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31/Jan/2023

Heart Disease is one of the common causes of death. There are so many other causes like diabetes, and liver and kidney diseases that can lead to heart diseases. Thus, it’s really important to not only prevent heart diseases but also tackle them as quickly and effectively as possible. With regular exercise and healthy eating habits, we can help our hearts remain healthy and strong.

Heart disease is the leading cause of death worldwide. Millions of people suffer from heart problems and related diseases every year. To keep your heart problem under control, it is important to eat healthy food, maintain a healthy lifestyle and take good care of yourself. Let’s take a look at these tips recommended by our Best Cardiologist In Delhi – Dr. Aparna Jaswal.

Avoid Smoking or Using Tobacco

Smoking is one of the leading causes of disease and death worldwide. A 2017 study found that smoking is an independent risk factor for disability, mortality, and cognitive decline. Smoking also increases the risk of chronic diseases such as cancer, lung disorders, heart attack, and stroke.

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Daily Exercise

Staying active is the best way to improve your heart health. However, you must be careful with certain things when it comes to staying active. You will have a heart attack if you run or do other cardiovascular exercises for more than 15 minutes at a time. In order to prevent this from happening, take two or three 5-minute breaks every hour and stretch your body by doing light activities such as walking around or static stretching.

Eat Healthily

Eating a heart-healthy diet can help protect your heart and improve blood pressure and cholesterol levels. A diet centered on vegetables, fruits, lean meats and fish, low-fat or fat-free dairy foods, whole grains, and healthy fats will reduce your risk for cardiovascular disease

Get Enough Sleep

When we don’t get enough sleep, it can affect our overall health.  It’s no secret that many of the risks associated with poor lifestyle choices are tied to lack of sleep.  According to the Best Cardiologist Doctor In Janakpuri, sleep isn’t a luxury but a necessity to keep your heart healthy. Research shows that lack of sleep poses a high risk to your cardiac health. Not to mention that it inhibits your weight loss efforts or raises your body weight. Get at least 7 hours of sleep at night.”

Listen to Music

Music is the best form of stress relief. It is played for many different reasons, like a soothing sound or to keep you entertained. Studies show that anyone can benefit from listening to music, whether you are in the doctor’s office or out on the town. Music can lower stress and enhance your heart rate variability, which means it has special benefits for everyone from grandparents to athletes!

Maintain Your Dental Hygiene

Healthy teeth not only benefit your heart but also contribute to good health. If your gum disease persists for a long time, the risk increases of developing a cardiac disorder. You should at least brush your teeth twice a day to maintain your dental hygiene and protect your heart.

Cardiac problems can be severe and can lead to death. However, if you are aware that there are safe solutions to Heart Attack treatment, you can take control of your health problems by having a check-up with your doctor. Heart Disease is very common in people due to high cholesterol levels or unhealthy lifestyle habits such as smoking cigarettes or consuming alcohol. It is always best to consult your doctor before starting any new diet plan or exercise routine since these changes will have an impact on the various organs in your body including the heart.


18/Apr/2022

Hello to you today. I would like to discuss why the young are having more and more Heart Attacks. I think it’s all over social media, the newspapers in the hospitals. We are all aware that we are seeing younger and younger, men and women coming to the hospital emergency room, with two heart attacks.

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The reason is as more and more of them are developing lifestyle, diseases, lifestyle diseases, be high blood pressure uncontrolled, blood sugar coupled with that. Increased incidence of smoking sedentary lifestyle having work when I scroll through or food and feeding habits.

If we take these into consideration, we put our bodies a risk of developing a heart attack. Hence. I heard the young to ensure that they look after these risk factors and protect themselves from developing a heart attack.

Do you have Heart Problems? Book an online appointment with Best Cardiologist in Delhi.


