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06/Oct/2022

The topic for discussion today is What is Sudden Cardiac Arrest (SCA)? by Best Cardiologist in Delhi (Part 3). And we’re extremely honored to have with us Dr. Aparna Jaswal leading senior consultant interventional Top Heart Specialist In Delhi escorts hospital daily. 

It’s important to understand heart attack implies a disease in the blood Vessels of the heart where ninja visual comes suddenly complaining of chest, right pain. Right in the center of the chest, with radiation to his shoulders. The inner aspect of his arm can go to his shoulder at which Jaws, can be having profuse sweating.

Heart Attack

Sudden Cardiac Arrest

The pain will be as if somebody has tied a band across his chest or placed a stone on his chest, that is what we call a heart attack, which needs immediate attention and an ECG needs to be done once identified on an ECG. And the blood test, the patient is often shifted to a cath lab for opening up the blood vessels of the heart. There is a heart attack. While sudden Cardiac Arrest is an abnormality of the electrical system of the heart.

The heart is supposed to contract 60 to 100 times a minute when it becomes chaotic and becomes very irregular, extremely rapid. It can result in sudden cardiac arrest and the individual who’s having a sudden Cardiac Arrest will have no pulse will have no breathing, and will collapse. Suddenly, you must remember that individuals are for the heart Attack May sometimes. Succumb to Sudden Cardiac Arrest.

Hence, both of these are medical emergencies. They are distinct but both of them imply. Rushed to an emergency room and seek immediate medical attention. Very few people who have out-of-hospital Sudden Cardiac Arrest survive. In fact, it will be very little about say, about 5 to 10%, would survive. And we have seen even celebrities.

So many people have succumbed, thankfully individuals who have a sudden cardiac arrest in a hospital setting serve. Because we have medical attention medical practitioners. We have nurses, we can or we could offer that immediate support with these relators and survive, but we must remember that. Sudden Cardiac Arrest is something, we all should know and should react immediately.

Try and keep yourself protected by following Healthy Lifestyles

Try and keep yourself protected by following Healthy Lifestyles. So that we do not develop a disease in the blood Vessels of the heart and do not succumb to this dangerous, entity called sudden cardiac arrest So now your take-home message for our viewers would be my take-home message would be to those young adults to exercise, regularly, follow a healthy lifestyle, and eat healthy foods. Do not compromise on getting yourself tested.

Top Heart Specialist In Delhi

If you have high blood pressure or diabetes or cholesterols, must look after this. And with this, I would conclude that take care of yourself. Get your numbers well and stay healthy and keep yourself protected. It. Thank you and goodbye.

Note: If you are searching Best Cardiologist in Delhi, so you are in the right place. Call us:-9818797594  or visit the website:- Best Cardiologist In Delhi.


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23/Sep/2022

Excessive alcohol consumption and the combination of these factors put us at a very high risk of developing diseases in the blood vessels of the heart. They may be some people who already have disease in the blood vessels of the heart. They could have undergone procedures like stenting or bypass surgery in that subset. The men were having poor pumping of the heart, which is detected on the echocardiogram.

How to prevent sudden cardiac arrest

If the ejection fraction of the heart that is pumping the heart is compromised. Also, you have a disease of the blood vessels of the heart or you have any other heart disease. If you are at high risk of Sudden Cardiac Arrest (SCA) death, you should talk to the Best Cardiologist In Delhi, and understand your individual risk of sudden cardiac arrest.

To protect ourselves from sudden onset cardiac arrest in our young adulthood, we must ensure that we exercise regularly so that we do not develop lifestyle diseases such as high blood pressure, diabetes, and bad cholesterol. You make an effort. But if you have diseases.

Best Cardiologist In Fortis Delhi

You take very good care of them, keep your blood pressure in check, control your diabetes, keep your cholesterol under control, don’t smoke, and exercise regularly. So, these are simple things you can do to protect yourself from developing the disease in the blood vessels of the heart.

