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Your doctor will discuss which is the most suitable type of pacemaker for you and this will depend on the reasons why you need to have one.
How do they work?
The job of a pacemaker is to artificially take over the role of your heart's natural pacemaker, the sinus node. Electrical impulses are sent by the pacemaker to stimulate your heart to contract and produce a heartbeat. Most pacemakers work just when they’re needed - on demand. Some pacemakers send out impulses all of the time - this is called fixed rate.
Pacemakers do not give your heart an electrical shock.
How are pacemakers fitted?
Pacemakers are fitted under a local anaesthetic with sedation, so you’ll feel very sleepy. After the pacemaker is fitted, you’ll usually stay overnight in hospital and your pacemaker will be checked thoroughly before you leave. Serious complications from pacemakers are very unusual.
How quickly will I recover?
It’s normal to feel tired for a few days afterwards, but most people find that they are able to get back to their normal lifestyle fairly quickly. You’re not allowed to drive a car for at least a week after your pacemaker is fitted.
Who can I talk to?
It’s important that you and your family understand why you’re having a pacemaker fitted and what the operation involves. It’s also important that you understand what to expect in hospital before, during and after your operation during your recovery.
It’s natural to feel worried, but it often helps to talk about your feelings with someone close to you or with a healthcare professional.
If you have any question or if anything is worrying you, talk to your doctor or call our Heart Helpline on 0300 330 3311 (you’ll be charged a local call rate).
You can also visit our Publications section to download or order our booklet Pacemakers for more information.
Nonalcoholic Red Wine Reduces Blood Pressure. Seriously good news but wheres the fun in it?
Nonalcoholic red wine was associated with a greater reduction in blood pressure than regular red wine in a new study. The researchers, led by Dr Gemma Chiva-Blanch (University of Barcelona, Spain), conclude that the polyphenols found in red wine are the likely mediators of the blood-pressure reduction and that alcohol appears to weaken their antihypertensive effect.
They suggest that daily consumption of nonalcoholic red wine may be useful for the prevention of mild to moderate hypertension.
"It is still a very uncommon event," she said. "I don't think the message is that parents should be so frightened that they don't let their kids go out for competitive sports."
"Every family should have somebody trained in basic first aid and CPR skills," says Paul Shipman, spokesperson for the American Red Cross in Connecticut, which teaches approximately 120,000 people each year in a variety of safety procedures. The "basic level" class for the "average everyday responder" is offered all around the state each month and results in a certification that is valid for two years. Joe Lodge teaches the 3-1/2 class and says parents shouldn't put it off because we are too busy.
Everybody gets ill regardless of how much he takes care of his health. Almost every family has some mature members that are ordinarily effected by various illnesses as a result of age facto such as diabetes, higher blood stress and so on. These men and women need added care 24 hrs every day. Moreover, they also need healthcare support a lot more frequently than standard men and women. In place of calling the medical professional yet again and yet again, you may monitor the health conditions of one's liked types by obtaining some training. Everybody lives for himself, why do not we reside for our liked types? You just have to get training in an effort to find out some basic factors about usually used healthcare treatments.
You will find certain schools and colleges which have made it compulsory for its college students to have first aid training which is surely a very good practice as this basic training enables them to serve the humanity in situation of any unexpected emergency. In case you have not been a part of such school unluckily then you definitely may perhaps nonetheless get this training from any healthcare institutes. You will find a huge number of healthcare institutes on the market and just about all of them are supplying first aid programs. This training is given to educate men and women how you can reach in unexpected emergency situations such as in situation of unexpected illness, any accident or some other unexpected occasion. A sizable number of life survival and health subjects are included in this training. Even though, this training can long for less than per week but its time period mostly vary from one healthcare institute towards the other depending on the factors to become covered within the training.
It is actually usually perceived this training is designed for nurses or other paramedic workers which is not truth. Any one of us may perhaps need first aid at anytime and often paramedical workers or unexpected emergency service can not reach you on time which may perhaps take your life o that of one's liked types. First aid studying programs support you to conquer these worst situations so it's extremely recommended to have this training advertisement also give it to your youngsters.
