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Balloon Angioplasty Procedure
Treatment of Hip Disorders
Prevention of Blockage, Atherosclerosis & Heart At
Holistic Heart Wellness & Health Care - Ayurveda
Mitral Valve Replacement Surgery
Cerebral Palsy Treatment
Vascular Surgery Treatment
Treatment of Blockage, Atherosclerosis & Heart Att
Cardiac Ablation Procedure
Coronary Bypass Surgery
Carotid Angioplasty And Stenting Procedure
Cardiac Catheterization Procedure
Implantable Cardioverter-Defibrillators (Icds) Tre
Angioplasty Stent Surgery
Preventing Stent Surgeries
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Is it a fact that NORMAL BLOOD PRESSURE rises with age? If so at age of 63, with my untreated BP at 150/90, should I take medicine to target 120/80 or something like 134/87.
Hi doctor, I had a question about the readings I got on two separate echocardiogram reports which I took in a gap of about 5 months. Every thing in all the reports is normal. However my LVID in the most recent report has increased significantly, I'm not sure if I should be worried about this. Also I must mention that, the most recent echo report with the increased parameters was taken just a little while after a maximal stress test. Where my heart rate reached 190bpm. The stress test was normal. The older reports were taken at rest. I'm a 23 year old boy, normal weight, 5'11' Could the stress test have increased the left ventricular chamber size? I'm quite worried. My doctor says the report is fine, but he did not look at the previous report. Also, all three reports were taken by different lab technicians. Measurement 01/03/16 21/10/15 31/8/2010 Ao (ed) 2.7cm 2.7cm 3.0cm LA (es) 3.3cm 3.5cm 3.2cm LVID (ed) 4.9cm 4.2cm 4.4cm LVID (es) 3.1cm 2.4cm 2.4cm IVS (ed/es) 0.9cm 0.9cm 0.8cm LVPW (ed/es) 0.9cm 0.9cm 0.8cm EF 67% 62% 76%
1. What is a Pacemaker?
Pacemaker is a small battery operated device that can be used to keep the heart beating when the normal electrical conduction of heart becomes diseased. It consists of one pulse generator which contains the battery as well as software and is implanted under muscle or skin under the shoulder. And wires which are connected to the heart and act as electrical wires for conduction.
2. What are the types of pacemakers?
There are many types of pacemakers available today.
- Temporary Pacemakers - these are used temporarily when there is a reversible cause of disease or as a bridge before the permanent pacemaker can be implanted.
- Permanent pacemakers - these are small devices which can be implanted permanently in the body by making a small cut in the body. They are available in many different types.
- Capsules pacemakers - These are small capsule shaped devices which can be put in heart and control the conduction from there.
3. What are the different types of permanent pacemakers?
Many varieties of Permanent pacemakers are available in the market and are advised depending on the type of disease. The cost varies depending on the type and models. Single chamber pacemakers - which pace only one chamber of the heart. requiring only one wire. Dual chamber pacemakers - which pace both chambers of the heart and require two wires. MRI compatible version of all these pacemakers are now available as well.
4. How is pacemaker implanted in the body?
The procedure is done with local anaesthesia, in a cath-lab and can take 2-3 hrs. A small cut is put under the shoulder and the device is put beneath the muscle plane. The cut is then stitched and dressing is done. The stitches are cut or dissolve (if dissolvable sutures are used) in 5-10 days and the patient is discharged the next day after implantation on some pain killers and antibiotics. A small 5 cm scar can be seen at the implant site, and in case sutures are done by a plastic surgeon even that may not be visible.
5. Can I do normal activities after getting a pacemaker implanted?
Yes. The patient can walk and travel right from the next day after the procedure. There are few precautions that are advised for a month and after that you can do all of your routine normal activities. You can use electrical equipments, microwaves, phones etc. In fact people play tennis, do swimming and other sports after pacemaker. You will be provided with a list of precautions post procedure. And will need to get routine follow up every 3-6 months with your cardiologist for checking of device parameters and battery life.
When the battery of device becomes low the cardiologist will advice you for a pulse generator replacement. In case you have a concern or query you can always consult an expert & get answers to your questions!