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16/Dec/2021

Perfect so I think in the past, those of you may want to refer back we’ve already done some Facebook lives on pacemakers. So keeping the curriculum on we have moved on to discuss what is an ICD And A CRTD. So as the name implies, ICD is how it looks, if you may see. And what is this is a little device like a matchbox. As you can see. This is an implantable cardioverter-defibrillator and that’s what an ICD is. You would have seen in movies that when there is something an untoward rhythm happening or when the patient is being the life is being lost, you would have seen that they suddenly bring in a big defibrillator and put the pads on the patient’s chest and give an electrical shock. Now imagine all of that has been encapsulated into a small device such as this, this is an ICD. It is like a very intelligent Best Cardiologist Doctor In Janakpuri sitting inside your chest wall. It is as if an emergency room is inside your chest wall. This is typically implanted on the left side under your collarbone and this ICD communicates with the heart with the help of a lead. Now, this is what a leader looks like. So this is how we lead looks like this is a lead, the lead goes into the device and this lead through our venous system enters our heart. So the heart is the time in communication with this ICD with the help of this lead. ICD is a medical marvel. It has been around for the past say about three to four decades. So this is what an ICD looks like. And this is what a CRT D looks like. So CRT D is also very similar in its size, shape appearance. Although it has technicalities far more encapsulated inside it than an ICD And A CRTD. You have to also remember that this ICD is a unique device, it has the ability to give a shock to give therapy as much as 600 volts. You should remember the electric current that we get in our homes is 220 words, imagine a device as compact as this can deliver as much therapy and it has to give as much therapy to revive our rhythm. So that we are alive again if we are going to succumb to death.

FAQs About Cardiac Resynchronization Therapy by Best Cardiologist Doctor In Delhi

Thank you. So, you have beautifully explained how this device is implanted. So, I would like to ask, how much time does it take to implant these devices.

So these devices as I told you are technically challenging. If a device is needed, an ICD typically takes about one hour. ICD And A CRTD can take anywhere from one to two hours because it depends upon the individual’s anatomy, it depends upon the operator’s experience. All of this coupled together with the CRT D certainly takes longer than an ICD.

Read Also:- What Are The Restrictions After Pacemaker Surgery By Best Heart Specialist in India

How Long Can Someone Live With A Crt?

That’s a fantastic question because we must understand that these devices are battery-operated devices, these battery-operated devices. So within this little device is a capacitor that increases the current and gives as much as 600 volts and there is a small battery. These are very special batteries being As ICD or be the CRT these devices have batteries that can last anywhere between seven to nine years. However, we must understand people have this myth that they can be recharged from outside or they can live forever, which is not true. They have batteries and capsulated and the typical life is anywhere from six to nine years.

Right Man Thank you. You have explained the difference between ICD and CR dt I would like to ask like is SATA is ERP better than ICD or are they the same?

Best Cardiologist in Delhi Dr Aparna Jaswal

So, the question is, if this is an ICD and this is a CRT D, what is better? It’s not what is better it is what does a patient need? Individuals who have poor pumping of the heart are at Risk of Sudden Cardiac Death. If you are at risk of sudden death, the device that you need is an ICD with how do we know that your pumping is poor by doing an echocardiogram on an echocardiogram, if your heart pumping comes out to be poor means less than E f is less than 35% It implies that you will benefit from a device which is called ICD if you have pumping, which is less than 35% and you have symptoms of breathlessness, and you have a specific defect on your ECG, which is called a left bundle branch block, then we say that our patients should be implanted is CR TD. So, there are two distinct devices each very good, not competing with each other, but complementing each other depending upon what is required for an individual patient.

Right. So My Question Is Associated With This Only, Like Can Icd And Crtd Improve Ejection Fraction.

Whenever we implant these devices, be it an ICD or be it a CRT D. The agenda in a doctor’s head is to make the patient live better, live longer. Individuals who have poor pumping of the heart. If given a defibrillator, we increase their life. Individuals who have word pumping of the heart and have Symptoms of Heart Failure and have a specific effect on the ECG. We give them a CRT with the impact that it will make them live longer and also improve their quality of life. So when we give an ICD we tell our patients very clearly that an ICD is not to improve your ejection fraction and ICD is to protect you from sudden cardiac death. But when we give ICD And A CRTD, we tell our patients that this device will not only protect them from sudden cardiac death because it has an embedded ICD in it, but it will also improve the pumping of the heart. But you must remember each of these devices is given to a special subset of patients and each must qualify for the given device.