Also Read:- What is Sudden Cardiac Arrest (SCA)? by Best Cardiologist In Delhi (Part 1)

Individuals who already have a disease of the blood vessels. It is important that you talk to your doctor about cardiologist treatment and understand that we are there for your doctor if you are at risk of sudden cardiac arrest.

Cardiac arrest can happen at any time of the day

However, if you are prone to develop it during sleep, it has been observed that you experience some breathing changes during sleep. Therefore, during sleep, we may develop what we call nervousness. Spell Some individuals breathe very differently, especially if they are obese. If they are too thick, during which a person may panic.

The magic that leads to a decrease in oxygen saturation in our blood can pose an additional risk. If the person already has an underlying disease or is undergoing a baseline process for the development of certain categories.

Therefore, the risk of Sudden Cardiac Arrest (SCA) compounded during their sleep may be higher. At the same time, it is very important that we understand that our brain, as well as our blood, is a very sensitive organ. If the brain does not get blood for a few seconds, then five to twenty seconds, our brain can die.

Therefore, we sing as soon as possible. If you see someone suddenly dying of cardiac arrest, resuscitation immediately compresses the chest so that we can mechanically contract the heart and perform effective contractions to get blood to the brain and other organs.

Note: If you are searching Best Cardiologist in Delhi, so you are in the right place. Call us:-9818797594  or visit the website:- Best Cardiologist In Fortis Delhi.

To be continued…


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12/Sep/2022

Hello to all of you today, Dr. Aparna Jaswal just one who is working as an Additional Director Cardiologist and Electrophysiologist at the Escorts Heart Institute and Research Centre in New Delhi. It’s important, that we touch on the subject because we are seen as the Best Cardiologist In Delhi. So, today we like to discuss a topic which has suddenly become very important to all of us. It has been around for several decades. However, it is, thanks to social media, thanks to the news anchors that this subject is given a lot of importance and all of us are seeing more and more.

The topic is What is Sudden Cardiac Arrest? by Best Cardiologist In Delhi to steal the program ahead and pose questions, which you have been asking, all of us are Miss Jaya and Miss Jenna, and I will walk you through this vital subject that each one of us must know and understand.

What is the commonest cause of Sudden Cardiac Arrest (SCA)?

Best Cardiologist In Delhi

If we were to understand its percentages Eighty to ninety percent of the time, the cause of Sudden Cardiac Arrest is a blockage in the blood. Vessels of the heart. We must understand that all our organs receive blood with the help of blood vessels. As does our heart, if the heart, the blood, and the blood vessels, supplying, the blood to the heart have blockages. It is cold in medical terminology coronary artery disease Eighty to ninety percent of the time. Sudden Cardiac Arrest happens because of blockages of the heart’s blood vessels and an over. 50% of the people may not be aware that they have blockages in the blood, ships of the heart.

But the signs of having Cardiac Arrest as the name implies happen suddenly it is devastating. Do you see the person collapse? There will be no pulse. They will be no breathing. This is called sudden cardiac arrest. So, the most important sign is no pulse no, breathing and circulation. Collapse loss of consciousness is sudden Cardiac Arrest however, in a small proportion of patients they can have warning signs. What are those warning signs?

They may complain of chest discomfort right in the center of their chest when they walk and this pain can be coming to the shoulders of the inner aspect of their arms or the doors. They could also complain at times of breathlessness, these are warning signs which should never be neglected. Some of them may even complain. Of palpitations with near fainting spells. So, if any of your family members have ever faced, any of these problems, you must seek medical attention.

If you see, somebody has a Cardiac Arrest, what should you do?

The most important thing is each one of us should have a basic understanding of cardiopulmonary resuscitation which I will just come back to. But when you see somebody who collapses, suddenly you must call out for help. Just ask any of your fellow person’s family members or colleagues to ask for an immediate ambulance and come back to the first thing is, what should you do? If you see a family member, a friend, or a colleague, having Sudden Cardiac Arrest (SCA), the answer is cardiopulmonary resuscitation what does that entail?

