ICD Implantation Cost in India
An ICD (cardioverter-defibrillator) is a battery-operated device that monitors your heart rate and is implanted under the skin. The ICD is connected to your heart by thin wires. If your heart is beating chaotically and far too rapidly, the device will provide an electric shock to reestablish a regular pulse if an aberrant cardiac rhythm is detected.
In patients with known, prolonged ventricular tachycardia or fibrillation, ICDs have proven to be particularly effective in averting sudden death. They may play a role in preventing cardiac arrest in high-risk patients who haven’t had but are at risk for life-threatening ventricular arrhythmias, according to research.
What is an Implantable Cardioverter Defibrillator (ICD)?
An ICD (implantable cardioverter defibrillator) is an electronic device that monitors your heart rhythm continuously. It gives energy to the heart muscle when it recognizes a very fast, irregular cardiac beat. As a result of this, the heartbeats in a normal rhythm again.
Ventricular tachycardia and ventricular fibrillation are two life-threatening cardiac rhythms that cause the heart to pulse exceedingly quickly. These disorders can be lethal if not treated immediately.
Because you have had at least one episode of these heart rhythms or are at high risk of developing these types of heart rhythms, your doctor has recommended that you receive an ICD.
Types of ICDs:
- Single Chamber ICD
- Dual-Chamber ICD
- Biventricular Device
Why do you need an ICD?
If you or your kid is at danger of a life-threatening ventricular arrhythmia due to the following conditions, your doctor may consider an ICD:
- A ventricular arrhythmia occurred.
- Suffered a heart attack.
- Survived a cardiac arrest that occurred unexpectedly.
- QT prolongation syndrome
- Brugada syndrome
- Sudden cardiac arrest can be caused by a congenital heart defect or other underlying disorders.
How does an ICD Works?
The ICD monitors your heartbeat, recognizes irregular heart rhythms, and decides the best treatment to get your heartbeat back to normal. One or more of the following functions may be programmed into the ICD by your doctor:
- Anti-tachycardia pacing (ATP): A sequence of tiny electrical impulses are sent to the heart muscle to restore a normal heart rate and rhythm when your heart beats too rapidly.
- Cardioversion: To restore a normal cardiac rhythm, a low-energy shock is delivered at the same time as your heartbeat.
- Defibrillation: A high-energy shock is delivered to the heart muscle to reestablish a normal rhythm when the heart is beating dangerously rapidly.
- Bradycardia Pacing: Small electrical impulses are sent to stimulate the heart muscle to maintain an appropriate heart rhythm when the heart beats too slowly.
ICD Implantation Cost in India
ICD Implantation Cost in India is starts from USD 30000.
Where is the implant procedure is performed?
The implant technique is usually performed in a separate room in the Electrophysiology Lab. The surgery is performed in a surgical suite when the epicardial implant method is used.
The ICD procedure details are as follows:
- Ask the scheduling nurse how to change your diabetic medication if you have diabetes.
- If you take an anticoagulant, such as Coumadin (warfarin), contact the scheduling nurse for precise instructions on how to take it on the day of the treatment.
- After midnight the night before the surgery, do not eat or drink anything.
- On the day of the procedure, continue to take all of your medications as directed, but with only small sips of water.
- Bring no valuables with you to the hospital.
How is the device implanted?
- The endocardial (transvenous) technique is typically used to implant the ICD. A local anesthetic (pain-relieving medicine) is given to numb the area during the surgery.
- The lead(s) and device are placed through small incisions in the chest. With the help of the fluoroscopy system, the lead is placed through the incision and into a vein, then guided to the heart. The lead’s tip connects to the heart muscle, while the other end connects to the pulse generator. The generator is hidden beneath the skin of the upper chest in a pocket.
- The epicardial (surgical) technique is employed in rare circumstances where the endocardial approach is not possible. You are put to sleep with a general anesthetic in this method. The generator is hidden beneath the skin in a compartment in the lower belly.
- The hospital stay and recuperation period for this procedure are usually 3 to 5 days, while minimally invasive procedures may be employed to shorten the hospital stay and recovery time.
- Your doctor will assess which implant procedure is the greatest fit for you.
- The hospital stay is usually 24 hours when the endocardial technique is used.
After the Procedure
- The day after the (ICD) cardioverter-defibrillator operation, you’ll normally be released. You’ll need to make arrangements for someone to drive you home and assist you while you recover.
- For a few days or weeks, the area where the ICD is installed may be swollen and sensitive. Your doctor may advise you to take pain medication. Because aspirin and ibuprofen may increase the risk of bleeding, they are not suggested.
- To keep the leads from moving until the area heals, avoid rapid movements that raise your left arm over your shoulder for up to eight weeks. Depending on the type of ICD you received, you may need to restrict your driving. When it’s safe to return, your health care practitioner will give you instructions.
Your doctor may advise you to avoid the following for the first four weeks after surgery:
- Golf, tennis, swimming, bicycling, bowling, or vacuuming are all vigorous, above-the-shoulder activities or workouts.
- A lot of lifting
- Exercising at a high intensity
- Your doctor will most likely advise you to avoid contact sports for the rest of your life. Heavy touch may harm the gadget or cause the wires to become dislodged.
For anyone who has survived cardiac arrest, an ICD is the most common treatment. ICDs are becoming more common in those who are at a high risk of sudden cardiac arrest. An ICD reduces the risk of cardiac arrest death more than medicine alone.
Although the electrical shocks are unpleasant, they are a sign that the ICD is efficiently treating a heart rhythm disorder and preserving the patient from premature death.
An ICD’s lithium battery can last 5 to 7 years. The battery is usually examined during routine examinations, which should take place every six months. The generator is replaced with a fresh one when the battery is nearly depleted during a minor outpatient operation.
The Most Important Frequently Asked Questions
Q: What should I avoid with an ICD implant?
A: Avoid radio or television transmitters, arc welders, high-tension lines, radar stations, and smelting furnaces, as well as other high-voltage or radar machinery. Cell phones with less than 3 watts that are available in the United States are typically safe to use.
Q: How long is ICD after implantation?
A: In most cases, you should be able to go home the same day as your implant surgery. It usually takes 4 to 6 weeks to fully recuperate from the treatment. Once your operation is completed, your doctor will provide you a detailed set of instructions to follow.
Q: What are the risks for ICD implantation?
A: The following are some of the hazards associated with ICD implantation:
- Bleeding at the location of the incision or catheter insertion.
- The blood artery at the catheter insertion site is damaged.
- Infection at the location of the incision or catheter.
- The cardiac muscle is torn.
- A lung has collapsed.
- The leads became dislodged, necessitating another treatment to reposition them.
Q: Who should not get an ICD?
A: An ICD is not always necessary. If any of the following apply to you, you and your doctor may decide against an ICD: It’s estimated that you’ll survive for less than a year. You have a lot of irregular heart rhythms (ventricular tachycardia) that you can’t regulate with drugs.
Q: What should I do after the ICD implant?
A: It’s critical to follow your doctor’s recommendations as you recuperate from an ICD or S-ICD implant procedure, including:
- Follow your doctor’s directions for walking, exercising, and bathing.
- Wear loose clothing that will not irritate the skin around your device.
- Rub your device or the area around your chest as little as possible.
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