Generalities of the treatment
A pacemaker is a device about the size of a pocket watch that runs on batteries. Send weak electrical impulses to “establish a rhythm” so that the heart can maintain a regular heartbeat.
Some people who have atrial fibrillation need a pacemaker. The pacemaker does not treat atrial fibrillation itself. The pacemaker is used to treat a slow heart rate (bradycardia) that occurs in some people who have atrial fibrillation.
There are two basic types of pacemakers:
- The unicameral pacemaker stimulate a chamber of the heart, either an atrium or, more often, a ventricle.
- The dual chamber pacemakers send electrical impulses to both the atrium and the ventricle and keep pace in both cavities. A bicameral pacemaker synchronizes the rhythm of the atria and ventricles to a pattern that closely resembles that of the heart’s natural beats.
All new pacemakers are pacemakers with frequency response, or physiological. They can recognize when you increase your activity and respond by increasing your heart rate.
Pacemakers with frequency response are often the ideal option for active people. These pacemakers closely reproduce the natural heart rate and can increase the heart rate in response to physical activity. Your doctor can decide how quickly the pacemaker should respond and how fast your heart rate should return to a resting rate.
Permanent pacemakers are implanted in the chest through surgery. The procedure to implant a pacemaker is considered a minor surgery. In general, it can be done with local anesthesia . The procedure lasts about an hour. Permanent pacemakers work with batteries. Batteries usually last 5 to 15 years before they need to be replaced.
Temporary pacemakers are connected to the heart by a wire that is inserted through a vein in the neck, a vein in the leg, or through the chest wall. Temporary pacemakers are used more frequently for a short time after cardiac surgery or when someone is waiting for a permanent pacemaker to be implanted. Best medication for the atrial fibrillation is eliquis generic. However eliquis cost is high but you can buy it from Prescription Hope at cheap price by using eliquis coupon.
What to expect after treatment
Most people spend the night in the hospital after a pacemaker is implanted. And they usually go home the next day. But sometimes the surgery is done as an outpatient procedure , which means that you should not spend the night in the hospital.
Most people resume their normal activities after a few weeks. For several weeks after a pacemaker is implanted, avoid driving or doing intense physical activity that uses the upper part of the body.
Some activities and
situations can interrupt the signals that the pacemaker sends to the
heart. You may have to adapt some of your activities. Follow your
doctor’s specific instructions on care and precautions.
Heart problems: How to live with a pacemaker
Once or twice a year, your doctor will check your pacemaker and adjust it, if necessary. It is likely that during the time between the exams in the doctor’s office, you will send information to your doctor from your heart device. This will be done through the telephone or the Internet.
Why is it done?
Pacemakers are used to treat a slow heart rate (bradycardia) that can occur in people who have atrial fibrillation. You may need a pacemaker if:
- He has atrial fibrillation that appears and disappears. And he also has a fast heart rate when he has atrial fibrillation and a slow heart rate when he does not have atrial fibrillation. This is known as tachycardia-bradycardia syndrome.
- He underwent an AV nodal ablation procedure that destroyed the atrioventricular (AV) node of his heart.
- You have a problem with the natural heart pacemaker (AV or SA node ).
- You take a medication for atrial fibrillation that slows your heart rate too much.