Aside from first aid you must also get CPR training as bulk from the sufferers lose period for brief period either as a result of shock from the accident or as a result of any significant damage. Cardiopulmonary Resuscitation (CPR) aids them in respiration. In this training, you are going to find out how you can conserve the life of other people by stabilizing their breather manually ahead of any equipments or healthcare workers reaches the patient.
Implantable cardioverter defibrillator (ICD)
An ICD (or implantable cardioverter defibrillator) is a small device which can be used to treat people with dangerously abnormal heart rhythms.
Abnormal heart rhythms (or arrhythmias) can cause your heart to beat too quickly, too slowly or in an irregular pattern. These heart rhythms can happen suddenly and unexpectedly and sometimes people die as a result.
The ICD is inserted just under your collar bone. It looks similar to a pacemaker and is a little bigger than a matchbox. It is made up of:
a pulse generator - a battery powered electronic circuitone or more electrode leads which are placed into your heart through a vein
An ICD can give your heart electric pulses or shocks to get your heart rhythm back to normal.
How does an ICD work?
Your ICD constantly monitors your heart rhythm through the electrodes and if it notices a dangerous heart rhythm it can deliver three treatments:
Pacing - a series of low-voltage electrical impulses at a fast rate to correct the heart rhythmCardioversion – one or more small electric shocks to try and restore the heart to a normal rhythmDefibrillation – one or more larger electric shocks to try and restore the heart to a normal rhythm
Who needs an ICD?
ICDs are used for some of the people who:
have already had a life threatening abnormal heart rhythm and are at risk of having it againhaven’t had a life threatening heart rhythm, but who have had tests that show they are at risk of one in the future. This is usually because they have inherited certain faulty genes and may have a condition such as Cardiomyopathy, Long QT syndrome or Brugada Syndromehave another type of heart condition, such as heart failure, and who have had, or at risk of having a life-threatening abnormal heart rhythm have had other treatments to correct their heart rhythm which have been unsuccessful.
How is an ICD fitted?
ICDs are inserted under local anaesthetic, but with sedation, so you will feel very sleepy. It can take as little as one hour to insert the ICD, although the time it takes will depend on the type of device you're having. You will usually stay overnight in hospital and your ICD will be checked thoroughly before you leave.
Who can I talk to?
It’s natural to feel worried about having an ICD fitted, but it often helps to talk about your feelings with someone close to you or with a healthcare professional.
The study centres around a class of 25 school children from Vienna's 16th district. In first grade, the children were given a professional first aid lesson as part of a project organised by Thomas Uray from the University Department of Emergency Medicine which involved practical exercises, video clips and questionnaires. After it, 47.8 per cent of the children were able to execute an emergency call perfectly, 56.6 per cent were able to operate the defibrillator correctly and 28.6 per cent were able to perform chest compressions appropriately. The class has now undergone further training and testing in fourth grade by a team led by Katrin Steiner from the MedUni Vienna. "The children were able to remember the practical, hands-on actions very well and tackled the problems in a very motivated way without any inhibitions. Only the theory side of things had slipped a little in their memories," explains Steiner. Three years later, 100 per cent of the children were able to operate the defibrillator correctly after a refresher course, 95 per cent made the emergency call clearly and understandably, while 72.2 per cent were able to perform chest compressions correctly. Parents learn from their children "The results clearly speak in favour of first aid training at primary school," says Steiner. In Austria, this training is not currently on the curriculum - unlike countries such as Canada, the Czech Republic or Norway, for example. Just two to three hours of training per academic year are enough to perfectly prepare children for these types of emergency. The added bonus is that "parents learn from their children and benefit from their lower inhibitory threshold for providing first aid," says Steiner. First aid courses for children are currently provided by the Austrian Red Cross Youth, the Samaritans and as part of the Children's University programme at the MedUni, which is held every year during the summer holidays. One third can be saved A recent study by the MedUni Vienna has shown that someone who is given cardiac massage by a first aider straight after a cardiac arrest has a 70% higher chance of survival. "Unfortunately, there is often no first aider on hand, or people are afraid of doing something wrong during resuscitation. Chest compressions never do any harm, unlike doing nothing," says Fritz Sterz from the University Department of Emergency Medicine at the MedUni Vienna. In Vienna alone, around 3,000 people die every year from cardiac arrest.
