ICD Combo Device Surgery Cost in Thailand

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 Thailand

Thailand has some of the leading internationally recognized hospitals which are serving both native and foreign patients with great care. With highly advanced apparatus and technology, along with certified specialists, Thailand has emerged as one of the top destinations for ICD Combo Device Surgery. Low cost of ICD Combo Device Surgery, availability of diagnostic and therapeutic facilities, well connected international flights are some other factors that list Thailand hospitals among the best hospitals for undergoing the ICD Combo Device Surgery.

ICD Combo Device Surgery Cost in Thailand

ICD Combo Device Surgery in Thailand is quite affordable as compared to other countries of the world. The overall cost of the ICD Combo Device Surgery is quite less than some other developed countries. The average cost of this surgery remains low despite the additional costs such as boarding, hotel expenses, food, investigation costs and duration of stay in the hospital. The cost of this procedure is determined by the type of hospital, choice of city, accommodation, and traveling.

Treatment and Cost

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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 Thailand / Why should opt for Thailand as a destination for your medical treatment
Hospitals in Thailand have seen an increase in number in the past few years. One of the many reasons for such surprise growth in the healthcare division can be the development of the public health sector which comprises 9,765 health locations along with 1,002 hospitals. As the Public Hospitals in Thailand are operated by the MOPH (Ministry of Public Health), the Private Hospitals in Thailand are regulated under the Medical Registration Division. The treatments in Thailand are also keeping up with that of other major countries all across the globe. As of 2002, the Thai Government has provided a countrywide general healthcare system that covers 99.5% of the Thai population and ensures high-quality treatments in Thailand and affordable primary medical amenities to each and every citizen of Thailand. In the year 2009, the total national expenditure on healthcare was 4.3% of the GDP of Thailand. Due to such medical advancements in Thailand, the country has become the most preferred medical destination in the world providing wide-ranging medical treatments at highly-reasonable rates at good hospitals in Thailand.
What are the conditions of the hospitals in Thailand? 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 a few JCI certified hospitals in Thailand :
  • Yanhee Hospital
  • Bumrungrad Hospital
  • Bangkok Hospital
  • Chaophya Hospital
  • BNH Hospital
  • Ramkhamhaeng Hospital
  • Vejthani Hospital
  • Bangkok Hospital Phuket
  • Samitivej Sukhumvit Hospital
  • Praram 9 Hospital
  • Chiangmai Ram Hospital
  • Sikarin Hospital
  • Synphaet Hospital
  • Bangkok Hospital Samui
  • Nonthavej Hospital
  • Bangkok Hospital Pattaya
  • Samitivej Srinakarin Hospital
  • Samitivej Sriracha Hospital
Are the doctors/surgeons in Thailand of the best quality?
Thailand is gaining recognition for the quality of its healthcare services after the US magazine CEOWORLD placed Thailand 6th in its 2019 list of countries with the best healthcare systems. Thai doctors gain a lot of skills during their course and this helps them practice effectively. Many doctors and surgeons also visit other countries for training and certification courses to enhance their skills and knowledge. Most doctors are exposed to a public and private healthcare system in order to be able to work in any condition. It is a collective effort from all the professionals to maintain the standard of health and Thailand is doing just that.
What is the process for obtaining a medical visa in Thailand?
Currently, medical tourists To Thailand are allowed in from 34 countries. All visitors must have proof of travel health insurance that covers a minimum of US$100,000 of medical costs incurred in Thailand, including medical costs in the event that they contract COVID-19. Under the CCSA regulations, medical tourists have to arrive by air to ensure effective disease control, not via land border checkpoints. All must have an appointment letter from a doctor in Thailand and entry certificates issued by Thai embassies across the globe. People wanting to visit Thailand for medical procedures need to contact the Thai Embassy in their country to organize the visa and paperwork. Thailand’s major hospitals will provide potential candidates with an appointment letter. Permission for medical tourists to be accompanied by up to three attending persons is intended to allow such patients to have spouses, parents, or assistants in attendance during their treatment in Thailand. However, such persons will have to conform to all the same entry requirements as the medical tourists themselves, including visas and health status.
What support services does MediGence provide in Thailand?
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 Thailand for medical treatment?
Bangkok is the capital of Thailand and the most sought - after destination for healthcare. It has more than 10 of the major hospitals in Thailand. The cost of treatment in Thailand is reasonable here. People tend to spend their recovery time in Bangkok as well as it is a beautiful city to visit as a tourist.

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