We Have Heard About The Crt Pacemakers. So Can You Please Enlighten Us On This?

Yes. So, there is we just understood there is an ICD, we understood there is a CRT D is a device which has an ICD incorporated it also it has a special thing called CRT cardiac resynchronization therapy. So sometimes because of certain financial constraints or other issues such as the patient being very elderly patient being having too many comorbidities, or patient’s skin is very thin, or the patient unable to afford a CRT D sometimes we offer our patients what is called a CRT P. CRTD is a cardiac resynchronization therapy pacemaker where it does not have a defibrillator implanted within it. It is offered to patients who have poor pumping of the heart and associated have a left bundle branch block on the ECG and have symptomatic heart failure. The CRT p is a very good device, it is a much more compact device than an ICD And A CRTD. Again, each of these devices is not competing with each other but they are complementing each other. And each of these devices is to be given to an individual patient after your doctor decides what is best for your patient.

ICD And A CRTD Therapy with Dr Aparna Jaswal Best Cardiologist in Delhi

what should someone do when he or she receives a shock from an ICD? And how painful is this shock?

I think that’s something when we as electrophysiologists or cardiologists whenever we offer For our patients, these devices, we implant these devices, we generally give them a leaf or we give them an education note why? The reason is, these devices are a medical marvel. However, at times, they become troublesome for the patient, especially if a patient receives a shock, we must understand that if we are going to die, this device has been taught by us to give maximum energy shock, so that we are revived. Some of you would have watched the recent Eurogames which happened and the captain of the Denmark team had a sudden cardiac death on the field. So suddenly, there was a team which ran up there and gave him a shock. Now they gave a shock with maximum energy because that was the only way you could revive an individual, you have to give maximum energy. Unfortunately, sometimes you may receive a shock when you’re awake. If you receive a shock, if an individual has an ICD And A CRTD, and he receives he or she receives a shock, when they are awake, it can be painful. So we tell our patients we educate them, that you may receive a shock. If you receive a single shock, you must not panic. If you panic and are in a rush and hurry, the device can sometimes give more shocks because you will have high heart rates. So we always tell our patients if they receive a single shock, don’t panic just be rested. However, if you receive three or more shocks in succession, or within an hour, within 24 hours, we always tell our patients to come to a hospital, you will need device interrogation, it is done externally, you will need your electrolytes to be checked, which is essential. You may need some medications to terminate your rhythms. So if you receive more than one shock, it’s a good idea to go back to your Doctor’s Best Cardiologist in Delhi. If you receive a single shock be rested, you can visit the clinic in a day or two.

Best Cardiologist in Delhi For You Pacemaker Specialist

How Many Times Someone Can Receive A Shock With A Defibrillator? Is It Fixed Or Not?

Yeah, rise. So the defibrillator has been taught that when it sees an abnormal rhythm, it will try its best to bring the patient back, I told you that these are medical marvels, this is our friend, this is a device which when indicated given to the right person makes the patient actually live longer. However, all of us are this time to die, it will not make us live forever. So what does it do? Whenever it sees an abnormal rhythm, it understands that I have to work it will give a shock. When this gives a shock, it can give as many as six shocks in succession. And then it will stop for a while. It may see the rhythm again in some time. And again, give six sharps, six shocks to these programmable numbers that we have. But typically, this device will do its best to revive the life, and more often than not, it works very well the success of termination of abnormal rhythm is very high and very good.

If you are suffering any type of heart discomfort so Book an Appointment with Dr. Aparna Jaswal Top Heart Specialist Doctor in India…#fortis

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29/Nov/2021

Are There Any Complications During Pacemaker Surgery?

Yes. So that’s I think, a very important question that when they will have any procedure done any procedure, it cannot go without saying that there can be some complications. So, whenever we implant the pacemaker surgery, at times at the local site, they can be some collection of blood, they can be an infection in one or 2% of patients in the long term. And in the acute scenario, you may injure the lungs, wherein we may have to insert a tube, they could sometimes be a collection of blood around the heart. So these are complications that are known to occur and can be tackled easily during the implant.

Many People Would Like To Know About The Types of Phases?

