Does your heart feel a little tired? Maybe your heartbeat is a little different, irregular? Have you heard of a small machine that can give our heart a little help at such times? Today we are going to talk about these cardiac assist devices, or cardiac assist devices. It is normal to feel a little scared when you hear the word "cardiac assist devices" (Cardiac Assist Devices) . But these devices save the lives of millions of people and help them live well.
Simply put, what is a cardiac assist device?
This is a small device that you put inside your chest. It helps your heart do its job properly. Imagine, some people have irregular heartbeats, which we call arrhythmia . That means the heart beats too slowly at times, too fast at other times. In those cases, this device can give the heart a signal that says, "Okay, this is the time to beat," and help it maintain its rhythm. Also, some people's hearts can't pump enough blood to the body. These devices can help at those times too.
What are the main types of these devices?
There are several types of instruments used depending on the problem at hand. Let's look at the main types.
| Device type | Simply put, what will happen from this? |
|---|---|
| Pacemaker | When the heart beats too fast, this sends a small electrical signal to the heart, telling it to "beat now." This keeps the heart rate at a normal level. |
| Biventricular Pacemaker | This helps the two lower chambers of the heart (ventricles) to beat at the same time, which increases the heart's pumping efficiency. |
| ICD (Implantable Cardioverter Defibrillator) | If the heart rate becomes dangerously fast, this device delivers a small electric shock to the heart, restoring it to a normal rhythm. This can help prevent sudden death. |
| VAD (Ventricular Assist Device) | When the heart becomes too weak to pump the amount of blood the body needs, this machine does the work for the heart. It's like giving the heart a little rest. |
Why use such a device?
There are several reasons why your doctor might recommend a device like this. The main ones are to help regulate your heart's rhythm, help your heart pump blood, or protect you from a sudden heart attack.
Simply put, this device helps the heart do a job that it would otherwise have to do on its own.
These devices can be very useful for people with the following conditions:
- Irregular heartbeat: If the heartbeat changes in an irregular way.
- Heart Block: When the electrical signals to the heart are severely or completely blocked.
- Sick Sinus Syndrome: When the function of the main node that signals the heart to beat is impaired.
- Long QT Syndrome: When the heart takes longer than normal to prepare for the next beat after it has beaten once.
- Tachycardia: If the heart rate is too fast.
- Bradycardia: If the heart rate is too slow.
- Ventricular Fibrillation: A very irregular, rapid heartbeat that can be life-threatening.
- Heart Failure: The heart is unable to pump enough blood to the body.
- Cardiomyopathy: A disease of the heart muscle.
How do these devices work?
Imagine, when a device like a pacemaker or ICD is implanted, doctors connect thin wires (leads) from the device to the heart tissue. Through these wires, the device can 'sense', or know, the heart's activity.
If the device senses that your heart is beating too fast, it sends a small electrical signal to your heart to tell it to beat. If your heart rate is dangerously fast, an ICD delivers a small electrical shock to bring it back to normal. All of this happens according to a program that your doctor gives the device from outside. These devices are powered by a small, long-lasting battery.
Another good thing is that some new devices can collect information about your heart and send it to your doctor over the phone or over the Internet . So you don't have to go to the hospital all the time. Your doctor can look at your heart from home and find out if there is any change before it gets worse.
What are the benefits of these devices?
The benefits of a device like this are truly numerous.
| Advantage | That means... |
|---|---|
| Life safety | It is a great help in saving lives from sudden cardiac arrest. |
| Good blood circulation | Blood circulation throughout the body is good. |
| A correct heartbeat | The heartbeat is maintained at a normal rhythm. |
| Reduction of symptoms | Symptoms such as dizziness and chest tightness decrease. |
| Decrease in hospitalizations | The need to stay in the hospital less often becomes less. |
| Long-lasting battery | The device's battery can usually be used for about 6-15 years. |
Are there any side effects or risks?
As with any medical procedure, there are very small risks involved in having this device implanted. Remember, these are very rare. However, it's good to be aware of them.
- Bleeding: There may be some bleeding from the surgical site.
- Minor heart damage: Very rarely, a small hole can form in the heart wall.
- Lung Collapse (Pneumothorax): There may be minor damage to the lungs.
- Blood Clots: There is a small risk of blood clots.
- Problems with the device's wiring: The installed wires may be damaged.
- Device malfunction: Very rarely, the device may not work properly.
- Device movement: The device may move from its installed position.
- Infection: There is a risk of infection at the surgical site.
Don't be afraid when you hear these things. Your doctor will do everything possible to minimize these risks.
What should I be careful about when living with a device?
Once the device is installed, you can live a normal life. However, there are a few things to be careful of in the early stages.
- Take care of the wound: Keep the surgical site clean according to your doctor's instructions.
- Physical activity: You may need to limit activities such as lifting weights and lifting your arms for the first few weeks. Ask your doctor when you can resume normal activities and driving.
- MRI Scan: If you ever need to have an MRI scan, you should definitely tell your doctor that you have this type of equipment. Most people can have an MRI, but they need to take some special precautions.
- Everyday devices: Things like cell phones, microwave ovens, and airport security scanners usually don't cause problems. But don't hold your cell phone too close to the device.
What time should I see the doctor?
After you have the device fitted, you will need to see your doctor frequently at first, and then once a year later, to make sure it is working properly. However, if you notice anything unusual, you should call your doctor immediately.
| If you experience any of these after surgery, call your doctor immediately. | |
|---|---|
| Symptom | Description |
| Fever or chills | These may be signs of an infection. |
| Constant pain | If there is pain that does not subside even after taking medication. |
| Dizziness | If you feel dizzy. |
| Palpitations (feeling like your heart is beating fast) | If your chest feels like it's pounding too much. |
| Changes in the surgical site | If there is redness, swelling, discoloration, or unusual bleeding in the area. |
Take-Home Message
- Cardiac assist devices are life-saving technology that helps a weak or irregular heart.
- There are different types of devices (such as pacemakers and ICDs) depending on the problem you have with your heart.
- Although there are very few risks involved in installing these, the benefits far outweigh them.
- After having a device fitted, follow your doctor's instructions exactly. If you feel anything unusual, don't hesitate to contact your doctor.
- You can live a full, normal life with this device. So don't be afraid of it.











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