencing not only donors and those who receive additional parts of the human body. Davidson's investigative insulator is just a few minutes drive from the house of Peter, Gracie Rosenberger's husband, and he often visits prisoners working in the workshop on disassembling limb prostheses. Once, during a conversation with them, one prisoner said to Peter, as the work is important for him for the organization "Life with Hope". He said with tears in her eyes: "I have never done anything good to anyone, and now for the first time in my life I had the opportunity to do something positive with my own hands. It turns out that happiness is to help others. "

    Parts of the human body who live after death: 1 comment

    An interesting article .... In the future it will be even more relevant, since the Olicness of the artificial bodies will increase significantly.

    How a man is dying with a pacemaker

    Infections, treatment, influenza, prevention, etc.

    Acute respiratory failure

    Failure of the cardiovemifier

    The pacemaker may fail due to the failed batteries or problems with the transfer of pulses. As a consequence, the pacemaker ceases to send adequate electrical impulses that force the heart muscle to shrink, or the heart muscle is not able to respond to an electric stimulus (for example, due to its weakness). Sometimes there are situations where the temporary pacemaker ceases to function correctly. The absence of electrostimulation of the heart - the ECG does not show the activity of the cardiomimulator when it should be.

    Primary inspection

    • Rate the quality of the patient's breathing.
    • Evaluate the patient's consciousness.
    • Make an ECG, which will help determine the cause of the electrocardial failure.
    • Check the connection with the X-ray cable.
    • If the indicators are not highlighted, you must replace the battery.
    • Adjust the sensitivity of the pacemaker.

    Acute coronary syndrome

    Coronary artery disease

    The ratio of diagnostic terms "OX" and "them"

    Tarrow of papillary muscle

    Cardiogenic shock

    • congenital defects of the conductive heart system;
    • myocardial ischemia or heart attack;
    • organic heart disease;
    • drug toxicity;
    • disorders of the structure of the connective tissue;
    • electrolyte imbalance;
    • cell hypoxia;
    • hypertrophy of the heart muscle;
    • acid-alkaline imbalance;
    • emotional stress.

    How many live with a pacemaker

    In normal condition, the work of the heart muscle occurs completely imperceptibly for a person. As the physical or psycho-emotional state is changing, the heart slows down or on the contrary enhances the intensity of its work, pumping different blood volumes and ensuring, thereby, the timely enrichment of all organs by oxygen. But despite its extremely important role in life support, the heart is not insured against "malfunctions." Their treatment can be carried out by therapeutic or surgical methods. In some cases, it may be decided on the need for an additional assistant to the main pump of the body - a heart pacemaker is installed.

    Principle of operation of the device and indications for implantation

    The pacemaker is a small electrical device, which, after implantation in the body, is designed to artificially create electrical impulses and ensure the regularity of cardiac abbreviations. In fact, this device is a custom rhythm driver, which in the process of its work "imposes the right beat of the heart.

    Installation of the pacemaker is a fairly serious and responsible step requiring good reasons. The process itself is invasive. Impact implantation is the only contraindication to its conduct.

    The decision on the operation is made in a strictly individual order, depending on the clinical picture of the underlying disease, concomitant diagnoses, age, gender, the lifestyle of the patient. However, there are a number of diagnoses, the formulation of which is an absolute indication to the implantation of the pacemaker.

    These include:

    • bradycardia with pronounced symptomatics - a decrease in cardiac rhythm to an indicator of less than 50 blows per minute;
    • full cardiac blockade - the mismatch of the atrial and ventricular rhythms;
    • severe degree of heart failure;
    • some forms of cardiomyopathies, under which the structural changes arising significantly affect the contractile activity of the heart.

    Artificial rhythm drivers can be:

    • single-chamber, regulating the work of only one heart rate - atrium or ventricle;
    • two-chamber, perceiving and stimulating two cells of the organ;
    • three-chamber having a special device for treating heart failure.

    The development of science and technology divided all pacemakers to frequency-adaptive, automatically increasing the frequency of generated pulses with an increase in physical activity, and no - operating in accordance with the specified indicators. The requirements of modern life were forced to supply each of the devices, especially imported, many additional parameters and functions that allow maximum adapting the device under each of the patients.

    Sequence of actions when installing a rhythm driver

    The installation operation of the pacemaker may last from forty minutes to three and a half hours - depending on the type of device. In general, any of the stimulants consists of an electronic circuit - generator of pulses and electrode conductors. The power source for the device is a battery designed on average for 7-8 years of continuous operation. In order to avoid rejection of the foreign body by the body, the scheme is placed in the titanium case.

    Invasive intervention is carried out by a cardiac surgery under the control of x-ray equipment. The presence of anesthesiologist is also necessarily, despite the fact that in most cases local anesthesia is used.

    Direct implantation includes the following steps:

    • locking fabric in the region of the clavicle;
    • sequential entry of electrodes through a subclavian vein into the appropriate heart departments;
    • placing the stimulator body in the prepared bed;
    • connecting electrodes to the housing;
    • individual setting of device operation mode.

    In order not to create discomfort in the daily life of the patient, modern devices are programmed to "on demand" mode. This means that the pulse feed is carried out until the heart starts to decline in the desired rhythm, after that, the device turns off - the next time it will turn on when the organ stops the signal in a timely manner.

    Basic laws of life with an electrocardiomulator

    The implantation of the pacemaker conditionally divides the patient's life to "before" and "after". New rules after surgery include a number of requirements and restrictions, the observance of which should be the daily norm. Reviews of people living with a pacemaker for several years have generally testify to improving the quality of life after its installation. A clear observance of the prescription will avoid complications, side effects, painlessly and quickly adapt to new conditions of being.

    Life with a pacemaker is divided into three stages, each of which corresponds to their requirements:

    This period patient is in the hospital. Under the close observation of the attending physician and medical personnel, seams are healing. It is important to keep a postoperative wound clean and dry. The cardiologist holds regular measurements of cardiac rhythm. In the absence of negative factors, the fifth day after implantation is already allowed to take a light shower, and in a week - the patient is discharged from the medical institution.

    A person with a pacemaker placed on dispensary accounting. The first scheduled survey is produced in three months. However, it should immediately turn to the doctor if the patient will feel unreasoning, dizziness, tachycardia, edema or pain in the device installation area, unreasonable attacks of icotes will occur, any audio signals of the device will be heard. During this period, it is recommended to read especially carefully to their body. The mode of life and work should be the most sparing character. Forbidden the lift of cargo is heavier than five kilograms. Even easy work should be performed by hand opposite to the area with a pacemaker.

    • the rest of the period before the replacement of batteries;

    After half a year, a patient's control examination is prescribed again, from this point on the frequency of cardiologist's visits in the norm is once every six months. Skip the planned procedures are prohibited. Even if the date of the inspection coincides with the period of a business trip, it is necessary to learn in advance about the opportunity to go through a planned consultation in local clinics.