Human bodies are susceptible to injuries, illnesses and trauma. We never know when any injury may happen to us or the people we love or those who are around us. Thus it is always good to have some amount of basic knowledge to take care of critical situations, to keep it from going from bad to worse or till the medical help arrives.
Administering first aid to victims in the event of accidents, mishaps and occurrences during office and school hours or in the case of some accident is encouraged. One must know the basics of administering first aid and this knowledge is gained by getting trained.
Listed below are the 5 top reasons why first aid training is so important.
' Increases safety: The basis of first aid training is 'prevention'. It is always better to be safe than to be sorry. Knowledge of first aid promotes the sense of safety and well being amongst people, prompting them to be more alert and safe in the surroundings they dwell in. Awareness and desire to be accident free keeps you more safe and secure, reducing the number of causalities and accidents.
' Helps save lives: If a person who is trained to give first aid administration happens to see any casualty in his vicinity, immediate action can be taken and lives be saved. While it is natural for most of us to rush to support any injured person, a trained person is more reliable, confident and in control of himself and his actions while in trauma situations.
' Helps relieve pain: Some injuries require a very simple solution like applying ice pack or a quick rub. A ride to the emergency room is not necessary, at least not for some time. In such cases, calling a person trained in first aid courses is more reliable. They can help reduce the pain by performing simple procedures and can help relieve pain at least temporarily.
' Makes people more secure: Knowing that you can save your own life when required, or that of the people you know or those in trauma during some emergency helps you relax more and be more secure. The sense of security promotes a healthy and a more confident environment around you where you and the people around you would feel more secure. The presence of such people provides reassurance to the others in the situation.
' Prevents the situation from becoming worse: A trained person would know how to keep the situation from becoming bad to worse. They will provide temporary treatment which will keep the condition of the victim from deteriorating, till professional help arrives.
Knowledge of first aid promotes a healthy, secure and a safer environment, and instills confidence amongst people, their families, their colleagues and associates. Basic first aid knowledge is very helpful in dealing with trauma situations. Not just the medical help they provide, but the confidence they exhibit is very helpful during casualties. Being trained to provide first aid is useful to oneself and society.
"I was driving recently when a strangled gurgle erupted from the rear seat, where my eight-month-old daughter Esme might have been choking to death. This guttural "uurrrgh-blurrgh" continued for a heart-stopping second before she returned to her happy "ah-ba-ba-ba" song but I was shaken up by the incident to the extent that I signed up for a first aid course."
For many of us, first aid knowledge is a bit like our recall of amazing scientific facts down the pub – bewilderingly vague. I never really gave my ignorance a second thought until I realised that as a father of twins it would be horrific if something went wrong and I couldn't do anything about it.
The latest scientific studies show the importance of the bystander as a first responder
(HealthNewsDigest.com) - Sudden cardiac arrest (SCA) differs from a heart attack in a couple of important ways. First, SCA is the leading cause of death in the U.S., according to the Mayo Clinic, and is more common than heart attack. Second, SCA can be successfully treated by a bystander with an automated external defibrillator (AED), according to several peer-reviewed medical studies.
Virtually every day in America, AED technology enables an individual with little or no medical training to save the life of another human being. This fact makes SCA unique among other leading causes of death such as heart attack, stroke and cancer – afflictions that require interventions from medical professionals.
SCA is an arrhythmia – an electrical disorder of the heart – that can be corrected by a shock from an AED. Heart attack is caused by a blocked artery, which must be cleared or bypassed in a medical facility. Still, only about 8 percent of about 380,000 annual SCA victims in America survive to hospital discharge – primarily because they do not receive shocks quickly enough from an AED. This 8 percent survival rate is dismal, especially when compared to the roughly 85 percent survival rate of heart attack victims.
In any workplace, every employee can be and should be a potential lifesaver.
Too often, workers suffer SCA and die because a defibrillator is not available in time to save them. Conversely, about 90 percent of SCA victims who receive shocks within the first minute after arrest survive, according to the Sudden Cardiac Arrest Association. The chances of survival decrease by 7 to 10 percent with each passing minute. After 10 minutes, less than 5 percent of victims survive.
