The operation to implant pacemaker.
Most often doctors recommend the use of a pacemaker, in which various symptoms (dizziness, high blood pressure, headaches, pain in the heart) indicate a slow heart beat. This condition is called bradycardia.
The development of cardiac pacing in recent decades has led to the solution of many problems associated with arrhythmia. And now the operation of pacemaker implantation has become routine, and the reliability and quality of modern vehicles, made on the basis of recent advances and technical thought is assurance of both doctors and patients.
?The operation of implantation (sew) the stimulator is easy, since few injure tissue. It is performed under local anesthesia in the operating room, equipped with X-ray machine. Under the collarbone broken line (pierced) Vienna, it introduce a special plastic tube (sheath), through which the superior vena cava electrode is introduced.
?Under the control of x-ray he was going in the right atrium and is fixed to its wall, or carried out in the top of the right ventricle. The most complicated procedure is to set up and securing the tip electrode in the atrium or ventricle so as to obtain a good contact. Typically, the surgeon makes a few samples, all the while measuring the threshold of excitability, the lowest value of momentum (in volts), which corresponds to the heart contraction, visible on the ECG.
The challenge is to find the most sensitive place and at the same time get a good graphics ECG recorded with electrodes installed. Once the goal is reached, make a small “pocket” under the skin, but if a man lean, the “pocket” is made under the muscle. It fits a stimulant and tissue sutured over it.
Of course, the operation requires strict sterility and careful hemostasis, to avoid the buildup of blood under the skin and abscesses. Sam stimulator and electrodes are supplied in sterile form. In total, all these manipulations take up to two hours of time.
There are other possible methods of pacemaker implantation. Sure, your doctor will recommend the most appropriate way with respect to your individual needs.