Cardiac pacemaker is an important means of treating severe arrhythmia or heart failure, and at present a large number of people are implanted every year in the country, which plays an important role in improving the quality of life of patients. Cardiac pacemaker implanted into the human body can be considered a microcomputer, which responds to the patient ‘ s own heartbeat through a variety of pre-set procedures to achieve a pacemaker to increase the heart rate. The pre-set pacemaker procedure may no longer be appropriate because of the development of the disease or other factors, so that the pacemaker is periodically reviewed after the operation to understand the state of the pacemaker ‘ s work and, where necessary, changes to the original procedure are necessary. So, when is the re-examination after the pacemaker? In combination with the patient ‘ s own illness and the type of pacemaker implanted, a pacemaker review should take place at the hospital during these periods:
1. In January and March following the operation. The post-operative review in January provides an indication of whether the surgical cut is healing well, or if there is blood in the pacemaker’s bag, and, taking into account the pacemaker’s working condition and the patient’s own heart rate, the necessary adjustments to the original procedure were made. After the operation in March, the patient passed the acute period, and the pacemaker needed to adjust the voltage of the initial output and lower the output voltage;
After the operation, after March, it is usually reviewed once a year. The pacemaker, depending on the type, has a projected useful life and may be determined by an instruction that one inspection per year should be carried out on a regular basis within the useful life range, as is the case with the annual vehicle inspection. This stage of monitoring provides insight into the operational state of the pacemaker, parameters such as the remaining battery capacity, and allows further optimization of the pacemaker process. Patients partially implanted with a double cavity pacemaker may no longer have a double cavity pacer because of the tremor in the heart room and need to adjust to a single cavity pace in a timely manner. In short, it seeks to extend the life of the pacemaker while improving the quality of life;
When the review finds that the pacemaker has an expected remaining life of about one year, it should be reviewed periodically, on the recommendation of a doctor, to select the opportunity to perform a pacemaker replacement operation and to avoid work-related impediments to the safety of the patient due to the exhaustion of the pacemaker battery;
4. In the case of people who have been implanted with a pacemaker that has a tremor function, in addition to a review over the above time period, they should be treated in a timely manner in the event of an electric shock, to understand the reasons for the shock, to make appropriate procedural adjustments and to avoid the accidental discharge;
5. For patients with heart failure implanted in a resynchronous pacemaker, it is recommended that a semi-annual review be undertaken to determine whether the pace rate is in line with the requirements and that procedural adjustments be made in cases where the pace rate does not meet the standard in order to achieve synchronization of the heart;
6. In addition to the above, if the patient is in a state of panic, weakness or blackness after the pacemaker is operated, he should be reviewed in a timely manner at the hospital to see if there are barriers to pacemaker work, if the pacemaker is released or damaged.
At present, pacemaker implants are now widespread in the country, and regular reviews are important for guaranteeing the efficacy of the operation. Therefore, all patients with pacemaker operations should be regularly examined.
A pacemaker implant.