The aggregate SCA survival rate, recorded across various populations, has remained around 8 percent for the past 30 years, according to a study published in the American Heart Association’s Circulation: Cardiovascular Quality and Outcomes. However, the authors noted that survival was “greatest in locations in which a defibrillator is available.” They also said that because most out-of-hospital cardiac events are witnessed, efforts to improve survival should focus on the prompt use of an AED and CPR by those who witness the event.
While receiving AED/CPR training obviously has its benefits, a Johns Hopkins study published in the Journal of the American College of Cardiology emphasized that “speed is more important than training.” In a review of 13,759 out-of-hospital cardiac arrests, the authors found an average survival rate of 7 percent. However, the survival rate increased to 38 percent when patients received an AED shock before EMS arrival. Non-medical volunteers operating the AED achieved the highest survival rate (40%), followed by healthcare workers (16%) and police (13%). “On average, early AED defibrillation before EMS arrival seems to nearly double a victim’s odds of survival after OHCA,” the authors wrote.
With speed recognized as the most important aspect of AED lifesaving, the focus shifts away from relying on EMS response to having AEDs available in workplaces and public places. While AED/CPR-trained individuals are sometimes present in these areas, SCA victims are often rescued by untrained bystanders.
These Good Samaritans use AEDs successfully, even though they may have never used them before. A survey of 1,018 travelers from 38 nations passing through the Amsterdam central railway station found that roughly half of these individuals would be willing to use an AED in an emergency. Among those expressing reluctance, the most common barriers to using an AED were a lack of knowledge of how to work the AED and concerns about harming the victim.
Approaching the tipping point to higher SCA survival
Today, AEDs are approaching a tipping point similar to the one that happened with the introduction of the iPhone. Before Apple launched this product, most consumers were intimidated by smart phones. The iPhone made smart phones easy – this innovation and its impact on other manufacturers made text and email by phone commonplace, turned mobile devices into the most common way to access the Internet, and merged it all with music, video and a world of apps. Now, many people manage their lives from their smart phone.
In a similar fashion, new AED technology merges audio, video, training and maintenance capabilities into an easy-to-use lifesaving device that inspires confidence in the minds of potential rescuers. A survey by AED designer and manufacturer Defibtech and Harris Interactive asked the question: In addition to audio instruction (provided by the AED during a rescue situation), what would give you greater confidence to use an AED? The answer? Video. With video, text and voice, 97 percent of the respondents said they would be able to use an AED to save a life.
In response, Defibtech introduced the VIEW AED, which has an innovative, exclusive LCD video feature that literally shows rescuers how to perform each step of an SCA rescue in real time – in accordance with the latest American Heart Association (AHA) guidelines. The color video is reinforced by loud and clear audio and corresponding text that can be understood in noisy environments. For example, when the VIEW’s audio says and text reads, “Place pads on patient’s chest,” the video shows exactly where to place the pads.
The VIEW also has embedded help videos that can be used during training to review the critical steps of a rescue, providing reassurance to rescuers that they will be ready during the stress of an emergency. In addition to the help videos, the VIEW has a patented status screen that shows the readiness of defibrillation pads and the AED’s battery, as well as the overall AED operational status. The VIEW AED virtually maintains itself through automated daily self-tests. Choosing an AED that’s easy for bystanders to use is important because not all AEDs are created equal.
Enable your workers to rescue a fellow employee
From any standpoint, it makes complete sense to encourage and enable workers to rescue a fellow employee striken by the most common killer of Americans. While medical advances in virtually every area of medicine have reduced mortality rates, SCA mortality has remained the same for 30 years, even though it can be treated by a person with no medical training if there is an AED onsite. That fact alone calls for workplaces to have AEDs available and to empower their employees with the confidence to use them.
Greg Slusser is a vice president for Defibtech, the designer and manufacturer of the Lifeline™ and ReviveR™ families of AEDs and related accessories, Click Here 1-866-DEFIB-4-U (1-866-333-4248).
Abridged with permission from the August 2012 edition of Facility Safety Management magazine (www.fsmmag.com)