    In the absence of alarming factors, the attending physician may gradually cancel some limitations. However, there are among them and those are permanent, regardless of the implantation of the pacemaker and the patient's well-being.

    Sports sports with an artificial rhythm driver

    There is an erroneous opinion that sport and life with a pacemaker are incompatible concepts. This is not quite so. There are a number of sports events and exercise, which six months after installing the device not only are not contraindicated, but also extremely useful for the cardiovascular system, namely:

    • measured swimming without diving under water
    • hiking and sports walking
    • gymnastics and yoga,
    • golf,
    • tennis.

    The main rule in training should be moderation - it is impossible to overvolt and do something through force. Under the ban, there are diving classes, shooting from a rifle and a gun, paeerlifting, as well as all contact sports, in the process of which the patient can get a blow to the area of \u200b\u200bthe installed pacemaker.

    The number of training, their duration and expediency must be coordinated with the attending cardiologist.

    What to fear in the home setting

    The pacemaker refers to the instruments, extremely sensitively responding to changes in the surrounding magnetic field. This circumstance must be taken into account in the life of the "after" implantation. Reviews indicate that among the electrical appliances surrounding a person in everyday life, the most dangerous are the microwave, TV, power tools (perforator, drill, jigsaw). It is not recommended to approach these devices in running mode. As for the mobile phone, it also refers to the risk group. Fully abandon this "good" in the modern world can hardly succeed. But to minimize its use will have to be, as well as wearing it is not in your pocket, but in a bag or purse.

    A heart pacemaker is a unquestionable pretext to refuse to check on a metal detector. However, in order to avoid embarrassing situations, you should have a passport of the owner of the pacemaker, which is issued when discharge from the hospital.

    Caution should be observed in the passage of medical examinations on related diagnoses. Some types of research is prohibited for people with a pacemaker. Despite the fact that the fact of implantation is usually listed in the patient's medical card, it should be reminded when visiting any doctor. In addition, the installation of the implant should be informed of all those who are most often surrounding the patient, whether relatives or labor team. This will give it possible on time and correctly respond in case of emergency situations in the work of the rhythm driver.

    Despite numerous positive feedback on life with a pacemaker, it should be remembered that the artificial driver of the rhythm is by no means a new heart and not medicine from diseases. This is just the opportunity to live, complying with the precautions.

    Types of electrocardiosimulators

    The pacemakers are divided into two types: a standard, which "launches" a reduction in the heart chambers, as well as internal, combining the functions of the "ordinary" cardiovellator and the defibrillator (cardioverter-defibrillator).

    • Standard COP sends an electrical pulse through special wires that are attached to the heart. This helps in a situation where a person with a violation of rhythm exists a problem with the generation of a natural electrical signal.
    • The second type of COP is a combination of a defibrillator / standard pacemaker. In addition to performing the function of the artificial rhythm driver, which allows you to control the heart rate and their regularity, it can stop the "lethal rhythm" (dangerous patient-life arrhythmia).

    The defibrillator feature implies to summarize the "shock" to make it effectively shrink. The idea of \u200b\u200bshock is the same as with a "manual defibrillator", the work with which many watched on TV, for example, when the ambulance brigade conducts resuscitation activities. Since the wires are sent directly to the heart, the discharge is made much less powerful. Due to this, with a cardioverter-defibrillator "Electrocker" is not so painful.

    The installation of the COP does not always allow to solve a one hundred percentage with arrhythmia. It is quite often necessary to receive drugs after installing a pacemaker, which helps the heart more effectively perform its pumping function. It is necessary to follow the instructions of the doctor as accuracy, as well as keep records of the drugs used (receiving time, their dose).

    Useful video

    About how the pacemaker interacts with the heart, see this video:

    Operation Risks

    In addition to general risks that carry any surgical intervention and anesthesia, there are problems related to the COP implantation operation. Statistics shows that 5% of patients have complications after installing the cardimulator, which they need to know about. These include:

    • damage to the nerve in the field of dissection of fabrics;
    • pnemothorax (collapse of the lung);
    • bloodstocks at the placement of the COP (a frequently found side effect of surgical intervention, heaviness depends on the number of accumulated blood);
    • damage to tissues or blood vessels located near the heart;
    • a faulty pacemaker that does not work properly after the operation (it is very rare);
    • the defect of the wire through which the electrical signal moves from the pacemaker to the heart (also observed very rarely);
    • the rupture of the wire, which may occur after the operation due to improper placement;
    • infection of postoperative wound.

    Recovery after surgery

    Rehabilitation after installing the pacemaker usually lasts from week to month. Below are some tips, how to behave in the recovery period. For more information, it is worth learn from your attending physician. Only he can tell you in detail about the necessary adjustments of the lifestyle, depending on the specific situation. What you should pay attention to:

    • It is necessary to try to avoid raising heavy items, excessive physical exertion. This will allow the postoperative wound to hear the postoperative wound, "to fix" the cardiogram.
    • Exclude the pressure after installing the pacemaker to the area where it is placed in the tissues.
    • Inform to your doctor if swelling, redness or release from the postoperative wound appeared.
    • Contact the doctor if the subfebrile temperature does not disappear within 2 days.

    One of the complications of the implantation of a pacemaker, which may arise in the long run, is the swelling of the left upper limb.

    Wires directed from the device to the heart, first penetrate the vein, which runs along the chest wall up. Through it, they fall into the vein, according to which the blood flows from the upper limb. Then the wires penetrate into the upper hollow and the heart. They are quite thick, which can cause inflammation of the veins and their narrowing - this leads to stagnant phenomena in hand, her edema.

    When a hand hurts after installing the pacemaker, it can be one of the symptoms of the inflammation of the vein. The state is diagnosed with ultrasound research or phlebography. The latter procedure provides for the introduction of a contrast agent. In case of confirmation of the diagnosis, such a problem can be resolved using balloon angioplasty. Another option is to move wires from damaged veins to another.

    How fast the patient gets used to the pacemaker, what sensations are experiencing, look in this video:

    Life with a pacemaker: on the street and in everyday life, medical procedures

    Contrary to popular belief, there are no strict restrictions after the installation of a home appliance cardiac cards. Even the microwave does not have any influence. Nevertheless, there are devices that require specific attention, compliance with certain precautions.

    The patient to whom a pacemaker is installed, makes sense to remind any doctor (dentist, cosmetologist, and so on) about its feature before passing the medical manipulation.

    The above recommendations are not such burdensome. Their fulfillment is not such a difficult task. You just need to be attentive. This will allow you to quickly return to your usual life after installing a pacemaker, avoid serious problems.

