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Pacemaker Video Frame V5

25/06/2021

ABBOTT

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[Audio] Meet Sameer, a dynamic 55-year-old Businessman

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[Audio] He travels around the country, attending meetings and conferences

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[Audio] A few years back, while returning home from a tour,

Few years back, while returning home from a tour,

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[Audio] Sameer collapsed

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[Audio] His wife immediately called for an emergency ambulance and accompanied him to the hospital where the doctors begin examining him.

His wife immediately called for an emergency ambulance and accompanied him to the hospital oo oo oo 00 00 oo oo oo 00 oo o o

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[Audio] On examination the doctors diagnosed Sameer with syncope. Syncope episodes are caused by a temporary drop in the amount of blood that flows to the brain.

On examination the doctors diagnosed Sameer with 'Syncope'

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[Audio] While he was kept under observation, the doctors conducted various tests including the ECG, which showed irregular pauses between electrical signals of his heart.

LEAD II While he was kept under observation, the doctors conducted various tests including the ECG, which showed irregular pauses between electrical signals of his heart. 25mm/sec 10mm/mV

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[Audio] Sameer was placed with a temporary pacemaker.

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[Audio] The cardiac specialist explained to Sameer and his wife, that he had been diagnosed with syncope ( fainting) and slow heart rhythm & long pauses ( brady arrhythmia with sinus arrest). His ECG reports showed long pauses and that a pacemaker was an absolute need.

The cardiac specialist explained to Sameer and his wife, that he had been diagnosed with syncope (fainting) and slow heart rhythm & long pauses (brady arrh thmia with sinus arrest .

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[Audio] His wife asks the doctor, to explain more about the heart and pacemaker function?

His wife wanted the doctor to elaborate

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[Audio] The doctor further explains…

The doctor further explains...

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[Audio] The Heart is the body's engine.

IS YOUR BODY'S ENGINE-I

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[Audio] The heart has 4 chambers called the left atrium and the right atrium (upper chambers), as well as the left ventricle and the right ventricle (lower chambers).

O O LEFT ATRIUM HAS 4 CHAMBERS2 RIGHT ATRIUM LEFT VENTRICLE RIGHT VENTRICLE

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[Audio] It pumps blood through several blood vessels.

It pumps blood through several blood vessels3

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[Audio] After coordinating complex electrical impulses through its chambers.

with co-ordinated complex electrical impulses through its chambers3

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[Audio] The spots where these electrical impulses occur are called: Sinus Node AV Node

ATRIOVENTRICULAR (AV) NODE SINUS NODE o O THE SPOTS WHERE THE ELECTRICAL IMPULSES OCCUR4

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[Audio] The Sinus Node generates an electrical signal that causes the upper heart chambers ( atria) to contract

The Sinus Node generates an electrical signa14 O

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[Audio] The signal then passes through the AV (atrioventricular) node to the lower heart chambers ( ventricles), causing them to contract, or pump.

The signal then passes through the AV Node, then to the lower heart chambers causing them to contract, or pump

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[Audio] The sinus node is the heart's natural pacemaker.

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[Audio] For AV block treatment Pacemaker is provided.

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[Audio] Usually, the heart beats 60 to 80 times in a minute

Usually, the heart beats 60 to 3 80 times in a minute 60 80 BEATS PER MIN.

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[Audio] But Sameer's pulse rate dropped below 60 beats a minute due to which he fainted and had a disruption in the heart rhythm

But Sameer's pulse rate dropped below 60 beats a minute due to which he fainted and had a disruption in the heart rhythm 6 60 80 28 BEATS PER MIN.

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[Audio] Sameer's AV node did not work properly and created blockage wherein the electrical impulse could not travel from upper to lower chamber causing brady arrhythmia

Sameer's AV node did not work properly and created blockage wherein the electrical impulse could not travel from upper to lower chamber causing Bradyarrhythmia7 o O

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[Audio] In such cases, one solution that works well is to implant a device called a Pacemaker

In such cases, one solution that works well is to implant a device called a Pacemaker 8

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[Audio] Pacemakers work like miniature computers monitoring the heart rate and rhythm throughout the day

Pacemakers are like miniature computers used to monitor the heart rate and rhythm8'9

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[Audio] They artificially take over the role of the conduction system and

They artificially take over the role of your conduction system and... 9

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[Audio] mimic the natural function of the heart.

mimic the natural function of the heart9

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[Audio] When the device notices any irregularity, it sends tiny electrical signals or impulses

When the device notices any irregularity, it sends tiny electrical signals or impulses o o

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[Audio] A local anaesthetic will be administered to numb the area where pacemaker will be placed

A local anaesthetic will be administered to numb the area where pacemaker will be placed9

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[Audio] A small skin insertion is made at the upper chest just below the collar bone and a small pocket is created, where the generator will be implanted.