So we’ll keep it simple. This is what a normal pacemaker surgery looks like. These pacemakers can either be single-chamber means they have only one wire or they can be dual chambers means they have two wires. As you can see, in this we have two wires we have one wire going to the upper chamber and we have one wire going to the lower chamber in the majority of people. When a pacemaker surgery is needed for poor heart rate, we give them a dual-chamber pacemaker. In a very small minority of patients, we may consider giving Giving them a single chamber pacemaker. At times, we give them devices which are larger, which may need three-wide pacemakers surgery, which are called CRT, or they’re even called CRT DS, those devices are bigger, those devices are bigger and they may be having three wires like this, they are given in special situations. Otherwise, we either give a single chamber which is very seldom, but more often than not, we give two wide pacemakers wherein one wire goes to the upper chamber of the heart, and then in the second wire goes to the lower chamber of the heart.

Read Also:- When Someone Requires a Pacemaker by Best Cardiologist Doctor In Delhi

Can Use MRI Done With Pacemaker Surgery? 

Best Heart Specialist in Delhi

Yes, so, can an MRI be done if you have a pacemaker? In earlier years, we did not have MRI-compatible cardiac electronic devices. Today, most of the devices that we have are MRI compatible, or we call them MRI safe. When we say MRI safe or MRI conditional, we mean that when the patient has a device, at the very outset, the patient is told that you have an MRA compatible pacemaker surgery. More often than not patients opt for it because once this is put in, in use to come, if the patient needs an MRI for any reason, it becomes simpler. And if he has an MRI-compatible device, he can go in for an MRI by just informing us or informing his Best Heart Specialist In Delhi wherein we externally make a little change to the pacemaker before and after the MRI. So, these are called MRI safe or MRI conditional pacemakers.

Are There Any Disadvantages Associated With Pacemakers Like Having A Pacemaker?

So, any procedure when you do you have to earn the procedure, you have to be worthy of getting the procedure if you need a procedure, you have to pick up the risks or dangers attached along with which are very few as I just told you, if I may say the disadvantage can only be sometimes you may develop a local infection, you may develop local blood collection, you may sometimes get some injuries along. So these are the complications attached along within the long term. The pacemakers are supposed to heal you, they allow you to perform better in a very small number of patients. When we give the pacemakers in the subset of them, the pumping may come down. So when the Pacemakers are implanted, we always do an echocardiogram before we implant the pacemaker surgery. So we are sure of what kind of a pacemaker and index patient needs.

So How Long Does It Take For Recovery?

Yeah, so as I told you, the procedure is typically done under local anesthesia. We do these procedures under general anesthesia if we have very small children or very elderly patients who are unable to lie on the cap table. Patient after the procedures and systems local anesthesia goes into the ICU, the patient stays in the ICU for one day. Subsequently, the patient is shifted to the room where he stays for a day. And he’s walking the very next day he goes back home walking, he comes back to us every 48 hours for the local sight healing, we do the dressing, it takes about one week for a wound to heal. And after a week the patient is allowed to do all activities. routinely in his house. We allow the patients with pacemakers to resume their driving in about four to six weeks, we allow them to go out for walks in two to three weeks, we allow them to lift their arms in about two weeks. When the pacemaker surgery is when the patient for the pacemaker is discharged, we tell them that you must allow your arm to increase at 90 degrees, this 90 degrees as soon as one day is over. Remember, if you do not move your arms there you result in a frozen shoulder, a frozen shoulder can become a very difficult situation. So you should avoid a frozen shoulder for which you must remember that you must continuously give arm exercises after the first 24 hours to bring it 90 degrees. And after two weeks, raise your arms above. How Do I Take Care Of A Pacemaker?

I Have Got Many People Saying That They Will Not Use Microwaves or Plants Appliances When Implanted. Is it True?

