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Cardiac Pacemakers in India

Overview:
low cost cardiac pacemakers IndiaCardiac pacemakers are used to treat a heart that beats too slowly. Sometimes the natural pacemaker of the heart becomes diseased and does not keep the heart beating regularly. The average heart rate is 60 to 100 beats per minute. The normal heart can occasionally beat as slowly as 40 times a minute while resting and as fast as 200 times a minute while exercising. However there can be symptoms of weakness, dizziness and fainting when the heart beats to slowly. The heart may always be slow or the may be episodic pauses in the heartbeat that may lead to symptoms.


What is Cardiac Pacemaker?
Cardiac Pacemaker is a small device that's placed in the chest or abdomen to help control abnormal heart rhythms. This device uses electrical pulses to prompt the heart to beat at a normal rate. Pacemakers are used to treat arrhythmias (ah-RITH-me-ahs). Arrhythmias are problems with the rate or rhythm of the heartbeat. During an arrhythmia, the heart can beat too fast, too slow, or with an irregular rhythm.


Why Cardiac Pacemakers?

Cardiac pacemakers are required in order to help the heart to beat regularly and send the blood which is rich in oxygen and nutrients to the rest of the body. Cardiac pacemakers are used for a number of reasons. These include:


Who is a Candidate for Cardiac Pacemakers?

Doctors recommend pacemakers for a number of reasons. The most common reasons are bradycardia and heart block. Bradycardia is a slower than normal heartbeat. Heart block is a problem with the heart's electrical system. The disorder occurs when an electrical signal is slowed or disrupted as it moves through the heart. Heart block can happen as a result of aging, damage to the heart from a heart attack, or other conditions that interfere with the heart's electrical activity. Certain nerve and muscle disorders also can cause heart block, including muscular dystrophy.
Your doctor also may recommend a pacemaker if:

Children, adolescents, and people who have certain types of congenital heart disease may get pacemakers. Pacemakers also are sometimes implanted after heart transplants. Before recommending a pacemaker, your doctor will consider any arrhythmia symptoms you have, such as dizziness, unexplained fainting, or shortness of breath. He or she also will consider whether you have a history of heart disease, what medicines you're currently taking, and the results of heart tests.


How do Cardiac Pacemakers Work?

Pacemakers consist of two major parts:

How it works: The pacemaker leads detect the heart’s own electrical activity (in the right atrium and right ventricle,) and transmit that information to the pacemaker generator. The generator – which, again, is a computer – analyzes the heart’s electrical signals, and uses that information to decide whether, when, and where to pace. If the heart rate becomes too slow, the generator transmits a tiny electrical signal to the heart, thus stimulating the heart muscle to contract. This is called pacing. Pacemakers that have two leads not only keep the heart rate from dropping too low, they can also maintain the optimal coordination between the atria and the ventricles (by pacing the atrium and the ventricle in sequence. Thus, pacemakers do not take over the work of the heart – the heart still does its own beating – but instead, pacemakers merely help to regulate the timing of the heart beat.


What are the Types of Cardiac Pacemakers?
There are two primary types of pacemakers:

The other types are as follows:


What is the Diagnosis for Cardiac Pacemakers?

Patients being considered for Cardiac pacemaker implantation will undergo a full battery of cardiac tests, including an electrocardiogram (ECG) or an electrophysiological study or both, to fully evaluate the bradycardia or tachycardia. The symptoms of fatigue and lightheadedness that are characteristic of bradycardia can also be caused by a number of other medical conditions, including anemia. Certain prescription medications can also slow the heart rate. A doctor should take a complete medical history and perform a full physical work-up to rule out all non-cardiac causes of bradycardia. Patients are advised to abstain from eating six to eight hours before the surgical procedure. The patient is usually given a sedative to help him or her relax for the procedure. An intravenous (IV) line will also be inserted into a vein in the patient's arm before the procedure begins in case medication or blood products are required during the insertion.


How to Prepare for the Cardiac Pacemakers?
The procedure used to put in this device is considered minor surgery.  It involves numbing the site just under the tissue layers.  You will be given a medicine in your IV to help you relax, but you will not be asleep.  It is common to forget about the procedure or fall asleep during it.  The procedure usually lasts between 45 minutes to 1 hour. You should not have food or water after midnight the night before the procedure.  This prevents nausea and vomiting during the pacemaker placement.


What is the Procedure of Cardiac Pacemakers?
Surgery to implant a pacemaker is considered a minimally invasive procedure. It is not an open heart surgery, although it can be combined with an open heart surgery if necessary. The procedure is typically performed in an operating room or in a cardiac catheterization lab. Local anesthesia is given to numb the area of the chest where the procedure is performed, allowing the patient to remain awake while the surgery is performed without pain. In addition to numbing the area, a sedative may be given to help the patient relax or reach a twilight sleep state. Once the anesthesia takes effect, the chest will be prepared with a special solution to remove germs that may be on the skin, and the area will be covered with sterile drapes to keep the incision as clean as possible. The procedure begins with the insertion of the wires that attach the device to the heart. The wires are threaded through and into the heart where they are placed using a type of x-ray imagining that allows the doctor to see exactly where the wires are at all times. Once the wires are in place, an incision is made in the chest or abdomen, and the actual pacemaker device is placed under the skin. The wires, which are connected to the heart, are attached to the pacemaker. The pacemaker is then tested to make sure it is working effectively. Once the physician determines that the wires are in the correct place and the pacemaker is functioning properly, the incision is closed with sutures or adhesive strips and medication is given to wake the patient.


