Cardiac failure, like a “tired journey” of heart function, and pacemaker treatment, like a light of hope for this journey. However, as we embark on this path of treatment, patients and their families need to have a comprehensive understanding of the many concerns in order to ensure maximum effectiveness and security of treatment.
I. Key building blocks of pre-operative preparedness
1. Comprehensive body assessment: Before deciding on the implantation of a pacemaker, the patient undergoes a series of thorough physical examinations. This covers a fine assessment of the function of the heart, including EKGs, cardiac ultrasound, etc., to determine with precision the gravity of the heart failure and the electrophysiological state of the heart. At the same time, the examination of other important organs, such as lung, kidney, liver, etc., is also essential. For example, severe kidney deficiencies in patients may affect the metabolic and excretion of post-operative drugs, and thus the overall treatment effect. Based on the results of these tests, the doctors will weigh the risks and benefits of the operation and tailor the most appropriate treatment for the patient.
2. Psychological construction and cognitive reserves: The implantation of a pacemaker is undoubtedly a major medical decision for the patient, and psychological fluctuations such as anxiety, anxiety, etc. are inevitable. Pre-operative psychological guidance is therefore essential. Doctors and family members should communicate with the patient in an in-depth and frank manner, explaining in detail the course of the operation, its expected effects and the risks that may be faced, and helping the patient to develop the right perception and reasonable expectations. By communicating with patients who have undergone the procedure, they can gain first-hand experience-sharing, thus enhancing their confidence and psychological resilience. At the same time, knowledge of the work of the pacemaker, the main points of post-operative self-care and the possible complications can make it possible for patients to better cooperate with treatment and care after the operation and to make a positive shift from passive treatment to active participation.
II. Key elements of co-operation
1. Stay calm and trust: During the operation, the patient is awake and it is essential to remain calm. Excessive stress and anxiety can lead to blood pressure fluctuations and heart rate disorders, adding unnecessary risks to the operation. Patients must be convinced of the professional competence of the doctor and actively cooperate with the doctor ‘ s instructions. For example, during the operation, the doctor may require the patient to take a deep breath and maintain a specific position, which facilitates the smooth progress of the operation.
2. Timely feedback on the body: Although the operation was performed under local anesthesia, the patient was able to detect some of the operations in the part of the operation. Doctors must be informed in a timely manner of pain, discomfort or abnormal symptoms such as panic and chest distress during the operation. Doctors quickly judge and adjust the operation to the patient ‘ s feedback to ensure that the operation is safe. For example, if the patient suddenly feels chest pain during electrodes implantation, the doctor can immediately check the Electrodes ‘ correct position and avoid causing damage to the heart tissue.
III. Core elements of post-operative care
1. Precautionary care of wounds: Post-operative care is a key defence against infection. Patients are required to keep their wounds clean and dry to avoid water contamination. In accordance with the instructions of the doctor, the dressing of the wounds is periodically replaced and the abnormalities of the wounds are closely observed, such as red and red, seepage and seepage. If signs of sepsis, odor or bad healing are found, they should be treated immediately. In the early stages of healing the wound, severe physical or physical movement should be avoided and the wound should be prevented. For example, during the post-operative week, the patient should try to avoid lifting his arm, coughing and so on, and create a good environment for healing the wound.
2. Ongoing attention to the monitoring of the pacemaker function: Patients and their families need to learn to make a preliminary determination as to whether the pacemaker is working properly. Initial determinations can generally be made by observing the presence of a rise in the pacemaker’s implant, the red and red, and the reduction of its own symptoms. At the same time, regular pacemaker control checks are carried out at the hospital according to doctor ‘ s arrangements, which allow for an accurate assessment of the normality of the pacemaker ‘ s battery power, electrodes, sensory and pace function, etc. In general, in the early post-operative period, the frequency of control checks may be higher, e.g. one month, three months, six months, etc., and the interval may be extended as appropriate over time if the pacemaker is stable. In day-to-day life, if the symptoms of dizziness, inactivity, panic, blackness, etc. increase again, they may indicate abnormal pacemaker functions, and should immediately be examined at a hospital.
3. Adaptive lifestyle adjustment:
– Careful response to the electromagnetic environment: the pacemaker may be disturbed by a strong magnetic field or by an electric field, so that the patient is far from specific electromagnetic sources. For example, MRI screening is usually forbidden for a period of time after a pacemaker is implanted, unless it is a new anti-MRI pacemaker and is controlled under strict conditions. In addition, long access to large power appliances such as microwaves and electromagnetic furnaces should be avoided, and staff members should be informed in advance of the implantation of a pacemaker when passing through security doors at airports, stations, etc., to select artificial screening routes to avoid the impact of metal detectors on pacemakers.
– Moderate exercise of activities and sports: patients may gradually resume their daily activities and moderate sports under the supervision of a doctor. Some simple physical activities, such as walking, Tai Chi, etc., can be carried out at an early stage and help to promote blood circulation and body recovery. However, violent sports such as basketball, football, long run etc. should be avoided, and pacemaker electrodes should be prevented from moving or damaging. As the state of health improves, the physical strength of the movement may be increased, as appropriate, depending on the individual ‘ s circumstances, provided that the doctor ‘ s advice is always followed to ensure that the exercise is safe.
– Balanced dietary intake: a balanced diet is as important for the physical recovery of patients as for the maintenance of the heart function. Following the dietary principles of low salt, low fat and high fibres, reduced salt intake reduces sodium retention in the heart, controls fat ingestion help maintain vascular health, increases intake of dietary fibres, promotes intestinal creeping and prevents constipation. More fresh vegetables, fruits, whole grains, skinny meat, fish, etc. are used to provide adequate nutritional support to the body. At the same time, there is a need to avoid heavy consumption, to stop smoking and to keep healthy habits.
Cardiac pacemaker treatment for heart failure is a systematic and long-term process, in which each link is closely linked and mutually reinforcing, with adequate pre-operative preparation, close co-operation in surgery, and after-surgery care and reasonable lifestyle adjustments. It is only through a thorough and in-depth understanding of, and strict compliance with, these concerns that the pacemaker will be able to maximize its effectiveness in the treatment of heart failure, re-open a new dynamic and hopeful life for the patient, and help the patient to move forward in a steady and better life on the path to the disease.