A small skin insertion is made at the upper chest, where the generator will be implanted9

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[Audio] Using medical instruments, the leads of the pacemaker are positioned within the heart

Using medical instruments, the leads of the pacemaker are positioned within the heart9

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[Audio] And the other end of the leads is connected to the pacemaker which is then placed in the pocket below the collar bone and the incision is sewn back again.

And the other end of the leads is connected to the pacemaker which is then placed in the pocket below the collar bone and the incision is sewn 9 back again.

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[Audio] Remote monitoring enables the monitoring of heart and implanted device by automatically sending medical and technical information from the heart, to the treating doctor. This allows them to monitor accurate and current clinical information at any time

O o Remote monitoring enables the monitoring of heart and im lanted device b automatically sending medical and technical in ormation from tle heart, to the treating doctor. 10

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[Audio] Sameer was implanted with Dual Chamber Pacemaker

Pacing Leads Pulse Generator O O Sameer was implanted with Dual Chamber Pacemaker

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[Audio] Further the doctor explains Sameer that, pacemakers' function as a substitute for the heart and these crucial steps should be taken by a person after the implantation.

Further the doctor explains Sameer that, pacemakers' function as a substitute or the heart and these crucial steps should be taken by a person after the implantation.

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[Audio] DO(s)-Inform the Doctor on noticing any inflammation/infection on the surgical site-Go for regular, routine device follow-ups as advised by the doctor -Ensure strict adherence to prescribed medication after the implant -Carry your device patient card always while travelling (Especially during security checks)  -Always Inform Doctors about your Pacemaker implant if you are ever advised an MRI in the future

INFORM THE DOCTOR ON NOTICING ANY INFLAMMATION OR INFECTION DOs VISIT THE DOCTOR FOR ROUTINE DEVICE FOLLOW UPS AS ADVISED BY THE DOCTOR ENSURE STRICT ADHERENCE TO PRESCRIBED MEDICATION AFTER THE IMPLANT CARRY YOUR DEVICE PATIENT CARD ALWAYS WHILE TRAVELLING (ESPECIALLY DURING SECURITY CHECKS) ALWAYS INFORM DOCTORS ABOUTYOUR PACEMAKER IMPLANT IF YOU ARE EVER ADVISED AN MRI IN THE FUTURE

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[Audio] DON'Ts-Lift heavy objects or apply pressure while getting up from bed-Move your limbs too fast or jerk them-Raise your hand on the side with the implant, above your shoulders -Engage in physical activities/ sports that can cause a bump or hit the implant area-Keep cellular phones above the pacemaker or on the ear near the device

LIFT HEAVY OBJECTS OR APPLY PRESSURE WHILE GETTING UP FROM BED ENGAGE IN PHYSICAL MOVE YOUR LIMBS TOO FAST OR JERK THEM RAISE YOUR HAND ON THE SIDE WITH THE IMPLANT, ABOVE YOUR SHOULDERS ACTIVITIES/SPORTS THAT CAN CAUSE A BUMP OR HIT THE IMPLANT AREA KEEP CELLULAR PHONES ABOVE THE PACEMAKER OR ON THE EAR NEAR THE DEVICE

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[Audio] Sameer's implantation procedure took around 1 to 1.5 hours.

Sameer's implantation procedure took around 1 to 1.5 hours.ll

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[Audio] After the procedure was finished

ooo After the procedure was finished ooo

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[Audio] He was discharged a day later.

The discharge is given a day later with the doctor's permission

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[Audio] Sameer is now back on his work track and…

100% GROWTH Sameer is now back on his work track and...

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[Audio] He feels perfectly fine travelling through air journeys without facing any issues.

He feels perfectly fine travelling through air journeys without facing any issues

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[Audio] Will anyone be able to see the pacemaker through the clothes? A: No. Today's Technology is so advanced that a pacemaker is small in size and light in weight ( 20 gm). You may be aware of a very slight bump under the skin, but it will not be noticeable to most people. Can I travel with the pacemaker? A: You can travel by air or by land with the device and drive a car if allowed by the doctor while travelling. You can inform security check about the pacemaker and also carry your Pacemaker Card.

FAQs Will anyone be able to see the pacemaker through the clothes?12 No. Today's Technology is so advanced that a pacemaker is small in size and light in weight (20 gm). You may be aware of a very slight bump under the skin, but it will not be noticeable to most people. Can I travel with my pacemaker? 12 You can travel by air or by land with the device and drive a car if allowed by the doctor while travelling. You can inform security check about the pacemaker and also carry your Pacemaker Card.

