A new hope for heart patients with comorbidities

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S-ICD studies the arrhythmias of the heart and regulates them by using pulse generators.The low infection rates are the reason these implants will become the go to treatment option for people with various heart diseases or symptoms from other conditions that affect the heart.

In the last two decades, India has become a leading contributor in deaths related to cardiovascular issues, cancers, pulmonary issues, and renal failure. According to a recent Lancet study, almost a third of kidney failures happen in China and India. Heart diseases remain the most common cause of death in people on dialysis worldwide. The simple explanation to this is, when the kidney is not functioning well it cannot efficiently purify the blood which in turn affects the heart in a negative way.

Chronic Kidney Disease (CKD) or renal failure is the state of kidneys in which they are unable to filter out the waste product from our blood stream.It is rapidly developing disease and only takes a few days to advance. Globally, about 700 million people are living with CKD. People with this disease require intensive care as in most cases, it is fatal. Complications arising from renal failures can cause infection, anemia, bone disease, and heart diseases – most commonly heart attacks and heart failures.

A case of CKD and heart problems

A 64-year-old patient with chronic kidney disease, recently, reached out to us with a complaint of discomfort in chest. The patient had a history of heart attack and two stents implantation which was undertaken 6-7 years ago. Due to heart problems his heart pumping reduced. The patient has also been on hemodialysis for the last 3 years.

Due to his medical history, he developed arrhythmias of the heart which puts him at a risk for sudden cardiac arrest (SCA). To avoid the chances of SCA,a subcutaneous implantable cardioverter-defibrillator (S-ICD) implant was recommended to the patient. In conventional ICD, a vein is punctured, and a lead is inserted into the heart. However, in this case, the patient already had a permcath for dialysis, and due to multiple attempts at AV fistula for dialysis, there was no vein accessible for dialysis. To eliminate any complications due to intravenous leads, anS-ICD was used.

S-ICD implant is a less invasive procedure and goes on the sides of the chest wall.This implant delivers an electrical shock to terminate Ventricular fibrillation and save patients from sudden cardiac arrest,all the while not touching the heart chambers. This 64-year-old man was the first CKD patient undergoing hemodialysis who has been implanted with an S-ICD device. The recovery of the patient has been swift and firm and since this remains a low-risk procedure, we do not foresee any major future complications.The success of the surgery meant that the patient started walking in no time and wished to continue with his daily exercise regimen.

S-ICD studies the arrhythmias of the heart and regulates them by using pulse generators. The low infection rates are the reason these implants will become the go to treatment option for people with various heart diseases or symptoms from other conditions that affect the heart.

Small steps, big leap

However, miniscule might be the involvement of a certain medical technology but what matters at the end of the day is how it enhances patient care. If we go by statistics, approximately a million pacemakers are implanted worldwide. The new age technologies might open doors for the future prognosis that we didn’t even know existed.

Had this case come to us a couple of years back, the quality of life of the patient might have been significantly lesser because of the limitations of an ICD device. Medical innovations are saving countless lives. In India, heart related complications are the leading cause of death for people with chronic kidney diseases. We can rely on old ICD methods for the moment, but they are done through veins and these veins might be required in the future for hemodialysis. S-ICD implants take those complications out of the picture.

We’re at an age that we start embracing the innovations in the medical technology sector and provide our patients with the best healthcare treatment options available to them. With almost 1 in every 10 people suffering from CKD, such new interventions can help improve the quality of life of someone we know. It is time to make a sustained push in the right direction.

The information provided in this article is for educational purposes only and not meant to provide any medical or clinical advice. Please consult your doctor for more information.

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