You, it would be best if a few of us are specialized there are special courses called basic life support, which teach us cardiopulmonary resuscitation. But in real terms, it is a very simple thing. So cardiopulmonary resuscitation and Dales giving compression on the chest of the individual who has collapsed. You must clasp your hands straight out of your arms.

Best Heart Specialist In India

Place it on the individuals just and give compressions as much as 100 to 120 times a minute you. Its actual contractions were in the chest wall, actually, compresses at least two, two and a half inches, so that’s called cardiopulmonary resuscitation. Why one of you is doing this, somebody should shout out for help call for an ambulance, and immediately shift this individual to a hospital emergency room. Cardiac death. So, who is at risk of sudden? We have to understand, as I first said, those individuals who already have disease in the blood vessels of the heart. Those individuals who have risk factors to develop a disease in the blood. Vessels of the heart stand to have been at the highest risk of sudden, cardiac arrest. So, who are those? Those of us who have high blood pressure, diabetes, or smoke have high cholesterol.

Note: If you are searching Best Cardiologist in Delhi, so you are in the right place. Call us:-9818797594  or visit the website:- Best Heart Specialist In India.

To be continued…


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22/Jul/2022

So today, we thought we would speak on Why Do More People Get Heart Attacks In Winter? It’s important, that we touch on the subject because we are seen as the Best Cardiologist In Fortis Delhi. So, at the very outset, I think let’s begin with what we see.

Yes. A well-known fact, all across the world is that the winter months bring along with them an increase in heart attacks, also in the early morning hours. So why does this happen? We have to understand that in the early morning hours. There is a surge of sympathetic hormones. We have it. Gideon Rhythm. Our body has a rhythm Circadian rhythm during the early morning hours. There’s an increase in the hormones epinephrine and norepinephrine, which are sympathetic hormones, which we all need. So, when these hormones income out of the body during the cold winter months and it is, your blood pressure is high. Your heart rate is high; your heart has to beat harder and stronger. There is an increase in the clotting factors. Along with that, you have an upsurge of hormones. It makes a perfect meal for you in the early morning hours to have an increased incidence of a heart attack.

So, it’s important to understand that during winter early morning, hours put. Put our heart at Wonder’s ability to have heart attacks. So, we must be attention to anybody in our homes who tells us that I’m having chest discomfort or I’m having something odd in my jaws. Or I’m having thin on the inner side of my arms or I’m feeling nauseous any of these symptoms are outside of normal. One must pay due attention and go to the nearest hospital and have an ECG done.

What should people who suffer from heart disease do?

Keep in mind during the winter months. So, with the onset of the winter months, it’s important that we tell our patients first. They must dress appropriately. It’s important to protect our bodies from cold. And how does one do that by wearing layers? It’s always better to wear layers because they trap the body heat and you can always get rid of them layer by layer or wear them layer by layer second during the winter months. There is also an increase in the incidence of heart attacks because people become physically inactive. It’s important to remain active during the winter months. When you see the sunlight coming out during the day.

It’s a good idea to go out for a walk during the sunlight hours

You must stay Physically, Active. You must make sure that you are well hydrated; not drinking ample amounts of fluids can also put you at risk of certain diseases. Also, heart troubles. Those of you who have hypertension or diabetes must make sure that your blood pressure is well under control. As I just told you, make sure that your blood pressure is well-taken care.

Best Cardiologist In Delhi

It is a known fact that Smokers smoke more during the winter months. So, we must tell our family members who were smokers that they must not smoke because having high blood pressure and uncontrolled blood sugar increase smoking. All of this puts you, at further risk, and must make sure what you eat. You must eat a healthy balanced diet. Those of you who consume large amounts of salt must remember in winter, your blood pressure tends to increase as I just mentioned adding salt. On top of that can be a disastrous morning. Make sure you have you limit the intake of sugar in India. We have this activity. We’re in during the winter months. We increase the content of jaggery, diabetics; feel that they have this impression. That jaggery is safe. No, it also causes an increase in your blood sugar. So, you must make sure that you eat healthily, and drink carefully. The amount of water should be good. Those of you who consume alcohol must limit the quantity. Some of the alcohol that you take during the winter months.

