What to Expect During and After ICD Implant Surgery in the UAE

1. What to Expect During and After ICD Implant Surgery in the UAE Introduction Implantable Cardioverter Defibrillator (ICD) implant surgery is a life-saving procedure for individuals at risk of sudden cardiac arrest or life-threatening arrhythmias. If you are considering ICD implant surgery UAE, understanding what happens before, during, and after the procedure is crucial. This article provides a comprehensive guide on what to expect, ensuring you are well- informed about the process, recovery, and long-term care. Understanding ICD Implant Surgery An ICD is a small device implanted under the skin, typically near the collarbone, with wires (leads) that connect to the heart. It continuously monitors heart rhythms and delivers electric shocks if necessary to restore a normal heartbeat. This device is recommended for patients with severe arrhythmias, prior cardiac arrest, or those at high risk of sudden cardiac death. Before the Surgery: Preparation and Evaluation Before undergoing ICD implant surgery, you will go through several steps to ensure you are a suitable candidate:

2. 1.Medical Evaluation: Your cardiologist will assess your heart condition using tests like an ECG, echocardiogram, or stress test. 2.Blood Tests: These help check for infections, electrolyte imbalances, or other health conditions. 3.Medication Review: Some medications may need to be adjusted before the procedure. 4.Pre-Surgery Instructions: You may be asked to avoid eating or drinking for several hours before the surgery. Any blood-thinning medications might need to be paused. The ICD Implant Procedure: Step-by-Step The surgery typically takes one to two hours and is performed under local anesthesia with sedation. Here’s what happens during the procedure: 1.Incision: A small incision is made near the collarbone, usually on the left side. 2.Lead Placement: Thin wires (leads) are guided through a vein into the heart, ensuring proper positioning using X-ray imaging. 3.Device Connection: The leads are connected to the ICD device, which is then programmed to suit your heart’s needs. 4.Device Placement: The ICD is placed under the skin or muscle, and the incision is closed with sutures or adhesive strips. 5.Testing: The device is tested to ensure it functions correctly before the procedure is completed. After the Surgery: Recovery and Care Post-surgery recovery is an essential phase that determines how well your body adapts to the device. Immediate Recovery (First 24 Hours) You will be monitored in a hospital room for a few hours or overnight to ensure there are no complications. Mild pain or discomfort at the incision site is normal. Avoid moving the arm on the side of the implant excessively to prevent lead displacement. First Few Weeks You may experience mild swelling or bruising around the incision site. Strenuous activities and heavy lifting should be avoided for at least 4-6 weeks. Regular follow-up appointments will be scheduled to check the device’s functionality and healing progress. Long-Term Care and Lifestyle Adjustments Living with an ICD requires some lifestyle modifications and ongoing medical checkups:

3. 1.Device Monitoring: Your ICD will be checked periodically to ensure it is functioning correctly. 2.Activity Restrictions: Contact sports or activities that involve strong impacts may need to be avoided. 3.Medical Alert ID: Wearing a medical alert bracelet is recommended in case of emergencies. 4.Travel Considerations: Most modern ICDs are safe for air travel, but you should inform airport security about your device. 5.Regular Check-ups: You will need to visit your cardiologist for periodic evaluations and device adjustments. Potential Risks and Complications Although ICD implant surgery is generally safe, potential risks include: Infection at the incision site Bleeding or swelling Lead displacement requiring repositioning Allergic reactions to anesthesia Device malfunction, though rare If you experience symptoms such as chest pain, dizziness, or severe swelling, seek medical attention immediately. Psychological and Emotional Aspects Many patients experience anxiety or stress about living with an ICD. Support groups, counseling, and education on how the device works can help ease concerns. Most people adapt well and lead normal lives with an ICD. Conclusion

4. ICD implant surgery in the UAE is a well-established procedure, offering life-saving benefits for those with serious heart conditions. By understanding what to expect before, during, and after the procedure, patients can feel more confident about their treatment journey. For the best heart rhythm services in the UAE, The Heart.ae provides expert care and state-of- the-art technology to ensure optimal patient outcomes.