    Physical activity and sports

    The presence of a pacemaker does not mean that sports is contraindicated. There are certain rules for behavior under the conditions of active physical exertion:

    • Exclude excessive loads of the muscular apparatus of the upper half of the body. During the first month, it is necessary to minimize the motor activity in the hand on the implantation side.
    • Avoid pressure, shocks in the area where the COP is installed. An occupation of various kinds of martial arts (karate, boxing, judo) and weightlifting must be completely limited. And also should not be engaged in the shooting of the rifle.
    • Gaming sports, such as basketball, volleyball, limit hockey are located next to a red feature. On the one hand, with them the amplitude of the movement of hands is maximum, which can lead to the separation of the electrodes, on the other - the risk of serious trauma of the implantation area is not excluded.
    • Hiking, fitness, swimming, dancing - the best options for people with cardiovemifiers.

    Regular inspections

    Control visits to the doctor - an integral part of therapeutic process. Even if the patient feels good, he should not be neglected by an appointed inspection, during which Dr.:

    • with the help of special programs will check the efficiency of the COP;
    • check the battery charge;
    • if there is a need, it will make adjustments to its settings.

    Usually inspection takes no more than 20 minutes.

    Replacing the battery is usually produced under local anesthesia. Sometimes it is required to change the electrodes or the complete replacement of the pacemaker. In this case, general anesthesia can be claimed.

    When it costs ahead of time to disturb the attending physician

    The following situations are a reason to consult a doctor before the designated period of regular inspections:

    • if cardiac frequency is below the minimum value on the device;
    • when the swelling, redness or selection in the area where the COP is installed;
    • there were questions related to the work of the pacemaker, drug intake;
    • any unusual, before that does not cause a change in health state (for example, newly appeared symptoms).

    But there may be other reasons. Usually, when discharge, the doctor describes situations when it is necessary to continue to contact him.

    The pacemaker is installed to prevent or eliminate the problem, and not create it. If you comply with constant precautions that are not so burdensome, and follow the instructions of the attending physician, then the problems do not arise. This allows you to conduct a normal lifestyle, devoid of practical restrictions.

    The doctor is always aware of the work of your heart.

    In 2009, a revolutionary event occurred for cardio-medicine. The patient was first implanted by the Biotronik German manufacturer with the removal system with the attending database database on the patient's heart muscle. Featuring the functioning of the heart is performed in constant monitoring mode, which allows you to fix the minimum deviations in the work of the heart muscle. Information The doctor enters through a special application on a mobile phone. A significant part of the measurements that extends the German brand Biotronik was previously carried out only in equipped clinical centers. The mobility of the diagnostic procedure in the coupe with its implementation in constant surveillance mode has discovered new opportunities to preserve human life.

    The installation of the tracking electrocardiomulants can be carried out in the German cardiological clinic Delius Praxis. The installation of modern extends to level the risks of sudden death, which has a positive effect on statistics of life expectancy with a pacemaker.

    The pacemaker can save life from the occurrence of an accident

    Many people know minor restrictions that are experienced by the ex: avoid magnetic framework of detectors, do not use firearms, do not dive with scuba, do not engage in contact types of struggle.

    But there is also the reverse side of the medal. The pacemaker is capable of preventing a heart stop with a deadly hypothermation of the body. There are cases when climbers, travelers, people who have fallen into the accident survived despite the maximum low temperatures that their body fought. Excellent people did not give the heart to stop, allowing them to survive the situation in which a person without a pacemaker would have remained less chances.

    Responding to the main question

    And still. How many patients live with a heart cardiomulator? Life expectancy is not least limited to this factor. We only note that in the Delius clinic there are patients who have been extended every month of life for three decades. And we note, these patients have a rich and active life. Modern exof well protected even from MRI radiation, they are reliable, trouble free and do not give to develop pathogical changes without the knowledge of the doctor and the patient himself.

    1Exscurs in history

    For less than 70 years since the development of the first portable exhibition, the pacemaker's industry has done a huge leap in its development. The end of the 50s - the beginning of the 60s of the twentieth century is the "golden years" in pacemakers, since in these years a portable exe was developed, the first implantation of the heart pacemaker was produced. The first portable device had large sizes, and also depended on the external electricity. In this was his huge minus - he was connected to the outlet, and if there were interruptions with electricity, the device immediately disconnected.

    In 1957, the 3-hour electricity shutdown led to the death of a child with a heart cardiovel. It was obvious that the device requires improvement, and after a few years, scientists have developed a fully portable portable stimulator, which was fixed on the human body. In 1958, a pacemaker was implanted for the first time, the device itself was located in the abdominal wall, and the electrodes directly in the heart muscle.

    Each decade, the electrodes and the "filling" of the devices, their appearance was improved: in the 70s, a lithium battery was created, due to which the service life increased significantly, two-chamber exemplies were created, therefore it became possible to stimulate all heart cameras - and atrial and ventricles. . In the 1990s, ex with a microprocessor were created. It became possible to store information about the rhythm and frequency of abbreviations of the patient's heart, the stimulator not only "asked" the rhythm himself, but could adapt to the human body, only adjusting heart work.

    The 2000s were marked by a new discovery - a two-stimulatory stimulation was possible in severe heart failure. Due to this discovery, the reduction of the heart, as well as the survival of patients, has significantly improved. In short, a pacemaker from the middle of the twentieth century to this day was a lot of stages in his formation, thanks to the discoveries of doctors, scientists, physicists. Thanks to their discoveries, millions of people today live a more full-fledged and happy life.

    2 Decision of the modern device

    The pacemaker is also called the artificial driver of the rhythm, because it is he "asks" the pace of heart. How is the modern cardiac handmaker? The main elements of the device:

    1. Chip. This is a "brain" of the device. It is here that the generation of impulses, control of cardiac activity, timely adjustment of heart rate disorders. Developed devices that work regularly, "impressing" a certain rhythm of the cutting of the heart, or work "on demand": when the heart is reduced normally - the exeise is inactive, and as soon as the heart rhythm is broken - the device is included in the work.
    2. Battery. Any brain needs food, and the chip needed the energy generated by the battery, which is inside the instrument housing. The exhaustion of the battery does not happen suddenly, the device checks its work every 11 hours automatically, and also gives information how much the pacemaker can last. This allows you to still normal operation of the device when the time is already suitable, think about it.

    If the doctor speaks of the need to replace the instruments, then, as a rule, it can still work normally for more than one month. To date, the battery for ex lithium, they have 8-10 years. But to say exactly about the duration of the cardiomimulator in a particular case is not always possible, this indicator is individual, its validity period depends on the parameters of stimulation and other factors.

  • Electrodes. Communicate between the instrument and heart, and are attached through the vessels in the hearts. Electrodes - special conductors of pulses from the device to heart, they also carry information in the opposite direction: on the activity of the heart to the artificial rhythm driver. If the ex has one electrode, this stimulator is called a single-chamber, it can produce a pulse in one heart chamber - atrium or ventricle. If two electrodes are connected to the instrument - then we are dealing with a two-chamber pacemaker, which can generate pulses simultaneously and in the upper and lower cardiac chamber. There are also three-chamber devices, with three electrodes, respectively, most often this type of exemplary is used in heart failure.
  • 3kom showing installation?