What to Expect after Cardiac Pacemakers?
Your nurse will discuss important aspects of your care with you before you go home. The following are very important:


How will Cardiac Pacemakers affect your Lifestyle?

Once you have a pacemaker, you have to avoid close or prolonged contact with electrical devices or devices that have strong magnetic fields. Devices that can interfere with a pacemaker include:

These devices can disrupt the electrical signaling of your pacemaker and stop it from working properly. You may not be able to tell whether your pacemaker has been affected. How likely a device is to disrupt your pacemaker depends on how long you're exposed to it and how close it is to your pacemaker. To be on the safe side, some experts recommend not putting your cell phone or MP3 player in a shirt pocket over your pacemaker (if the devices are turned on).

You may want to hold your cell phone up to the ear that's opposite the site where your pacemaker was implanted. If you strap your MP3 player to your arm while listening to it, put it on the arm that's farther from your pacemaker. You can still use household appliances, but avoid close and prolonged exposure, as it may interfere with your pacemaker.

You can walk through security system metal detectors at your normal pace. You also can be checked with a metal detector wand as long as it isn't held for too long over your pacemaker site. You should avoid sitting or standing close to a security system metal detector. Notify airport screeners if you have a pacemaker. Stay at least 2 feet away from industrial welders or electrical generators. Some medical procedures can disrupt your pacemaker. These procedures include:

Let all of your doctors, dentists, and medical technicians know that you have a pacemaker. Your doctor can give you a card that states what kind of pacemaker you have. Carry this card in your wallet. You may want to consider wearing a medical ID bracelet or necklace that states that you have a pacemaker.

Physical Activity: In most cases, having a pacemaker won't limit you from doing sports and exercise, including strenuous activities. You may need to avoid full-contact sports, such as football. Such contact could damage your pacemaker or shake loose the wires in your heart. Ask your doctor how much and what kinds of physical activity are safe for you.

Ongoing Care: Your doctor will want to check your pacemaker regularly (about every 3 months). Over time, a pacemaker can stop working properly because:

To check your pacemaker, your doctor may ask you to come in for an office visit several times a year. Some pacemaker functions can be checked remotely through a telephone call or a computer connection to the Internet. Your doctor also may ask you to have an EKG (electrocardiogram) to check for changes in your heart's electrical activity.

Battery Replacement: Pacemaker batteries last between 5 and 15 years (average 6 to 7 years), depending on how active the pacemaker is. Your doctor will replace the generator along with the battery before the battery starts to run down. Replacing the generator/battery is less-involved surgery than the original surgery to implant the pacemaker. The wires of your pacemaker also may need to be replaced eventually. Your doctor can tell you whether your pacemaker or its wires need to be replaced when you see him or her for follow-up visits.


Why Cardiac Pacemakers in India?

low cost cardiac pacemakers IndiaIndia has achieved specialization in the field of Cardiac Care with world-class institutions. Teemed up with leading cardiologists or cardio-thoractic surgeons and state-of-art technology, India has become of one of the favorite destination with medical tourists. Innovative techniques such as robotic surgery are used for cardiac treatments in India.

India offers world class medical facilities, comparable with any of the western countries. The Cardiac pacemakers in India come with a state of the art Hospitals and the best qualified doctors. With the best infrastructure, the best possible Medical facilities, accompanied with the most competitive prices. With the growing need for medical care many cardiac centers have mushroomed to provide Cardiac pacemakers in India.

India has equipped herself effectively to provide the best medical treatment and care in much cheaper price than the west. Many tourists all over the world avail the medical facilities of the country. Providing cost effective healthcare, the Indian Hospitals hold good rank in the largest healthcare group of the world that provides excellent medical diagnosis, treatment, surgery and post surgical care. These hospitals are available in the following Indian cities:

Mumbai
Hyderabad
Kerala
Delhi
Pune
Goa
Bangalore
Nagpur
Jaipur
Chennai
Gurgaon
Chandigarh

The Cost of Cardiac Pacemakers in India:

Cost plays a major role in bringing foreign medical tourists to India. Using competent technologies, hospitals in India are able to perform high-end treatments like Cardiac Pacemakers, heart transplantation and heart surgery at a substantially lower rate. The following figure indicates the cost of certain treatments in US and India, which are instrumental in drawing a huge number of global patients all across the world.

Some of the common countries from which patients travel to India for surgery are:

 
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