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[Audio] Is driving possible with a pacemaker? A: If a person was able to drive before the pacemaker implantation, then one should be able to return to driving after the doctor has determined that the pacemaker is working correctly and that the heart is responding to it as expected. Does any electrical equipment stop the pacemaker from working? Is it true? A: Most electrical and electronic equipment at home will not interfere with a pacemaker. Nor will a pacemaker interfere with it.

FAQs Is driving possible with a pacemaker? 12 If a person was able to drive before the pacemaker implantation, then one should be able to return to driving after the doctor has determined that the pacemaker is working correctly and that the heart is responding to it as expected. Does any electrical equipment stop the pacemaker from working? Is it true? 12 Most electrical and electronic equipment at home will not interfere with a pacemaker. Nor will a pacemaker interfere with it. o O o O

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[Audio] Once the pacemaker is implanted, what are the possibilities of talking on a phone? A: Land-line phones are fine to use. Cell phones should be used with precautions. Hold the cell phone on the side of the head, away from the pacemaker. In addition, one should not rest a cell phone against the chest where the pacemaker is. Can I exercise if I have a pacemaker? A: Exercise and physical activity is an essential part of a heart-healthy lifestyle. Take recommendations from the doctor before returning to, or beginning, any exercise program after pacemaker implantation. Make sure you have full information on these recommendations.

FAQs Once the pacemaker is implanted, what are the possibilities of talking on a phone?12 Land-line phones are fine to use. Cell phones should be used with precautions. Hold oo the cell phone on the side of the head, away from the pacemaker. In addition, one should not rest a cell phone against the chest where the pacemaker is. Can I exercise if I have a pacemaker?12 Exercise and physical activity is an essential part of a heart-healthy lifestyle. Take recommendations from the doctor before returning to, or beginning, any exercise program after pacemaker implantation. Make sure you have full information on these recommendations.

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[Audio] How long will my pacemaker last? A: The dual chamber Pacemaker may need replacement 10 years after implantation. Also, the pacemaker itself can last indefinitely, but the battery inside may need replacement 5 to 15 years after implantation. Instead of changing the battery, the doctor replaces the entire unit. People should not fear to implant Pacemakers, but with doctor's advice, authentic information, and proper treatment it is possible to lead a healthier and happier life.

FAQs How long will my pacemaker last? 12 The dual chamber Pacemaker may need replacement 10 years after implantation. Also, the pacemaker itself can last indefinitely, but the battery inside may need replacement 5 to 15 years after implantation. Instead of changing the battery, the doctor replaces the entire unit. People should not fear to implant Pacemakers, but with doctor's advice, authentic information, and proper treatment it is possible to lead a healthier and happier life.

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2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. REFERENCES Taegtmeyer H, Rodriguez A. More than just an engine: the heart regulates body weight. Circ Res. doi:10.1161/ClRCRESAHA.112.276063 Rehman l, Rehman Anatomy, Thorax, Heart. [Updated 2020 Dec 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nl m. nih.gov/books/NBK470256/ InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Effciency in Health Care (IQVNiG); How does the heart work? 2011 Dec 6 [Updated 2019 Jan 31]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279249/ Kashou AH, Basit H, Chhabra L Physiology, Sinoatrial Node. [Updated 2020 Oct 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459238/ https://geekymedics.com/atrioventricular-block/ Hafeez Y, Grossman Sinus Bradycardia. CUpdated 2020 Nov 21]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/b00ks/NBK493201/ The Adult Congenital Heart Association. Reprinted from the winter 2008 issue Of Heart Matters. The Heart and Its Electrical System Puette JA, Malek R, Ellison MB. Pacemaker. [Updated 2021 Jan 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526001/ Kotsakou M, Kioumis l, Lazaridis G, et al. Pacemaker insertion. Ann Transl Med. 2015;3(3):42. doi:10.3978/j.issn.2305-5839.2015.02.06 https://www.heartrhythmalliance.org/aa/uk/remote-monitoring https://www.nhs.uk/conditions/pacemaker-implantation/what-ha ppens/#: between,su https://www.hopkinsmedicine.org/hea lth/treatment-tests-and -therapies/frequently-asked-questions- about- cema kers-and- implanta Images are for representation purpose only. This patient information material is meant for the awareness and information of patients only and not to be construed as a substitute to a doctor's advice. Although due care has been taken to ensure the accuracy and completeness of the information, Abbott India Limited/Abbott Healthcare Pvt Ltd shall not be liable in any manner whatsoever for any action on the basis of this patient information material and does not hold itself liable for any consequences, legal or otherwise, arising out of information in this patient information material. @ 2021 Abbott. All Rights Reserved.