    When does a person need to install an artificial rhythm driver? In cases where the patient's heart is not able to independently produce pulses with the desired frequency in order to ensure full-fledged contractual activity and normal heart rate. The reading to the installation of the pacemaker are the following states:

    1. Lowering heart rate up to 40 and less under clinical symptoms: dizziness, loss of consciousness.
    2. Hearty Heart Blocks and Conductivity Disorders
    3. Attacks of paroxysmal tachycardia that are not subject to medication treatment
    4. ASISTOLY episodes for more than 3 seconds registered on the cardiogram
    5. Vetricular tachycardia heavy, life-degraded fibrillations, drug therapy resistant
    6. Heavy manifestations of heart failure.

    Most often, the stimulator is installed in bradyarithms when the patient has developed blockages against a low pulse - the conduction disorders. Such states are often accompanied by the clinic - episodes of Morgana-Adams - Stokes. With this attack, the patient suddenly pale and loses consciousness, without consciousness it is from 2 seconds to 1 minute, less than 2 minutes. Funnyness are associated with a sharp decrease in blood flow due to heart impairment. Usually, the consciousness after the attack is completely restored, the neurological status does not suffer, the patient after the permission of the attack feels lightly brokenness, fatigue. Any arrhythmias accompanied by such a clinic - reading to install ex.

    4 Operation and life after it

    Currently, the operation is produced under local anesthesia. Anesthetic is introduced into the skin and calendous tissues under it, a small incision is made in the connector region and the doctor, the electrodes in the heart chamber introduces through the connective vein. The device itself is implanted under the worship. Electrodes are connected to the device, the required mode is set. There is a lot of stimulation modes today, the device can work constantly and "imparting" your fixed rhythm to the heart, or to enable "on demand".

    The "Demand" mode is popular with frequently repeating attacks of consciousness. The stimulator runs when the spontaneous frequency of heart cuts becomes below the specified level program, if the "native" heart rate is higher than this cardiac rhythm level, the pacemaker is turned off. Rare complications after surgery, they happen in 3-4% of cases. Thrombosis, infections in the wound, fractures of electrodes, violations in their work, as well as malfunctions in the device can be observed.

    In order to prevent the development of complications after the operation of the implantation of the pacemaker, patients should be observed with a cardiologist, as well as 1-2 times a year with a cardiac surgeon, an ECG control is required. About 1.5 months is required for reliable encapsulation of the head of the electrode in the fabric, about 2 months is necessary for the psychological adaptation of the patient to the instrument.

    Bringing to work after the operation is allowed after 5-8 weeks, not earlier. Patients with a heart pacemaker is contraindicated with working with stay under the conditions of magnetic fields, microwave fields, working with electrolytes, in vibration conditions, significant physical exertion. Such patients can not be held by MRI, apply physiotherapeutic treatment methods so as not to disrupt the operation of the device, to linger for a long time near the metal detectors, lay the mobile phone in the immediate vicinity of the stimulator.

    You can talk on a mobile one, but to have it near the ear on the side opposite to the one on which the stimulator is implanted. Watch TV, use the electric shaver, the microwave is not rebeling, but it is necessary to be at a distance from the source. In general, if you do not take into account small restrictions, the life with the pacemaker is not much different, from the life of an ordinary person.

    5 When the pacemaker is banned?

    There are no contraindications of absolute to installation. To date, there are no age restrictions on the operation, as well as some diseases, in which the exemplary formulation is not possible, even with a sharp infarction, a pacemaker can be installed according to readings. Sometimes an instrument implantation can be delayed if there is a need. For example, with exacerbation of chronic diseases (asthma, bronchitis, stomach ulcer), acute infectious diseases, fever. With such states, the risk of complications after the operation increases.

    After the device implantation, it will be necessary to stay at night in the clinic. Doctors will check the heart rhythm, will be convinced that it works properly.

    From several days to several weeks, the patient may experience pain in the area where the device is placed. As a rule, pain is quite moderate. The doctor will recommend what analgesics is better to take.

    It will be necessary to avoid active activities and hard work within a month. Usually enough for several days to return to the normal rhythm of life. Most patients return to work after implantation. Terms depend on many factors, including the type of working activity.

    To get the consultation

    Possible complications after installing the pacemaker and risks

    The operation is generally safe enough. If problems arise, they may include:

    • Elemental state, bleeding, hematoma or infection in the zone where the device is supplied.
    • Damage to blood vessels or nerve endings.
    • Collapse of the lung (air pocket in the lungs).
    • Poor reaction to anesthetic used during the procedure.

    Before the operation, the doctor in the assessment will tell in detail about the advantages and risks of the installation of this instrument.

    Limitations of life with a pacemaker - how to live after surgery?

    The pacemakers have protective screens, so most of the items that a person uses or comes with them to contact, do not affect the normal operation of the device. However, elements that generate or apply electricity, or transmit wireless signals - such as, portable generator, electric drill or cell phone - have electromagnetic fields. Some of these fields can affect the operation of the device. If the electromagnetic fields surrounding the subject are too close to the pacemaker, the device will detect them, and it can temporarily affect its operation.

    Close or long-term contact with electrical devices or equipment should be avoided, which has strong magnetic fields:

    • MP3 players, cell phones. New frequencies become available in radio communications. Their use of mobile phones make pacemakers less reliable.
    • Household appliances, for example, microwaves, electric drills, electric blankets, electric shavers, heels.
    • High voltage wires.
    • Metal detectors.
    • Equipment for industrial welding.
    • Electrical current generators.

    These objects break the transmission of electrical pulses in the driver of the rhythm. The patient will not be able to determine whether the breakdown occurred. Risk depends on the proximity and duration of interactions with the above devices.

    If a person feels dizziness, changing the rhythm of the heart or gets a blow to the current while using a device, simply stops this interaction. Any temporary effect is unlikely to cause reprogramming or damage to the pacemaker. The device is designed to return to normal operation. If the symptoms continue, there are no improvements, you should consult a doctor, as soon as possible.

    If the item is used for its intended purpose and is in good working condition, it is not known about any risk when using the following things:

    • Charger for household batteries.
    • CD / DVD or recorder.
    • Curling tongs.
    • Dishwasher.
    • Electric blanket.
    • Electric guitar.
    • Electrical scales.
    • Hair straightener.
    • Jacuzzi.
    • Ionizing air filter.
    • Kitchen appliances (blender, opener, refrigerator, stove, toaster).
    • Armchair for massage.
    • Microwave.
    • Remote controller remote control.
    • Television.
    • Flashlight on batteries.
    • Soldering iron.
    • Laser pointer.
    • Calculator.
    • Copy machine.
    • Laptop, desktop PC.
    • Digital music player (iPod).
    • Fax.
    • Barcode Scanner.
    • A printer.
    • AM / FM radio
    • Scanner.

