ICD Combo Device Surgery Cost in Singapore

An Implantable Cardioverter Defibrillator (ICD) is a device which is used to prevent deaths in patients with known problems of irregular heartbeats (such as sustained ventricular tachycardia and fibrillation). AN ICD is a battery-operated device that is placed under the skin and keeps track of your heart rate. It consists of a pulse generator and wires, called leads. The pulse generator consists of a battery and a tiny computer. Lead wires connect the pulse generator to specific locations in your heart. This implant device is helpful in preventing sudden death and cardiac arrest in patients who haven't had but are at a risk of a heart attack. An ICD can detect abnormal heart rhythm and then deliver an electric shock to restore the normal heartbeat in case the heart is beating too fast or abnormally.

ICD Combo Device Surgery in Singapore

Singapore is highly specialized in providing advanced medical facilities and care. Singapore has rapidly evolved in the technology of medical equipment and its patient-friendly facilities such as translators and local transport. Due to strong back-up provided to the healthcare sector by the government, Singapore has become one of the most important medical destinations in the world. Doctors say the take-up rate in Singapore for pacemakers and defibrillators is low compared with other countries because many patients are unaware of their heart condition and of the cardiac devices. The current annual take-up rate for pacemakers is 500 while the number is about 70 to 80 annually for defibrillators.

ICD Combo Device Surgery Cost in Singapore

 

The cost of the ICD Combo Device Surgery involves the type of surgery, the surgery fee, the cost of any adjunctive treatments. The cost also depends on the approach used in the surgery, patient’s diagnosis and general health, type of hospital and recognition of the facility. There are several hospitals in Singapore that carry out the ICD Combo Device Surgery. The cost of the procedure may vary among different hospitals, but the difference is not much. The total cost package for the ICD Combo Device Surgery in Singapore might also include additional costs such as boarding, lodging, and food.

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About the ICD Combo Device (Only Surgery)

Implantable cardioverter defibrillator (ICD) is a small device placed under the skin to keep track of the heartbeat. A defibrillator implant is useful in preventing sudden death and abrupt cardiac arrest in patients who may not have suffered a heart attack, but are at its risk.

Who needs a defibrillator implant?

A heart fibrillator surgery can be required in adults, teens and in unfortunate cases, children too. Any cardiologist can recommend defibrillator procedure if an individual suffers from arrhythmia. An ICD pacemaker is very good at treating life-threatening problems, such as ventricular arrhythmias.

Some forms of arrhythmias make the ventricles either quiver frequently or beat too fast. People who have earlier suffered from a ventricular arrhythmia before or had a heart attack that previously damaged the electrical system of the heart are at a higher risk of ventricular arrhythmias in the future.

People who have fortunately survived a sudden cardiac arrest (SCA) are often recommended an ICD pacemaker surgery. Even for those who have specific heart conditions that put them at higher risk for SCA can also be recommended defibrillator procedure. Some of the common causes of arrhythmias include the following:

  • A previous history of heart attack
  • Formation of scar tissue in the heart
  • Changes in the structure of heart due to cardiomyopathy
  • Blocked arteries or coronary artery disease
  • High blood pressure
  • Hyperthyroidism or hypothyroidism
  • Smoking addiction
  • Too much alcohol or caffeine consumption
  • Stress or drug abuse
  • Overuse of certain medications and supplements, including over-the-counter cold and allergy medications
  • Diabetes
  • Sleep apnea or hereditary problems

Symptoms

Some of the noticeable symptoms of arrhythmia include the following:

  • A fluttering sensation in the chest
  • Tachycardia (fast heartbeat) or bradycardia (slow heartbeat)
  • Pain in the chest and shortness of breath felt at even at a little exertion
  • Dizziness or lightheadedness
  • Profuse sweating
  • Fainting or almost getting fainted

An ICD pacemaker device monitors the heartbeat at every moment and if required, it delivers an extra beat or gives an electrical shock to restore a normal heart rhythm. Another implantable device may be combined with it to control abnormal heart rhythms.

How is ICD Combo Device (Only Surgery) performed?

The defibrillator procedure can be performed on an outpatient or inpatient basis. Depending on the experience and preference of the doctor, the procedure can slightly vary.

After removal of jewelry and accessories and change into the hospital gown, the patient is required to empty their bladder. An IV line is started in the hand or arm before the procedure so that medicines and fluids can be injected later.

