Price cardioverter-defibrillator in Assuta
The cost of the diagnostic program is approximately $ 1 500. Estimated price operations - 11 500 $, not including the cost of the device. If you are interested in more information, please fill out the application form, we will provide comprehensive information on relevant issues.
In Western Europe, the cost of cardioverter-defibrillator and the operation is within the 30 000 - 50 000 $.
About cardioverter defibrillator
An implantable cardioverter defibrillator (ICD) is a small device that is placed into the chest or abdominal cavity. Doctors use it to treat an arrhythmia.
ICD uses electrical impulses that control the heart rhythm, especially in cases where fibrillation is life threatening and can cause sudden cardiac arrest. This condition leads to death, if for a few minutes is not receiving medical treatment because the heart stops beating, the blood does not flow to the brain and other vital organs.
The electrical system of the heart
The heart has its own internal electrical system that controls the rate and rhythm of the heartbeat. With each stroke the electrical signal propagates from the top of the body to the base. He causes the heart to contract and pump blood.
The electrical discharge arises in the sinus node. As it spreads from the top down, it synchronizes the heart activity of the cells.
First, the two upper chambers of the heart - the atria - are reduced. As a result - the blood into the lower chambers - the ventricles. Then they cut, and the blood begins to move to other parts of the body. The combined reduction of the atria and ventricles creates a heartbeat.
Malfunctions of any parts of the electrical system causes organ arrhythmia. Most of them does not bear serious harm, but some heart rhythm disorders are dangerous.
ICD uses electrical impulses to treat life-threatening arrhythmias that develop in the ventricles. In such cases, the heart can not pump blood properly. Without medical care can in a few seconds or minutes, the outcome is death. Arrhythmia are treated with electric current passed through the heart. This therapy is called defibrillation.
The ICD has wires with electrodes at the ends of which are connected to the chambers of the heart. The device monitors the body rhythm. If the device detects an irregular rhythm in the ventricles, it can use low-energy electrical impulses that restore it. If this does not help, there is movement, but the ventricles are not compressed, IKB is switched to the high-energy. These pulses last for only a fraction of a second, but they can be painful.
Doctors also treat arrhythmia with another device - a pacemaker. ICD is similar to it, but has some differences.
Pacemakers provide only low-energy electrical discharge. They are often used to treat less dangerous types of heart rhythm disorders - those that occur in the upper chambers of the heart. Most of the new ICD can act as pacemakers and defibrillators.
People with heart failure may need a special device - the CPT system (CRT) - resenhroniziruyuschaya cardiac therapy. This device normalizes the rhythm of both ventricles at the same time, it allows them to work together and better pump blood. CPT devices having defibrillator, referred to as CRT-D.
Indications for cardioverter-defibrillator
ICDs are used in the treatment of adults, adolescents and children. The doctor will recommend cardioverter defibrillator, if the patient has emerged a certain type of arrhythmia, life-threatening. If such violations of the heart ventricles begin to beat too fast or tremble. Indications:
- If ventricular fibrillation have been observed.
- If you had a heart attack, which damaged the electrical system of the heart.
Doctors often recommend this product to patients who have survived sudden cardiac arrest. There is also an indication for implantation of cardioverter - defibrillator include the following:
- With a long QT syndrome, Brugada syndrome or congenital heart disease. ICDs can benefit when these violations, even if the person had never had ventricular arrhythmias.
- In heart failure, some people may need CRT-D device. They combine a pacemaker with a defibrillator. The device improves ventricular performance.
Diagnostic tests in Assuta
The doctor suggests the installation of an ICD if it sees signs of ventricular arrhythmia (or heart damage) on these tests.
ECG - is a simple and painless test that detects and records the electrical activity of the heart. He captures the speed and rhythm of the body (permanent or irregular), the strength and duration of the electrical signals.
Standard ECG records the heartbeat body for a few seconds and does not detect the arrhythmia, if it does not occur at the time of testing.
To identify arrhythmias, which come and go, the doctor may suggest the patient to wear a portable ECG monitor for a while. For the most common type - Holter and event monitor.
Holter monitor records the electrical activity of the heart within 24-48 hours. It is worn with it, it allows the device to capture body work for a longer time compared to the standard ECG.
The event monitor is similar to Holter, it can also carry with them. It records the electrical activity while accompanying person - from 1 to 2 months or as long as it takes to get the hearts of the recording during the onset of symptoms.
This test uses sound waves to create a moving body image. It shows the size and shape of the heart, the work explores the chambers and valves. Echocardiography identify areas of poor blood flow to the heart; area of the heart muscle that do not compress well; organ injuries caused by insufficient blood flow.
To conduct this test, a catheter is introduced into a femoral artery (or vein in the arm). It records the heart's electrical signals. The doctor uses a catheter to stimulate the body by a discharge. This allows you to see the response to the electrical system of the heart. Such inspection system accurately determines the area of damage.
Some heart problems easier to diagnose when the body is working hard and fast beats. During a stress test a person trained to make the heart work harder and fight more intense than in the ECG or echocardiography. If the patient can not train, he is given a drug that increases the heart rate.
How does cardioverter defibrillator?
This device has a wire with electrodes at the ends of which are connected to one or more heart chambers. On wires on the electrical signals, the information comes in a small computer in the ICD, which monitors the heart rhythm.
If the device detects an arrhythmia, it sends a low-energy electrical discharge to eliminate the violations. If the rhythm is restored, the device does not use a high-energy pulses, which are sometimes painful.
In single-chamber ICD wire goes into the right atrium or ventricle. It records the electrical activity and adjusts rhythm.
Dual-chamber cardiac defibrillators have wires that lead into the atrium (atrium) and the ventricle. This device provides a low energy level in one or both chambers. Some ICDs have three wires going to the atria and both ventricles.
Wires connect the device to a small metal box, implanted in the chest or abdominal cavity. The box contains a pulse generator, a battery and a small computer. When the computer detects cardiac arrhythmias, it triggers a pulse generator for sending ICD electrical discharges that pass through the wires to the heart.
An implantable cardioverter defibrillator can also record electrical activity and heart rhythms. This information helps the doctor to precisely program the device to eliminate the violations. The device will accurately respond to the identified type of arrhythmia.
Benefits of cardiac defibrillators
This device effectively identifies and stops life-threatening arrhythmias. ICD therapy may be more effective than drug therapy in the prevention of sudden cardiac arrest, depending on the cause.
This device can not cure heart disease. However, it will reduce the risk of death from asystole.