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


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13/Jun/2022

The topic for discussion today is Queries Regarding Your Health During Winter. And we’re extremely honored to have with us Dr. Aparna Jaswal leading senior consultant interventional Best Cardiologist In Delhi At Fortis escorts hospital daily. Thank you so much, mam. Once again for accepting our invitation to address this cause. And now I would like to hand out the session to you to guide us.

Q: What can I do to lower my risk of heart disease?

Ans: I think I have been harping about this. But yes, if you wish to lower your heart disease, you must make sure that you quit smoking. If you smoke, take alcohol and fewer amounts. If you consume take a healthy balanced diet, make time, at least some time for yourself to go out and exercise. I to you the protocol you should try and cover in 40 minutes. You should try and cover three and a half to four kilometers. That’s called brisk walking for the young. And, of course, keep yourself. Well protected. Winters have a healthy balanced diet. You do all of this. You will keep yourself protected in winter. 

Q: Eating Sunflower, Pumpkin, Sesame seeds Etc. Are good For The Health?

Ans: Yes, so putting it in perspective when I say flax seeds. I’m trying to include these seeds. The seeds are very good for your health in one way or the other. You should try to combine them but most importantly, exercise regularly having something which is proven they. Without a doubt, walnuts and almonds have flax seeds. You can certainly consume the seeds, the sunflower seeds. They will always be good for you and the pumpkin seeds. But most importantly do a mix of everything for good health. Thank you so much.

Best Cardiologist in Delhi: Queries Regarding Your Health During Winter

Q: How to increase immunity?

Ans: Yeah. So how do you increase your immunity is something that the human body is so interesting and it’s an enigma rather. So all of us are born with good immunity rather it was seen in the Last covid-19. Make sure that you get yourself tested and if you have co-morbidities bring them to Bay. If you have high blood pressure, if you have diabetes look after them, if you are a smoker, you must stop smoking. You must curtail it because it is going to dampen your immunity consumption of alcohol should be contained. You must have cooked Foods in your diet, a very good diet. Helps you increase your immunity from fresh fruits and vegetable eggs as I have been repeatedly saying, Fish chicken for vegetarian people.

Q: What should be the ice blood pressure?

Ans: The ideal blood pressure for adults should be less than 130 but 80 millimeters of mercury. This is a very good point and I wish to talk about here most of us live in denial. We don’t check blood pressure. If we check our blood pressure and find it to be higher. Then you must talk to the Best Cardiologist In Delhi. Let’s understand. As we all get older in our lives blood pressure, having a higher blood pressure is a consequence of Aging if we wish to not develop high blood pressure. It’s important that when you are young and you’re on your middle-aged, you exercise. Well, you limit what you eat, take less salt, and exercise regularly. 


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02/Jun/2022

So today, we thought we would speak on how winter affects our hearts. It’s important, that we touch on the subject because we are seen as Best Heart Specialist In India. So at the very outset, I think let’s begin with what we see. Ourselves, I think, as soon as there is winter, we realize the first thing that we can see is the dryness of our skin. It is well-known that winter makes our skin dry similarly to the onset of winter. We drink fewer fluids. Now, this has a very high impact. It is well known that if we take fewer fluids in our system. It has a significant impact on our heart, our blood, and our urinary tract. So, to ensure it is important to ensure that you keep yourself well hydrated.