  • Usually, during the heart defibrillator surgery, the patient is placed on their back on the procedural table. An ECG or EKG is connected to monitor and it records all the electrical activities related to the heart. Vital signs such as breathing rate, blood pressure, heart rate, and oxygen levels in the blood are constantly monitored. In areas where electrode patches are supposed to be placed are cleaned and at times the hair may be shaved or clipped off in some cases. Large electrode pads are placed on both front and back of the chest.
  • A sedative is administered in the IV to help the patient relax. But the patient will most likely be in his or her senses during the defibrillator procedure. The insertion site is then cleaned with an antiseptic solution and sterile towels and sheets are placed around the area. A local anaesthetic is injected into the skin at the site of insertion. The doctor makes a small incision at the site of insertion. Under the collarbone, a sheath or an introducer is inserted into a blood vessel. This sheath is a plastic tube through which the ICD lead wire is inserted into the blood vessel and later into the heart.
  • The patient is required to be as still as possible during the procedure so that the catheter does not move out of place or cause any kind of damage to the site of insertion. The lead wire is then introduced into the blood vessel through the introducer. This lead wire will now slowly making its way up to the heart.
  • Once the lead wire has made its way into the heart, the doctor test them to ensure that it works and serves the purpose. It is highly possible to have multiple lead wires inserted into the blood vessels, depending on the kind of device the doctor has chosen for the patient.  To test the location of the leads, fluoroscopy is conducted and the position is checked in the monitor.
  • Now the ICD generator is slipped under the skin through the point of an incision below the collarbone after the attachment of the lead wire. The generator is placed on the non-dominant side of the body (suppose if the patient is right-handed, then the device is placed on the upper left chest. If the patient is left-handed, the device is placed in the upper right chest). The ECG that was earlier mentioned keeps monitoring the function of the ICD and tests can be performed to assess the functioning of the device. The incision in the skin is closed with the help of a special glue or adhesive strips and a sterile bandage dressing is applied to the site.

Recovery from ICD Combo Device (Only Surgery)

The patient is closely monitored before the surgery and it is necessary to inform about any discomfort that is felt after AICD placement. Some amount of chest pain is normal.  Vital signs are monitored and the easily digestible food is given for a few days.You will be discharged when the breathing and heart rate stabilizes. Within a few weeks or so, you can resume a normal life with some restrictions on movement as advised by the doctor. Driving has to be avoided until the doctor approves of it.

Specific instruction has to be followed regarding bathing and dressing. Regular evaluation of ICD is required at a certain frequency. A duly filled card will be given at the time of discharge, which must be carried by you. You must inform the security personnel during airport screening or mall screening that you have an ICD installed. You must also avoid being close to heavy motors or strong magnetic and electromagnetic fields.

You must notify your doctor if you feel feverish, palpitations, or have severe chest pain during the recovery period or at any point of time. You must discard completely discard the habit of carrying the mobile in your chest pocket.

Benefits of ICD

  • Continuous monitoring of heart is achieved
  • Immediate improvement can be felt
  • Prevents chances of sudden death

Patient Stories

Frequently Asked Questions

What is the health care infrastructure of Singapore / Why should opt for Singapore as a destination for your medical treatment?
Singapore is generally known for its well-managed health care infrastructure and has an efficient and widespread system of healthcare. Singapore was ranked 6th in the World Health Organization's ranking of the world's health systems in the year 2000. Bloomberg ranked Singapore's healthcare system the most efficient in the world in 2014. Three main healthcare groups exist in Singapore:
  • National Healthcare Group
  • National University Health System
  • SingHealth
The 10 public hospitals in Singapore comprise 8 general hospitals (AH, SGH, NUH, CGH, TTSH, KTPH, NTFGH & SKH), and 2 specialized hospitals (KKH & IMH). In addition, there are 9 national specialty centres for cancer (NCCS & NCIS), cardiac (NHCS & NUHCS), eye (SNEC), skin (NSC), neuroscience (NNI) and dental care (NDCS & NUCOHS). The private healthcare infrastructure in Singapore is also well established. The payment methods include private payment gateways or private insurance companies. You can expect better technology to be used in private hospitals in Singapore. Various procedures like stem cell therapy and cancer research are conducted in Singapore.
What are the conditions of the hospitals in Singapore? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety. Here are some of the JCI certified hospitals in Singapore :
  • Mount Elizabeth Hospital
  • Singapore National Eye Centre
  • National Dental Centre
  • Raffles Hospital
  • National University Hospital
  • Gleneagles Hospital
  • Singapore General Hospital
  • National Heart Centre Singapore
  • Changi General Hospital
  • National Cancer Centre
  • National Skin Centre
  • Johns Hopkins Singapore International Medical Centre
  • Tan Tock Seng Hospital
Are the doctors/surgeons in Singapore of the best quality?
Since Singapore is known all over the world for some of the best medical treatments all across the globe, you can surely expect the best quality of doctors and surgeons here. This country has a very high quality of life and hence the health of people is of high priority.
What is the process for obtaining a medical visa in India?
People who wish to go to Singapore as a tourist for social purposes or seeking medical treatment, and require a longer period of stay beyond the Visit Pass granted on entry into Singapore, may submit an application for extension of stay (not more than 89 days from date of entry) online using the e-Service of ICA. All extension applications must be submitted online using the e-service at least seven days prior to the expiry of the visit pass to avoid overstaying. Extension of visit will not be accepted over the counter. Every visit pass issued to any person as a tourist or for the purpose of a social visit or medical treatment shall be subjected to the condition that the holder shall not engage in any form of employment (paid or unpaid) or in any business, profession or occupation in Singapore during the validity of that pass unless he is a holder of a valid work pass issued under the Employment of Foreign Manpower Act. Do visit the ICA website for further information.
What support services does MediGence provide in the United Arab Emirates?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
  • Expert Opinion
    We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
  • Hospital Recommendation
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  • 360-degree Hospital Review
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  • Doctor Validation and Communication
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  • Options to Choose From
    Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
  • 24X7 Patient Care Support
    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
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  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in Singapore for medical treatment?
Singapore is a sovereign island city in itself. So you can find many options for treatment in Singapore itself, without having to travel too much.

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