Yeah, I think this is the most pertinent question that once I have a pacemaker implanted in my chest Wall, what is it that I cannot do? The first thing you should remember is when you use a mobile phone, you should use the mobile phone from the other ear. Remember, there are magnetic fields, and you should not want to come with your phone close the pacemaker by six inches. So we always tell our patients to use the mobile phone from the other year, all electrical appliances at home, meaning if it were your mixer, a washing machine, it could be a microwave or television remote, you can use all electrical appliances at home. If you have an MRI-compatible pacemaker, you can go in for an MRI, CT scan, and X-rays and ultrasounds are not a contraindication you can have all these procedures done. One thing that you should remember is if you have any problem and you want to visit a physiotherapist, we tell them that we do not want any electrical stimulation, because a pacemaker may unnecessarily see electrical stimuli. Outside of that, you can do everything you can also walk through when you go to a mall, there are electrical surveillance, you can walk through them do not stand there.

Pacemaker Surgery in Delhi

But what you should remember is those places where there are very huge electrical transformers, we tell our patients not to hang around them very long, which typically we don’t. So by and large, once you have a pacemaker in, you can do most activities of daily living. The Apple Watch, yes, you can use all electronic watches, Apple, I watch, you can do everything. However, one thing we tell does not to keep your phone in your pocket. On the left side, I told you that your devices should be six inches away. So we don’t want you to keep any of your phones, iPhones in the pocket of your shirt, which could potentially interact with your pacemaker.

So alcohol is something that often comes up because of the interest of the patients. But what we need to understand is that alcohol taken in moderation as prescribed 30 to 60 ML is no contraindication for a pacemaker implant. But remember what I said 30 to 60 ML, we must remember that alcohol is to be consumed only in moderation. It is not a contraindication. But when you have a pacemaker implanted, maybe you can wait for about a week or 10 days before you resume having alcohol.

Read Also:- What Happens in Sudden Cardiac Arrest? By Best Cardiologist Doctor In Delhi

So We Have A Band With Our Questions And We Have Some Questions For You in the Comment Section. So I’ll Read It To You. What is What Hardware is A Pacemaker Need?

Yes. So there is no number, at what heart is a pacemaker surgery need. For some people, we may want to implant a pacemaker at a heart rate of 50, while others may sustain a good quality of life even at a rate of 45. So what is important when we implant a pacemaker is there has to be symptomatic documented low heart rate, meaning the patient says I feel uncomfortable even at 50 I feel dizzy. It’s a reason enough to implant a pacemaker. If a patient is 48 heart rate and says I’m absolutely fine. I can go for my walk, I don’t need I don’t have any problem. We don’t need to implant the pacemaker. So there is no one magical number. But every patient is different and we have to deal differently with each patient.

Any Information Regarding The Microchip?

Yes, so the micro pacemaker, or as it is called a lidless pacemaker. I just mentioned to you that these pacemakers are like capsules, these capsules are inserted from the leg into the heart. So these capsules stay inside the heart without leads. Hence they’re called lead list pacemakers. It is a newer technology, it is catching up very fast. It is very expensive for now, but in a given subset of patients who do not have sites to enter from here, or are on dialysis, or have undergone implants and have infections in the past, we do recommend having a leadless pacemaker is the other option for the prolonged holder. Yes. So I told you that whenever our patients complain of low pulse rate, we have to document it. How do we document that you take an ECG and ECG is 12-second documentation, so it’s diagnostic yield is not very good? So the next thing we depend upon is a halter holder, the 24 hour ECG recording, which is a very good tool to pick up slow heartbeats, yet it may not be sufficient in every patient. For then, we consider doing extended holders it is called extended loop recorders or external loop recorders. They can record your heartbeats for as many as seven days, 14 days, 30 days, and that is stuck to your chest wall. They’re called external loop recorders. However, in some patients, we need longer monitoring. And that’s when the rule roll of these devices comes in. These little devices are called insertable loop recorders, they come mounted on a syringe, and we insert them under the skin. As you can see, they are so slick. As you can see, they are so slick, they are on a syringe, and we give a little nick one-centimeter neck inserted under the skin, right here on the left side, give one suture. Now this little device is called insertable Loop Recorder, it can record your heartbeat for up to three years, it is MRI compatible, and when the patient says that he has an abnormal rhythm or had a fainting spell, the patient comes back to us, we interrogate this device and we get to know immediately what was the cause of the patient’s fainting spell, if it tells us it was because of low heartbeat, we know it needs a pacemaker. If there is some other reason we treat the patient accordingly you have shown us so Is it my surgery or it can be implanted.

