ICD Combo Device (Only Surgery) in South Korea

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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 South Korea / Why should opt for South Korea as a destination for your medical treatment?
South Korea is recognized for its strict rules and regulations which have kept the country in strict discipline. As an upside, the country has well-maintained regulations for every process and impressive medical healthcare facilities which have garnered thousands of visitors from across the world. The reason for opting for hospitals in South Korea is the astounding treatment options available at a very cost-effective price range, which is undoubtedly more affordable than most of the developed countries across the world. Besides the well-planned infrastructure, the treatment in South Korea and the alternatives offered are tempting enough. Apart from that, the country also flaunts high success rates and has thus been able to cure some of the most complex diseases in the world.
What are the conditions of the hospitals in South Korea? 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. YUHS Severance Hospital + Gangnam Severance Hospital is a JCI certified hospital in South Korea.
Are the doctors/surgeons in South Korea of the best quality?
The doctors and surgeons providing treatments in South Korea are globally recognized for their service in the medical field. Furnished with degrees from reputed universities and decades of training and experience, the doctors have earned high success rates throughout their professional careers. The doctors have to undergo rigorous training to keep up with the strict protocol and measures of hospitals in South Korea. Hence, quality is maintained.
What is the process for obtaining a medical visa in South Korea?
The Korean embassy follows a strict protocol for obtaining a visa for traveling to the country. The necessary documents (photocopies and original) have been listed on their official website and should be strictly adhered to. The candidate also has to produce necessary papers stating the medical cause and referral certificate signed by the registered medical practitioner. Although these need to be taken care of by the candidate, the rest of the procedures and further visa assistance is managed by the sponsors in most cases. A Medical Dependent Visa is granted to those who are accompanying a patient traveling to Sount Korea for medical treatment on a Medical Visa. This visa can be given to a close relative/family member or a friend of the patient. Please note that relevant letters/documents explaining details of the treatment, signed and stamped by the concerned hospitals/doctors, a declaration from the patient or an immediate family member is also required confirming the escort travel along with the patient.
What support services does MediGence provide in South Korea?
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
    We recommend a hospital or a healthcare institution that is best suited for you, based on your ailment and its criticality.
  • 360-degree Hospital Review
    We give you a transparent and holistic view of the hospital and its infrastructure, accreditation, facilities, and expertise to give you confidence.
  • Doctor Validation and Communication
    We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
  • 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
    We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
  • 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 South Korea for medical treatment?
Treatment in South Korea is affordable. Seoul is the capital of South Korea and one of the main cities for healthcare. Seoul and Daegu have some of the best hospitals in South Korea. Busan, Incheon, and Ulsan also have developing healthcare facilities.

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