The most important is the impact of winter on our hearts

So this is something which we are going to discuss today, winter and heart and I’m sure some of the viewers who are here with us, will realize that with the onset of winter. They have had an increase in their blood pressure. So I think, let’s start from there. And let’s listen to what the Jeans are a hard worker degree. Yeah, so I think she says why does winter make our heart Vulnerable? So as I just mentioned the first thing that winters do is cold weather, what does cold weather does to our bodies? As soon as it becomes cold, our blood vessels constrict, when our blood vessels constrict of our entire body, it results in an increase in the heart rate, and it results in an increase in the blood pressure. So these two result in our heart beating stronger, its heart has to beat harder. So whenever there is cold weather outside, it causes our blood vessels constriction because of the construction of our blood vessels are blood, pressure increases. We are well aware that a rise in blood pressure has a significant impact, not only on our heart but also on our brain, just as high blood pressure makes us Vulnerable to heart attacks.

High blood pressure also, makes us vulnerable to having brain strokes

 

So with the onset of how winter affects our hearts, you must make sure that you have your blood pressure checked. If your blood pressure is high. You must talk to the Best Cardiologist In Delhi. You must try to do everything to keep your blood pressure. Under check. When I say blood pressure is under check. We mean that your blood pressure should remain less than 140 by 80 at all times of the day. People often come and ask us what time of the blood pressure should I measure? Well, your blood pressure should remain well under control all Round the Clock. So any time of the day that you may have blood pressure. It should be less than 140 by 18, but it is important to measure your blood pressure. After you are well seated. You’ve not had a coffee, you’ve gone to the washroom you are seated for about 10 to 15 minutes then measure your blood pressure. So these Sudden pointers, which make a hot one durable high heart rate, high blood pressure heart having to beat stronger and harder and during winter, there is increased coagulation in our blood system, the clotting factors increase all of this makes a perfect meal you for a hard to become vulnerable, right?


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23/May/2022

Who have heart disease with a compromised pumping of the heart means the pumping ability of the heart is less than 35%. You must talk to the Best Cardiologist Doctor In Delhi about the need for a device that is called an implantable cardioverter-defibrillator. This is what is called an implantable cardioverter-defibrillator. And this is what it looks like. It has a small device, which is like a matchbox. This device is implanted Under the Skin. Just like we make up. We have a pocket in our Shirts, we make a little pocket under the collar bone. And we insert this device. This device with the help of one wire or a lead, as we call it. It is connected to the heart. We must remember that this device is called an implantable Cardioverter-defibrillator as the name implies is implantable and hence is called implanted.

It has a unique ability of cardioversion and defibrillation. If any of you wants to know, we can connect later, but it’s a very intelligent device. It is as if a very intelligent doctor is in your chest wall, it is as if in an emergency room, the doctor is walking with you everywhere. You feel very confident because if you were to have an episode of sudden Cardiac Arrest because you had a risk for it, the implantable defibrillator before, anybody knows diagnosis, that and treats it by treats it, by giving you a therapy, which you may not perceive, which is called anti-tachycardia pacing, or it may give a little shock therapy.

Right. So My Question Is What Is Shock Therapy

Best Cardiologist in Delhi Dr Aparna Jaswal

All you need to know is, I’m sure when you watch movies, you see that somebody when they are passing away, you see? A big machine, is brought into the hospital setting and we put two paddles in the chest wall and we give a shock therapy. So that’s what we call the shock. That is delivered from outside. So you are aware that in the hospitals. You see those big defibrillators. Obviously. Nobody can have those big things in your homes. Who will give those sharks? All of that. The little big device is compacted into this little device, which is called a defibrillator implantable.

This has been around since 1885 we have been aggressively using them. We have been advocating for them. For those of our patients who deserve them. They are battery-operated devices and these devices last approximately six to nine years. Depending upon the usage. They are battery-operated devices and these devices. Once implanted can be interrogated, externally by visiting a pacemaker Clinic, which is there in all major hospitals, and every six months, we get the devices. In fact, these devices are extremely intelligent. These devices have a unique ability today to remain connected with your doctor, and your doctor can get the information every morning when he wakes up.

So I would like to ask what is an automatic external defibrillator

If there is any abnormality that may have possibly happened in your heart and without even you, or your family member having to know, your doctor comes to know, and they further connect with you and let you know about it, right. And yeah, so I think many of you will be traveling, of course, in the last two years old, first having to travel but soon we will be in when you are at any airports. Now even in Indian airports and international airports, you see important places a small box is hanging on the wall and it is called automatic.

