Pacemaker Implantaion - Double Chamber

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Procedure Description

A double-chamber pacemaker implantation is a specialized cardiac procedure designed to assist patients whose hearts cannot maintain a consistent and effective rhythm. This device helps regulate the heart’s electrical activity, providing dual-chamber pacing to support both the atrium and the ventricle. The dual-chamber pacemaker is particularly beneficial for patients with arrhythmias or conduction disorders where both chambers require regulation to ensure synchronized heartbeats. It helps restore a balanced rhythm, enhancing the heart’s ability to pump blood effectively.

The double-chamber pacemaker comprises two primary components: the pulse generator and two leads, which are thin insulated wires. During implantation, a small incision is made near the collarbone. The pulse generator, a small, battery-powered device, is placed under the skin in the chest, while the leads are guided through blood vessels into the heart chambers. These leads monitor the heart's natural electrical signals and, when necessary, deliver electrical impulses to stimulate the heart. The double-chamber pacemaker ensures that both chambers contract in harmony, thereby mimicking a natural heart rhythm and preventing irregularities.

This device is primarily recommended for individuals with atrioventricular (AV) block, bradycardia, or other conduction disorders where only one chamber may otherwise receive adequate stimulation. By synchronizing the contractions, it enables better coordination, optimizing cardiac output and allowing patients to experience improved quality of life. This minimally invasive procedure has become a well-established option for those seeking to manage their cardiac health and reduce symptoms like fatigue, dizziness, and fainting.

Procedure Duration

The double-chamber pacemaker implantation is a relatively brief surgical procedure that usually takes about 1 to 2 hours to complete. However, the exact time can vary depending on individual patient factors, such as the complexity of the patient’s anatomy and underlying health conditions. During the procedure, patients are typically under local anesthesia, allowing them to remain conscious while minimizing any discomfort in the chest area. This setup enables the cardiac team to closely monitor the heart’s responses as the device is implanted.

The implantation begins with the creation of a small pocket under the skin, usually on the left side of the chest, where the pulse generator will reside. Following this, the leads are carefully threaded through a vein and positioned in the heart’s chambers under X-ray guidance. Once in place, the pacemaker’s functionality is tested to ensure it appropriately senses and stimulates heart activity as needed. After confirming the device's proper operation, the incision is closed, and a bandage is applied.

Post-surgery recovery involves a short hospital stay, generally lasting one to two days, allowing the medical team to monitor for any immediate complications and adjust the device settings as needed. Once discharged, patients are advised to limit vigorous activity for a few weeks and gradually resume normal daily activities. Complete recovery, including adaptation to the device, may take up to a month, with follow-up appointments to check the pacemaker’s performance and battery status.

Benefits

  • Enhanced Heart Rhythm Control: The dual-chamber pacemaker effectively synchronizes the heart chambers, promoting consistent and efficient heartbeats.
  • Symptom Relief: Helps alleviate symptoms like fatigue, dizziness, and shortness of breath, significantly improving daily functioning and quality of life.
  • Increased Exercise Tolerance: With a stable heart rhythm, patients can engage in physical activities with reduced risk of fatigue or fainting.
  • Reduced Hospitalization: Managing arrhythmias with a pacemaker reduces the need for emergency visits or hospitalizations related to heart rhythm issues.
  • Long-Term Solution: A pacemaker is a durable and reliable device that, with proper maintenance, can provide years of effective support for cardiac function.

Potential Destinations

  • India: Known for its advanced medical facilities and skilled cardiac surgeons, India is a top choice for pacemaker implantation. With affordable healthcare and internationally accredited hospitals, India offers high-quality treatment options for medical tourists.
  • Thailand: Thailand has become a hub for medical tourism due to its state-of-the-art healthcare infrastructure, competitive costs, and experienced medical professionals. Bangkok, in particular, is home to many hospitals equipped for cardiac procedures like pacemaker implantation.
  • Turkey: With a blend of highly trained medical professionals and well-established healthcare facilities, Turkey offers quality cardiac care. Many hospitals in Istanbul are renowned for their cardiac services and advanced technology, making it a viable destination for pacemaker procedures.
  • Mexico: For patients in North America, Mexico provides accessible and cost-effective medical care. Leading hospitals in Mexico City and Monterrey offer pacemaker implantation services with experienced cardiologists and modern facilities.
  • United Arab Emirates: Dubai and Abu Dhabi are gaining recognition in medical tourism, with a focus on high-quality cardiac care. Many hospitals in the UAE offer specialized cardiac services, catering to international patients with advanced medical technology and comfortable recovery facilities.

Risks & Considerations

  • Infection: Though rare, there is a risk of infection at the incision site or around the device, which can lead to complications. Patients should keep the area clean and follow post-surgery care instructions.
  • Lead Displacement: The leads connecting the pacemaker to the heart chambers may shift from their intended position, requiring repositioning or additional intervention.
  • Device Malfunction: While pacemakers are generally reliable, occasional malfunctions may occur due to battery or programming issues, necessitating regular follow-up checks.
  • Blood Clots: The introduction of leads through the blood vessels can sometimes result in clot formation, which may lead to additional treatment to dissolve clots.
  • Allergic Reaction: Although rare, some patients may experience an allergic reaction to the device material, requiring medical attention and possible intervention.

How to Choose the Right Doctor and Hospital

When choosing a doctor or hospital for a double-chamber pacemaker implantation, it is essential to look for a specialist with extensive experience in cardiac procedures and a facility with a well-equipped cardiology department. Researching the qualifications of the cardiologist, including certifications in electrophysiology or cardiology, can provide insight into their expertise in pacemaker implantation. Reading reviews and testimonials from previous patients may also help you assess their track record and patient satisfaction levels.

In addition, selecting a hospital with a cardiac care unit that follows stringent safety protocols and possesses advanced diagnostic and monitoring equipment can contribute significantly to a positive outcome. It is advisable to opt for a facility that offers comprehensive pre- and post-procedure care, as these services are crucial for smooth recovery and ongoing pacemaker maintenance.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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