    Ask a question to the doctor

    Minimum risk

    It costs minimally at a distance of 16 centimeters from the pacemaker to keep the following items:

    • Electric portable kitchen appliances (mixer or knife).
    • Remote control, antenna.
    • Electric Shaver.
    • An electric toothbrush.
    • Magnetic exercise bike.
    • Manual hairdryer.
    • Massager
    • Sewing machine.
    • Treadmill.
    • Vacuum cleaner.
    • A circular saw.
    • Electric drive battery.
    • Electric chainsaw.
    • Manual meat grids.
    • Lawn mower with electric power.
    • Rechargeable screwdriver.
    • Router.
    • Soldering iron.
    • Amateur radio - 3 W or less from the antenna.
    • Cell phone - 3 W or less from the antenna.
    • Wireless Devices (Computers, Headsets, Modems, Routers, Smartphones, Bluetooth ™)
    • Wireless Controllers (Game Consoles, Xbox ™ *, PlayStation ™, Nintendo ™)

    It is necessary to maintain a distance of at least 31 cm between the following objects.

    • Car / motorcycle - Ignition system elements.
    • Electric fence.
    • Transformer.
    • Induction cooking panel.
    • Boat motors.
    • Car battery.
    • The components of the ignition system of tools running on gasoline (lawn mower, snow removal machine, lawn mower, chainsaw).

    It is necessary to maintain a distance of at least 61 cm between the following objects and the pacemaker.

    • Connecting cables.
    • Welding equipment with current up to 160 amps. It is not recommended to completely interact with the welding equipment with a current of over 160 amps.

    Do not approach less than two meters to welding machines and generators.

    Experts do not advise wearing phones or players in a shirt over a pacemaker. The phone can be kept at the ear, MP3 player - in hand, away from the driver of the rhythm.

    Medical procedures may also affect the work of the rhythm driver, they include:

    • MRI, which uses a powerful magnet to create images of internal organs. Metal objects are attracted to the magnet, they are not used next to MRI. A magnet can interrupt stimulation and brake the operation of the device. If the survey needs to be carried out, some models can be reprogrammed. You need to discuss possible risks and advantages with a doctor before scanning.
    • Extracorporeal shock-wave lithotripsy (DLT) is a non-invasive procedure that uses shock waves for crushing stones in the kidneys. This method is safe for most patients with a pacemaker with reprogramming. It will be necessary to careful observation after lithotripsy and within a few months to make sure that the device is properly running. Patients with certain types of rhythm drivers implanted into the abdominal cavity should avoid this procedure. Each specific case is discussed with a doctor before and after treatment.
    • Expressive electrical stimulation of nerves is used to remove acute or chronic pain. Several electrodes are placed on the skin and are connected to the pulse generator. Most studies have shown that this procedure rarely slows down bipolar electrostimulation. Sometimes briefly can inhibit monopolar pacemake. This is eliminated by reprogramming the pulse generator.
    • Diagnostic radiation (for example, X-ray), it seems that it does not have any effect on the generators of the pacemaker pulses. However, therapeutic radiation (for example, for treatment cancer tumors) It may damage the instrument. The degree of damage is unpredictable and may vary depending on the equipment system. But the risk is very significant and increases as the dose of irradiation increases. It is recommended to protect the pacemaker to the maximally, to move, if it is in the immediate area of \u200b\u200birradiation. During such treatment, it is necessary to regularly pass the electrocardiogram to control the condition of the heart. Also between and after the procedures, check the impulse generator.
    • Electricalization used to stop bleeding during surgery.
    • Dental equipment does not affect negatively on pacemakers. However, some patients may feel an increase in stimulation during the work of Bormashin.
    • Shortwave or microwave diathermy uses high intensity signals. They are able to bypass the protection of the pacemaker, prevent the work or irreversibly damage the impulse generator.

    Medical procedures that require some precautions. You should inform the doctor that the device is implanted:

    • Ablation.
    • Igloreflexotherapy.
    • Argonoplasma ablation.
    • Means for stimulation of rising bone tissue.
    • Colonoscopy - removal of polyps.
    • Axial computed tomography.
    • Electrosusproy therapy.
    • Electrodialysis.
    • Electrosurgery and other procedures that use the electric probe to control bleeding.
    • Electromyography.
    • Outdoor defibrillation.
    • Hyperbaric oxygenation.
    • Magnetic therapy.
    • Lithotripsy.
    • Therapy with interference currents.
    • Microcurrent therapy.
    • Mechanical ventilation of the lungs.
    • Electronic muscle stimulants.
    • Neutron radiation.
    • Radiation therapy (outer x-ray, radiosurgery).
    • Stereotactic surgery.
    • Transcranial magnetic stimulation
    • Cressing stimulation of nerves.
    • Transuretral needle ablation.
    • Transuretral resection of prostate
    • Virtual colonoscopy with CT.

    It is necessary to notify the medical workers with whom the patient interacts is that there is a pacemaker, including dentists, medical technicians. Equipment used by doctors and dentists can affect the operation of the rhythm driver. The presence of this device also testifies to special cards, bracelets and decorations for the neck.

    Exercise stress

    In most cases, the pacemaker does not interfere with sports or any exercise (for example, it can be bowling, golf, game tennis, fishing, etc.). Contact sports - martial arts, struggle, boxing, football, etc. should be avoided. As they can damage the device or shift the wires in the heart.

    Learn prices for treatment

    Further care

    About once every three months, the doctor will check the pacemaker. Unfortunately, with time, the devices cease to function properly:

    • Shift or broken wires.
    • The battery comes in disrepair.
    • The disease progresses.
    • Other equipment disrupts the transmission of electrical signals.

    Several times a year will need to visit the doctor to test the work of the cardiovemist. Certain functions can be explored remotely using the phone or the Internet.

    An electrocardiogram is carried out in order to identify changes in the electrical activity of the heart.

    Replacing the pacemaker - service life

    Battery life from 5 to 15 years (on average 6-7 years) depends on how active device works. The doctor will replace the generator along with the battery before the battery starts discharged. Replacing them is less severe operation than the initial one. Also can change the wires of the device. The doctor will notify during subsequent visits, whether the change of any components is required.

    Removal of such systems is a potentially high risk procedure. The most common cause is infection. If there is an infection of any part of the system, then, as a rule, it is impossible to cure an infection without the complete removal of all equipment from the body. Doctors disconnect the pulse generator from the chest wall and remove all the wires from the veins and hearts. Another reason is a breakdown of wire or insulation disruption.

    Specialized societies have developed guidelines for safely removing or extracting the device. They contain directions to delete, qualifying and learning the attending physician used by methods and tools. Israeli cardiac surgeons carry out operations to replace the pacemaker and removal according to international standards.

    Questions of our patients

    1. Are painful cardiac strikes are possible during intimate proximity or any daily activities?

    It happens rarely. The device is programmed in such a way that there are no such actions. This may happen if specific criteria are specified. If inexplicable painful blows, you must consult a doctor to determine the cause and make adjustments to the device program.

    1. Is it possible to resume sexual activity after installing the pacemaker?

    This is a natural part of life. Of course, a person wants to resume sex life when he feels comfortable. However, if such a question arises, it will be useful to discuss it with the doctor.