So, this is a very simple procedure, it is although done in the wizard it can be done in the OPD setting, it is a small neck, on the skin just on the skin one centimeter, and it is inserted under the skin over the surface over the heart side area. And this picks up the ECG of the heart just like a normal ECG recording and it records up to three years. Hence, it makes it very simple for us to know what our patient has a problem if the patient faints during the insertable Loop Recorder.

Another Question From Our Viewer is If The Heart Rate is High, Then In That Scenario Also Pacemaker is Acquired.

So in a very rare situation for high heartbeats, we may want to give a pacemaker they could be special devices and a pacemaker is given for patients who have a very high heart beating wherein we go inside the heart we may burn the no AV nodal area and subsequently to treat the fast heart beating we have to give a pacemaker. So there are situations

Pacemaker And ICD The Same?

Pacemaker icd

Splendid. So pacemaker and ICD are not the same now that you have asked this question, I will have to show this device to you, which I was using for other reasons. Let me try and show it to you. Okay, so I just showed you the pacemaker. This is what a pacemaker looks like. And if I were to show you what an ICD looks like, this is what an ICD looks like. So surely, the ICD or CRT D is larger than a pacemaker. You can see even from the side, it is larger than a pacemaker. But the implantation procedure of a pacemaker and defibrillator or a CRT is much the same. They are larger, they are more complex devices. Technically, they are more challenging, and the implantation of these devices is also more challenging.

We Have is Life Normal With Pacemaker? Or Will There Be Any Changes in The Life

once you have a pacemaker implanted and your local site is healed, you should forget about the pacemaker and you will lead a life as normal as any other patient any other individual in your vicinity or in your neighborhood. All you need to remember is every six months, you need to revisit your implanting doctor so he can know how your pacemaker surgery is behaving. I told you these are battery-operated devices. These devices need to be continued into interrogation, which can be done either remotely or from our clinic. You can also have these devices monitored remotely from the comfort of your home. Or you must come here into our pacemaker clinics every six months because these batteries last roughly around eight to 12 years.

Thank you so very much now. We have completed the questions from our comment section. For any heart, emergency call us:+91 9818797594 and fix your appointment with the Best Cardiologist Doctor In India Dr. Aparna Jaswal Director Cardiologist And Electrophysiologist at Fortis, Okhla.


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17/Nov/2021

Hello, everyone. Welcome back to yet another session with Dr. Aparna Jaswal, who is director cardiologist and electrophysiologist at Fortis Escorts Heart Institute Okhla. So we have taken some questions for her which are very common questions that have been asked by many people. So you can also shoot questions at the comment section, we will try our best to answer those questions. So with this, I would like to invite Dr. Aparna Jaswal Best Cardiologist Doctor In Delhi in as well to start this session.

Hello to you all, and I think at the outset, I’d like to thank all of you who are attending this with us. The session today that we have planned is to speak on pacemakers. pacemaker pacemakers. implantation is a fairly common problem that we encounter and we implant in our hospitals. We at Fortis Escorts Heart Institute Okhla do a significantly large number of implants. So we thought that we would choose this point that we would take this on and describe what a pacemaker is, and how do we do that, and take some questions from the audience. So just to begin and give you an insight into what is the pacemaker. So, you know, in common terms, I tell my patients that you can think the 210 rupee coins are clubbed together. And this is exactly what a pacemaker looks like. So, you can see, this is a pacemaker from one of the industry makers and this thin little device is implanted under the collarbone, normally it is implanted under the left collarbone.

Read Also: Empowering Women in The Fight Against Heart Disease by Dr. Aparna Jaswal

So, this is what the pacemaker is made above, you can see it has a metallic box, and it has a header and they are hermetically sealed, what does it mean? It cannot be separated, they are both together. Before we go into the question-answer section, I would like to let you know patients often ask us if this is a battery is this a battery-operated device to which we say yes, this is a battery-operated device. These batteries are very robust. The batteries of these pacemakers can last anywhere between nine to 14 years, which is very good, depending upon your usage depending upon the model that we choose. So these are very robust batteries. But one thing which I want to let you know is that when a battery is a near expiry, we which we come to know by checking the pacemaker in the pacemaker clinic. Whenever we change the pacemaker for the battery, we remove the complete pacemaker and give a new pulse generator. So it is also called a pulse generator. So the same thing remains for all cardiac implantable electronic devices, be it a defibrillator, be it a CRT, be it a pacemaker, you don’t remove the battery and put a new battery, you put you remove the entire device and you give a new device.

