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Biventricular Pacing

Usually, both the right and the left ventricle of the heart pump blood together, but when they lose their synchronisation, it leads to the heart failure. When a heart failure is triggered, the left ventricle does not pump a sufficient amount of blood to the body.

Biventricular Pacing is a procedure in which a special pacemaker called biventricular is used for cardiac resynchronisation therapy (CRT) in the heart failure patients.

Cardiovascular resynchronisation treatment (CRT) with biventricular pacing (BIV) is a decent option for symptomatic treatment of patients with advanced heart failure and atrioventricular/intraventricular conduction issue.

Causes of Heart Failure

When both the ventricular do not work in the coordination, i.e. they do not pump blood together, it leads to heart failure, and the result is an imbalance in cardiac functioning.

Observable Signs and Symptoms

  • The person will experience shortness of breath
  • Dry cough and fatigue
  • Swelling in ankles or legs
  • Frequent urination
  • Unstable and irregular heartbeat
  • Building of excess fluid in the tissues usually (lungs and legs)
  • Lack of appetite/ nausea
  • Impaired thinking/ confusion
  • Increased heartbeat

How is the Diagnosis of Heart Failure made?

  • Blood Tests Your specialist may investigate indications of sicknesses that can influence the heart. He or she may likewise check for a substance called N-terminal star B-type natriuretic peptide (NT-proBNP) if your conclusion isn't sure after different tests.
  • Chest X-ray X-ray pictures enable your specialist to see the state of your lungs and heart. Your specialist can likewise utilise an X-ray to analyse conditions other than heart failure that may clarify your signs and indications.
  • Electrocardiogram (ECG) This test records the electrical movement of your heart through terminals connected to your skin. It enables your specialist to analyse heartbeat issues and harm to your heart.
  • Echocardiogram An echocardiogram utilises sound waves to create a picture of your heart. This test can enable specialists to see the size and state of your heart alongside any variations from the norm. An echocardiogram measures your launch portion, a vital estimation of how well your heart is pumping, and which is utilised to help order heart disappointment and guide treatment.
  • Stress Test Stress tests measure the strength of your heart by how it reacts to effort. You might be requested to stroll on a treadmill while at the same time joined to an ECG machine, or you may get a medication intravenously that fortifies your heart like exercise.
  • Magnetic Resonance Imaging (MRI) In this procedure, you lie on a table inside a long tube-like machine that delivers an attractive field, which adjusts nuclear particles in a portion of your cells. Radio waves are directed toward these aligned particles, providing signals that make pictures of your heart.
  • Coronary Angiogram In this test, a thin, adaptable tube (catheter) is embedded into a vein at your crotch or in your arm and manoeuvred through the aorta into your coronary veins. A colour-infused through the catheter makes the conduits providing your heart noticeable on an X-ray, helping specialists spot blockages.
  • Myocardial Biopsy In this test, your specialist embeds a little, adaptable biopsy rope into a vein in your neck or crotch, and little bits of the heart muscle are taken. This test might be performed to analyse certain sorts of heart muscle sicknesses that reason heart disappointment.

Tips to Follow before Biventricular Pacemaker Implant

  • If you have diabetes then before treatment, the doctor will adjust with your medications
  • You are not allowed to eat and drink the night before the procedure. If there is a compulsion on certain medicines, then take them with water
  • Give up on any supplements

How does Biventricular Pacemaker Work?

The biventricular pacemaker is an electronic device that is implanted in the body using surgery. In the right ventricular, leads (tiny wires) are inserted through a vein and into the coronary sinus vein to regulate the working of the left ventricle. By doing this, the heart will work in a more balanced way. Most of the time the leads are placed into the right ventricle. The wire will help in maintaining a reasonable heart rate and will support both the ventricles to work in synchronisation.

Post-Surgery Care

  • Avoid taking a shower for at least a week after the surgery.
  • If the insertion area is bleeding or draining, immediately contact the doctor
  • Increased body temperature is not a good sign. You must visit a doctor if you have fever
  • Keep the incision site dry and clean for better recovery
  • If you notice redness or warmth along the incision area, inform your doctor
  • There is a need for pacemaker analysis every 3-6 months
  • A 6-week check up to ensure the transmitter is working properly

What is the Prognosis after Surgery?

Expect a gradual recuperation. It might take up to a month and a half before you begin resting easy, and up to a half year to feel the full advantages of the medical procedure. Biventricular pacing surgery does not keep your heart from getting a cardiac issue once more.

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