Successful treatment of heart patient with conduction system pacemaker technology

 This technique was used for the first time in Purvanchal

Varanasi: Due to the increasing technology in the medical field, it is becoming easier to conquer diseases. With the advent of new techniques in heart diseases, now the process of treating the patient to normalize the heart in a natural way has started very easily. In this episode, if someone's heartbeat is low or if the heart's pumping rate is low, then moving a step forward in the pacemaker, a new method of pacemaker is now being implemented in a state-of-the-art way. The conduction system is called pacing.

Any patient with heart disease needs a pacemaker when the electricity does not reach the lower chamber of the heart from where it is in the upper chamber of the heart. There are many reasons for this, but the most common reason is that the mechanism of the system of carrying electricity from top to bottom gets spoiled. Because of that electricity is generated above but does not reach the lower chamber. 

In that case we have to implant a pacemaker. The technology of implanting a pacemaker is very old. Pacemakers have been around for more than 30 years. Earlier people used to have a single chamber pacemaker. What we used to call a single chamber pacemaker, then the technology increased further, then a two-chamber pacemaker came. In which put one wire in the upper chamber and one wire in the lower chamber. The advantage of this is that the synchronization of the upper and lower chambers is maintained. So the part that should be pumped at the time runs. 

Duval chamber pacemaker lasted for many years now a new thing has come which we call conduction system pacemaker, normal dual chamber pacemaker or the lower wire in two wire pacemaker, we go into the heart and usually put it in the flesh. This makes the job go well. People have been feeling it for many years but it has some problems of its own which can happen in 10-60 percent of people. 

One of the problems is that we are pacing from the same side. Insert the wire into the right chamber of the heart only. There are 2 chambers in the heart, left and right, we are putting wire only in the right one. In the left one, the electricity is reaching through the meat through the right one, which reaches very slowly. Due to this slow conduction, some people have a weak heart or they develop problems with less beats (pacemaker-induced cardio myopathy). Therefore, nowadays a new method has been invented, which is called conduction system pacing, instead of going to the right side and putting a lead in the flesh, the septum of the heart which divides the right and left, pierces it through the septum which goes to the heart. It has its own internal wire. That is, it is a natural wire, we fit the wire in it.

 Through this wire, the electrical signal is given through the pacemaker, then crossing the blockage, it goes to its natural place of the heart. Through this mode, the wire reaches the natural place by crossing the blockage. Just like nature has given us. With this method, our net QRS is greatly reduced. Now whether his bundle wire paces or left bundle branch paces, it is all equal to natural and we call this whole system conduction system pacing.

Today  Prof. Vikas Aggarwal and his team (Dr. Bhupendra Verma) of Department of Cardiology, Institute of Medical Sciences, BHU, conducted a similar problem in Sir Sunderlal Hospital in time with the technology of conduction system pacemaker. Successfully treated the patient, due to which the patient is very comfortable.

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