    1. Are cardiomulants compatible with MRI devices?

    Currently, most rhythm drivers under the action of MRI change the settings or temporarily fail. However, there are special models that under certain conditions can be applicable when MRI passes.

    1. Is it possible to pass through anti-soften protective sensors?

    Similar sensors in stores and libraries generate electromagnetic fields that reveal the built-in "Tags" on products. Under special circumstances, these fields may temporarily affect the operation of the pacemaker. Significant interventions are hardly possible if in the pace go through detectors. Recommended:

    • To be aware of what they are.
    • In the normal pace go through them.
    • Do not linger near such systems.

    If symptoms occur, you need to quickly move away from the equipment. The pacemaker will resume the previous mode of operation, as soon as a person comes out of the field of action of this technique.

    1. Is it possible to pass through the security systems that are installed at airports or vessels?

    Given the short term of inspection, it is unlikely that the detectors will affect the pacemaker. To minimize the risk of temporary intervention in the operation of the device, you need to pass, without touching metal surfaces around this equipment. Do not stop and not linger, passing through the arch at a normal pace. If a manual metal detector is used, warn the employee do not keep it over the pacemaker. Alternatively, you can request manual inspection. In the event that there are doubts about the security system, you can present an identification card of the instrument, request an alternative check and follow the instructions.

    1. Do household magnets affect pacemakers and implantable defibrillators?

    Despite the fact that most electromagnetic fields in the home environment rarely affect the function of the rhythm driver, it is recommended to keep the preamp distance away from the device, while maintaining a distance of at least 15 cm.

    It can be microwaves, kitchen appliances, cordless telephones, radio receivers, TVs, video games, CD players, hairdryer, electric shaver, electric toothbrushes, electric blankets, lawn mowers, garage door locks, computers, etc.

    Removing the item returns a pacemaker into a normal state.

    1. Why should I avoid welding?

    Unlike most other household instruments, the welding equipment with a current of 160 amps has a temporary effect on the normal function of the pacemaker.

    1. And what if you have to use the welding machine?
    1. It is necessary to work in a dry room with dry gloves and shoes.
    2. Hold the distance of 60 cm between the equipment and the implanted device.
    3. Welding cables should be as follows from the pacemaker. The distances of the working area should be about 1.5 m.
    4. It should be immediately stopped working if dizziness or a faint condition occurs.

    9. Why should I avoid using chainsaws?

    Electromagnetic energy generated by a chainsaw is similar to the energy of other electrical tools operating on a gasoline engine. If electromagnetic interference occurs in the operation of the device, symptoms such as dizziness and pre-corrupt state occur as dizziness. In this case, the working chainsaw is very high risk Injuries, compared with other power tools.

    1. Is it possible to fly by plane with a pacemaker?

    There are no special risks associated with flights.

    In general, patients with implanted pacemakers can fly a few days after the operation, if there was no pneumothorax if it occurred - in two weeks.

    1. Can you ride the car with a pacemaker?

    At least seven days after the installation operation, it is impossible to ride the wheel, after restoration - it is possible. It is worth consulted with a doctor.

    1. How many people live with a pacemaker?

    The first pacemaker was transplanted in 1958 at the Caroline Institute in Sweden. The first patient who received an implanted device became Arne Larsson, who died in 2001 at the age of 86, surviving the inventor and surgeon.

    The pacemaker cannot cure the disease, but it improves the symptoms and quality of human life. When ensuring proper subsequent care, the life of the patient will be long. Millions of people with a pacemaker live full and active life.

    Apply for treatment

    Over time, the internal organs of a person wear out and lose the functional ability. This also applies to the cardiovascular system. Modern techniques Allow the features of the pathologies of the circulatory system organ.

    The best option to correct the work of the muscular organ is a heart pacemaker (COP). The device allows patients to live fully, without a feeling of pain in the chest.

    Device features

    Pacemaker - This is a miniature device that provides the necessary number of reduction in the heart muscle. It normalizes the work of the blood system organ due to an atrioventricular blockade.

    With a rapid pulse, the cardioverter defiber performs "reprogramming" of the heart, followed by the restoration of normal rhythm due to the electrostimulation of myocardium. Another type of device - PaceMecker is used in slow motion reduction of the heart to ensure sufficient blood release in the vessels.

    The pacemaker generates pulses only if the rhythm is broken. With normal reduction in the heart muscle, the device does not work. Thanks to the COP, it is possible to avoid stopping the body of the circulatory system.

    The stimulator has its pros and cons. The benefits include the durability of the service (from 7 years), and the disadvantages are the high cost of installation.

    Types of cardiovemimulators

    The devices are divided into groups depending on the purpose and configuration.

    • after surgery on the heart,
    • to prevent vascular pathologies caused by medicines,
    • for removing the attack of ventricular fibrillation.

    Long-term cardiac cards are needed to combat arrhythmias.

    They are divided into 3 groups:

    • Single-chamber, equipped with one electrode. It is implanted in the left ventricle. COP is not used for atrial arrhythmias.
    • Two-chamber, containing 2 electrodes. One is placed in atrium, and the second is in the ventricle. The advantage in comparison with the single-chamber model is to control the change of rhythm and in the atrial, and in the ventricular department.
    • Three-chamber - modern devices. Electrodes are implanted into the left ventricle and the right departments of the muscular organ. Due to this location of the electrodes, optimal conditions are created for synchronization of abbreviations.

    The electrocardialism is selected depending on the type of cardiovascular pathology and patient health. The cardiologist informs the patient about the tactics of treatment and on the features of preparation for a cardiac valve operation.


    Indications for the operation

    Violation of rhythm - Symptom of numerous violations in the circulatory system. Most often, the cause of the state is myocardial infarction, common cardiosclerosis. In practice, cardiac surgeons can not always establish the cause of hazardous attacks.

    There are the following readings to the installation of the device:

    • reception of drugs to maintain the contractile function of the heart muscle in case of insufficiency of the blood supply organ:
    • regular attacks of ventricular fibrillation on the background of fliccious arrhythmia,
    • violation of the electrical impulse from the atrium to the ventricles, accompanied by the loss of consciousness,
    • weakness of the sinus node.


    Contraindications to the procedure

    There are no absolute prohibitions to install the COP. The operation is performed even for patients suffering from acute myocardial infarction, which is accompanied by serious heartfelt disorders or an atrioventicular blockade.

    If the patient has no vital readings for installing the device, the operation may delay the time.

    The procedure is postponed:

    • with acute viral and infectious diseases
    • when aggravating chronic pathologies,
    • in psychological disorders in a patient who interfere with productive contact.

    Operation on the installation of an electrocardiomulator does not have contraindications by age. In each case, the doctor defines readings and temporary prohibitions to the procedure.