Best Cardiologist in janakpuri, Pacemaker Specialist in Janakpuri

This pacemaker is connected to the heart with the help of certain leads. So this is for the for your knowledge I want to share. This is what a lead looks like. So what we do as electrophysiologists, we implant these devices, we implant these devices under this collarbone, we take a puncture, and this lead first enters and goes inside that heart, we position it where we want to position and subsequently, we connect the other end of the lead to the device, we connect it to the device, and then this device is positioned under the collarbone and we make a little pocket and we stitch the pocket up and the patient is fine in the next few days. So this is what I wanted to describe as to what is a pacemaker and what is a lead. We also have special pacemakers today, which could be leadless they do not have leads and they are like a capsule. But for the sake of discussion for today, we have kept the regular pacemakers, which could be single or dual. So we’ll go forward taking the questions and then one by one I will want to answer them.

When will someone get to know that he or she needs to consult the Best Cardiologist Doctor In Delhi? With pacemaker,

So basically, then does one need to seek a medical opinion for a pacemaker? Normally, for all of us, our heartbeats, the beating is 60 to 100 times a minute, when we’re sleeping, it is low, when we are awake, it is high. However, it should remain between 60 to 100 times a minute, for some people, it could be out of this range, but largely it is around this range. So when your pulse rate becomes slow, less than 60 means it could be 50, it could be 40, you could have some symptoms, you could feel dizziness, you could feel lightheadedness, you could feel fatigued, you could feel shortness of breath, you may sometimes feel even palpitations, and the most dramatic sometimes people faint. So, when when you experience any of these symptoms, you must contact the Best Cardiologist In Delhi and your doctor will get an ECG done or may get a Holter done, which is a 24 hour ECG recording subsequent to which we decide whether you need a pacemaker.

What Are The Symptoms of Needing A Pacemaker?

Yes, so as I just mentioned, if you have recorded a pulse, which is low, and along with that you have felt dizzy, you have felt near fainting, you have felt lightheaded, you have felt suffocation, you have fatigue, you are unable to do activities of daily living, you don’t feel like walking around. And if you have fainted. These are some of the signs that you may need a pacemaker.

Best Cardiologit in Okhla, Top Pacemaker Speialist in Okhla Dr Aparna Jaswal

Many People Think That Getting A Pacemaker is A Major Surgery.

We would like you to enlighten us on this if you can tell that the house is not there as well. Yeah, so implantation of a pacemaker, we say is a procedure. We don’t call it to be a surgery. pacemaker implantation is done under local anesthesia, we give local anesthesia here as a result, the patient and us as doctors keep chatting with each other, it gives a lot of comfort to the patient to know that his doctor is there, and his doctor is communicating at that point in time. After we give local anesthesia, we take the punctures, meaning I just showed you, we take them into the way and from the vein, we place these leads, after we placed these leads into the position of the heart that we want to go in, we subsequently position the pacemaker to this lead and connect it to the pacemaker and then position this pacemaker under the collarbone by making it pocket. So this is all done under local anesthesia while the patient is awake. It is not we don’t call it surgery, we call it a procedure simply because it is a fairly simple procedure. It lasts for about 45 minutes to an hour, the patient is in the ICU for one day and subsequently comes to the room and is discharged from the hospital within 48 hours. For any heart, emergency call us:+91 9818797594 and fix your appointment with the Best Cardiologist Doctor In Delhi Dr. Aparna Jaswal Director Cardiologist And Electrophysiologist at Fortis, Okhla.

To be continued on the next article…




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Additional Director Cardiologist and Electrophysiologist at the Escorts Heart Institute and Research Centre in New Delhi.




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