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

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04/May/2022

I hope we will make it worthwhile for all of you in the next couple of minutes. We choose this topic and there could have been no better opportunity. Time to be discussing this simply because of what happened last week, all of us are aware of Shane Warne. In fact, that very day. We lost two, cricketers of great Fame, and the world of cricket was completely devastated, especially with the demise of Shane Warne. Who were 52 years old and this is what we want that we all should understand and take it forward from there? So I think as the name implies sudden Cardiac Arrest is very simple. It’s a cardiac arrest, which happens suddenly to put it in. Simple terms. If anyone is going to get it, he knows it’s going to come. He would not be home.

 

He would be in a hospital setting or you could be in some clinic. So certainly, this is something which comes suddenly Why it is out of the blue and it is devastating and consumes alive. And the unfortunate part is it consumes a large number of lives in their productive years. So it’s important we understand and know what is it that we can do to safeguard ourselves from this entity in times to come. So that some living life around us is saved by Having learned about the nuances of Sudden Cardiac Arrest. It is extremely complex and At Regina’s, I will try and keep it as simple as we can. Right. Thanks, Dr. Aparna the Best Cardiologist In Delhi for explaining about sudden, cardiac arrest.

So just to start I would like to ask about the causes of sudden cardiac arrest. So if we were to elucidate the causes of sudden Cardiac Arrest, the most common cause of sudden Cardiac Arrest is having a blockage in the blood vessels of the heart. It’s even more intriguing. If you were to know that over 50% of people who had sudden Cardiac Arrest were not aware that they had blockages in the blood. The hawk meaning thereby. We must look after ourselves, very well, when we are young so that we do not develop the blockages in the blood vessels of our hearts.

There are some other causes that are less common. Like somebody may have a disease in the valve of the heart. Somebody may have what we call a thickening of the heart muscle called hypertrophic cardiomyopathy. Some people may have a dilatation of the heart, what is called dilated cardiomyopathy and then Some diseases which run in families, we call inherited Channel, Lupa things but to keep it very simple, the commonest cause of sudden Cardiac Arrest is a disease in the blood vessels of the heart. All right. Dr. Aparna Best Heart Specialist In Delhi

So the next question I would like to ask you is what are the signs and symptoms of Sudden Cardiac Arrest? How would someone get to know that they are responsible? Yeah. So is there any signs and symptoms of Sudden? Cardiac Arrest?

Best Cardiologist in Delhi

Well, the first and foremost, is that if you think that you have risk factors for heart, disease means, if you have diabetes, you have high cholesterol, you have high blood pressure and you smoke, or you have a family history of disease in the This is that is called ready after disease. It is time for you to go and get tested. If you have any disease in the blood vessels of your heart, that is one second. If you have any symptoms such as chest, discomfort, when you walk or chest discomfort, when you climb a flight of stairs, which comes in the center of your chest, it feels as if somebody has died or not or a band across your chest. You must seek medical advice from your local Cardiologist.

Read Also:- What’s the Difference Between A Heart Attack And Sudden Cardiac Arrest

Third, if you have any symptoms such as dizziness or have had a fainting spell, it’s important that you connect with your doctor to understand if you could be at risk of any such element happening in the future. How far is the sudden cardiac arrest?

So it will be fascinating for you to learn but rather depressing. I should say if you want to know the real numbers. It is one per thousand. Per year, globally that succumb, to Sudden Cardiac Arrest, which becomes a very large number in certain geographies. We’re in the heart disease is more common like India, it is actually lesser than one per thousand means even more people. One per 500 also could succumb in their adult years. After 35, to 40 years of age Sudden Cardiac Arrest. It is that common What is there any age group for Sudden Cardiac Arrest, or has happened to only elderly people to be continued……….


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.

Best Cardiologist in Delhi

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




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