    Preparatory activities

    If the implantation of the electrocardialism is prescribed to the patient in a planned manner, then before carrying out the operation, the passage of instrumental and laboratory diagnostic surveys is desirable:

    • daily ECG and Hell, fixing violations in the work of the heart rhythm in the period from 1 to 3 days,
    • consultation and primary inspection of the cardiologist and the arrhythmologist,
    • blood tests - general and biochemical (to identify the level of coagulation of biological fluid),
    • blood test for viral diseases (hepatitis, HIV, syphilis).

    For persons suffering from peptic diseases of the gastrointestinal bodies, FGS is additionally recommended. Preparations appointed after the installation of the heart stimulator, negatively affect the gastric mucosa and can cause internal bleeding.

    In chronic diseases of the Elor organs, the consultation of the otolaryngologist will be required. The foci of infection in the body give complications on the heart, so there is a reservation before the planned installation of the COP. Patients whose stroke was observed is additionally assigned to MRI.

    Stages of the operation

    The installation operation of the device lasts up to 2-3 hours. The duration of the installation of a single-chamber device is 30 minutes, two-chamber - 1.5 hours, three-chamber - up to 2.5 hours.

    Intervention occurs in stages:

    • The operating field is prepared for anesthesia. Funds are injected subcutaneously and inhabitten.
    • Electrodes are entered into various heart departments. The surgeon performs a cut in the region of the clavicle, and then places the electrode into the necessary chamber. For accurate execution of manipulations, the surgeon needs to make an operating field x-ray.
    • Electrodes are connected to the housing of the pacemaker, which is implanted under the thoracic muscle.
    • The device is programmed according to the individual need of the patient. The doctor sets the basic heart rate at rest and at exercise. After that, there is an embedding of the edges of the wound.

    Modern miniature devices, so they are invisible on the human body.


    Price per operation

    The cost of the operation includes the installation of ex, diagnostic measures, the price of electrical storage.

    The price of intervention also depends on the type of device:

    Rehabilitation period

    After installing the pacemaker, the patient feels discomfort and soreness in the field of the operating field for several weeks.

    The consequences of the procedure include:

    • the formation of hematoma in the intervention zone,
    • increase body temperature,
    • the appearance of headaches.

    Unpleasant signs are trained independently or eliminated by drugs for symptomatic therapy - antibiotics, non-steroidal means.

    24 hours after the intervention, the person is allowed to get up from bed, and after 7 days - return to the usual life.


    Features of life with ex

    In most cases, the device does not lead to complications from the heart and does not feel patients. Despite this, after the operation, certain restrictions are introduced relating to the lifestyle of the patient.

    The patient is not allowed:

    • engage in sports, in which there is a risk of injury to the chest (boxing, hockey, football, rugby, etc.),
    • carry out exercises using burdens to breast muscles,
    • is near the transformer booth,
    • fly on the plane
    • take alcohol in large quantities.

    It is not forbidden to use home appliances. The main rule is the observance of the safe distance between the instrument and ex (from 20-61 cm, depending on the type of household appliances).

    If the excess is mounted due to severe heart failure, then the patient is assigned 2 or 3 of a group of disability.


    Patient with a pacemaker forbidden medical procedures:

    • CT and MRI. Make CT only with the consent of the doctor.
    • Physiotherapeutic measures using magnetic or electrical radiation.
    • Ultrasound with rays directly to the device.

    Before conducting surveys, the patient warns a doctor about the device that has it.

    Forecast

    The pacemaker works up to 7-10 years, it all depends on the battery capacity. With the next inspection, the device will give a beep, indicating the need to replace it.

    After the battery life expires, it is replaced with a new one.

    How much do you live after installing a pacemaker?

    People with a linted stimulant live longer than without him. The view that COP can harm a person is wrong.


    Around the world, more than three hundred thousand electrocardial carriers (ex) operating on an ongoing basis are set annually (ex), since patients with some heavy heart lesions need an artificial rhythm driver.

    Varieties of electrocardiomimulators

    The pacemaker is an electronic device in which electrical impulses are generated using a special scheme. In addition to the scheme in it there is a power supply of energy battery and thin wires-electrodes.

    There are various types of heart cardiovulants:

    • single-chamber, which are able to stimulate only one chamber - ventricle or atrium;
    • two-chamber, which can stimulate two heart cameras: both a ventricle and atrium;
    • three-chamber cardiovulators are required for patients with heart failure, as well as in the presence of ventricular fibrillation, ventricular tachycardius and other cultivated patients of arrhythmia species.

    Indications for installing a pacemaker

    You still wonder why you need a pacemaker? The answer is simple - the electric pacemaker is designed to impose the right sinus rhythm. In what cases are the pacemaker? It may exist both relative and absolute readings for its installation.

    Absolute readings to the cardiosmulentor

    Absolute readings are considered:

    • bradycardia with pronounced clinical symptoms - vertigo, synicopal states, Morgali-Adams-Stokes syndrome (MAS);
    • the episodes of asistolia that lasted for more than three seconds fixed on the ECG;
    • if the heart rate is recorded during exercise below 40 per minute;
    • when a resistant atrioventricular blockade of the second or third degree is combined with two-facultuous or three-pacifical blockades;
    • if the same blockade arose after myocardial infarction and manifests clinically.

    In cases of absolute reading to the installation of the pacemaker, the operation can be carried out as a planning, after surveys and preparation and emergency. With absolute testimony of contraindications to the installation of pacemakers are not taken into account.

    Relative readings for the cardiommulentor

    Relative readings for the pacemaker implanted on an ongoing basis are as follows:

    • if an atrioventricular blockade of the third degree from the heart rate occurs on any anatomical area, with a load of over 40 shots, not manifested clinically;
    • the presence of an atrioventricular blockade of the second type and the second degree without clinical manifestations;
    • the syncopal states of patients against the background of two- and three-pacifical blockades that are not accompanied by ventricular tachycardia or transverse blockade, while it is not possible to establish other causes of syncopal states.

    If the patient exists only relative indications in order to carry out an operation on the installation of a heart pacemaker, the decision on its implantation is made individually, while the patient's age is taken into account, physical activity, related diseases and other factors.

    When the installation of the pacemaker is not justified?

    In fact, the contraindication card for its installation does not have, except for the case of its unreasonable implantation.

    Such insufficient bases for implantation are:

    • atrioventricular blockade of a first degree, not having clinical manifestations;
    • proximal atrioventricular blockade of the first type of second degree, not having clinical manifestations;
    • an atrioventricular blockade, capable of regressing (for example, caused by drugs).

    Now let's talk about how the pacemaker is put. If you see, video, how is the installation of a pacemaker, it can be noted that the cardiac surgeon conducts it under x-ray control, and the total time of the procedure varies depending on the type of device imagination:

    • for a single-chamber ex. Half an hour;
    • for two-chamber ex - 1 hour;
    • three-hour ex requires 2.5 hours to install.

    Usually, the installation operation of the pacemaker occurs under local anesthesia.

    Explantation Operation EXC consists of the following steps:

    1. Preparation for the operation. This includes processing of the operating field and local anesthesia. Anesthetic drug (novocaine, trimecain, lidocaine) is introduced into the skin and underlying fabrics.
    2. Installing electrodes. The surgeon makes a small incision in the plug-in area. Next, the electrodes under X-ray control are administered sequentially through a subclavian vein to the necessary heart chamber.
    3. Implantation of ex. The body of the device is implanted under the clavicle, and it can be set subcutaneously or inhibited under the chest muscle.

    In our country, more often implanted the device in the right-hander, and the left-hander is right, which makes it easy to use the device.

    1. Electrodes are connected to the implanted device.
    2. Programming device. It is made individually for the needs of the patient, taking into account the clinical situation and the possibilities of the device (which also depends on the cost of the pacemaker). In modern devices, the doctor can set the basic heart rate, both for the state of physical activity and for peace.

    Essentially, this is all the basic information on how the heart pacemaker is installed.

    Complications after installing a pacemaker

    It is worthwhile that complications after installing the pacemaker are found no more than 3-5% of cases, therefore it is not necessary to be afraid of this operation.

    Early postoperative complications:

    • violation of the tightness of the pleural cavity (pneumothorax);
    • thromboembolia;
    • bleeding;
    • disorders of isolation, offset, electrode fracture;
    • infection of the area of \u200b\u200bthe operating room.

    Remote complications:

    • ex-dryness syndrome, dizziness, decreased blood pressure, episodic loss of consciousness;
    • caused by exute tachycardia;
    • premature failures in the work of ex.

    The operating card implementing the pacemaker should be carried out by an experienced surgeon under X-ray control, which makes it possible to prevent most of the complications arising at an early stage. And in the future, the patient must undergo regular surveys and consist in dispensary accounting.

    In the event of complaints about the deterioration of well-being, the patient must immediately consult the attending physician.

    What can and can not be done in the presence of a pacemaker?

    Living with a pacemaker has limitations regarding physical activity and electromagnetic factors that can interfere with the device to work correctly. Before any examination or course of treatment, you must prevent doctors about the presence of ex.

    Life with a heart pacemaker imposes following restrictions on a person:

    • go through
    • practicing attendant;
    • rise to high-voltage LPP;
    • approach transformer booths;
    • put a mobile phone pocket into the breast pocket;
    • long to be near the metal detectors;
    • take place without prior configuration of ex shock wave lithotripsy or do during surgical operation Electro-generation tissues.

    Cost of installation of the cardiovemifier

    Basically, since the implantation of the excess is paid by the funds of the OMS Foundation, the installation of the pacemaker cost is usually zero.

    But sometimes patients themselves pay for her and additional services (this applies to foreigners and persons who do not have OMS insurance).

    The following rates are operating in Russia:

    • the implantation of the pacemaker - from 100 to 650 thousand rubles;
    • implantation of electrodes - minimum of 2000 rubles;
    • surgical manipulations - from 7,500 rubles;
    • stay in the ward costs at least 2,000 rubles.

    Most of all the total cost is influenced by the ex and rates of the selected clinic. For example, in the provincial cardiology center, simple implantation of the outdated domestic model of the exemplary can at least do with 25,000 rubles. In large vascular clinics using modern imported appliances and providing additional services, the cost jumps up to 300 thousand rubles.

    How to behave after installing a pacemaker?

    First postoperative week

    • Postoperative wound must be kept clean and dry according to the recommendations of the medical staff.
    • With a favorable course of early postoperative period Five days after the operation, the shower is already allowed, and a week later, most patients are returned to the usual schedule of work.
    • So that the seams are not separated, it is impossible to raise more than 5 kg.
    • It is impossible to perform heavy homework, and studying more easy labor, you need to listen to my health and immediately postpone work if there was an unpleasant feeling. It is impossible to rape.

    Month after surgery

    • Sports after installing the cardiacimulator is not only useful, but also necessary. Useful long walking. But tennis, pool and other heavy sports for a while have to postpone. Over time, the doctor who is watching the health of the patient may remove some restrictions on sports.
    • The doctor should be visited by plan: after 3 months - the first examination, after six months - the second, and then every six months or a year.

    If a person will feel discomfort or concern about the operation of the ex, then you need to consult a doctor immediately.

    Life after implantation ex

    • Electrical devices. Although the ex is equipped with protection against other electrical interference, but it should still be avoided by strong electric fields. It is allowed to use almost all household appliances: a TV, a radio reception, a refrigerator, a tape recorder, a microwave oven, a computer, an electric shaver, a hairdryer, a washing machine. In order not to interfere, one should not approach the place of implantation of the ex closer than 10 cm for the electrospode, leaning up to the front wall of the "microwave" (and in general it is avoided) or the screen of the working TV. It is worth staying away from welding equipment, electric steel-smelting furnaces, high-voltage power transmission lines. It is undesirable to pass through controlling turnstiles in stores, airports, museums. In this case, when discharge from the hospital, the patient is issued to the instrument passport and the owner map, which should be submitted when inspection, after which it can be replaced by personal inspection. The CS is also not afraid of most office equipment. It is advisable to work out the habit of being taken for the forks of the instruments and other sources of voltage by hand, further from the pacemaker.
    • Mobile phone. Long-term conversations on it are undesirable, and keep the tube is 30 cm and more from the COP. When talking, keep the tube from the ear from the opposite side of the place of implantation. You can not wear a tube in the breast pocket or on the neck.
    • Sport. It is forbidden to engage in contact and traumatic sports, that is, by team game species, martial arts, since any blow to the abdominal cavity or chest can damage the device. For the same reason, it is not recommended shooting from a gun. With a pacemaker, you can return to hiking, swimming and so physical exercises that allow constant monitoring of well-being and allow security rules.

    That area of \u200b\u200bthe body where the exemplary was implanted, it is impossible to set up direct solar irradiation. It should be kept to keep off with any cloth. Also do not float in cold water. Car lubers are especially important to remember that they can not be concerned with the wires under the voltage during the repair of the machine or replace the battery.

    Duration and how much do you live with a pacemaker?

    On average, the duration of the pacemaker is determined by the battery capacity designed for 7-10 years of operation. When the battery life is approached, the device will receive a signal during the next scheduled survey. After that, replace the battery new. Therefore, the question of how many people live with a pacemaker depends on the regularity of visiting the doctor. There is an opinion that, being foreign body, COP can harm a person. This is not at all, despite that often there is no alternative to its installation. In order to continue quite a full life, it is necessary to put up with only insignificant restrictions that are worth it. In addition, it can be made completely free.

    Often you can hear the question, how many live with a pacemaker, especially those who are recommended that such an operation. Medical practice shows that people with a gorgeous pacemaker, subject to compliance with all the recommendations of the doctor live no less than other people.

    In other words, the presence of a pacemaker can only extend the life, and not to make it shorter.

    Have you already set a pacemaker? Or do you still have this operation? Tell your story and feeling in the comments, share your experience with others.

    Loading ...Loading ...