Keeping a Closer Watch on Patients with Pacemakers and Defibrillators

Dan Frith
Dan Frith
Contributor
Posted by Dan FrithMay 18, 2008 1:30 PM

You probably know someone who has a pacemaker or defibrillator implanted in their chest.  An estimated 180,000 pacemaker devices and 91,000 implantable defibrillators were implanted in the U.S. in 2005.  A pacemaker is a small device that sends electrical impulses to the heart muscle to maintain a suitable heart rate and rhythm.  A defibrillator is a small device that doctors use to watch for and fix life-threatening abnormal heart rhythms. If it detects a life-threatening rapid heart rhythm, it sends an electric shock to your heart to restore a normal rhythm.

Great devices, right?  Not always.  In my opinion, insufficient monitoring of these implanted devices has resulted in problems with the lead wires which connect to the heart.  One of our clients reported she was electrically "shocked" 30 times by her faulty Medtronic defibrillator.  Also, the medical literature has reported horror stories of dying cancer patients whose defibrillators continue to shock their failing hearts back to life. 

Help may be on the way.  The Heart Rhythm Society has recently published guidelines for the monitoring of these cardiac devices.  The guidelines will endorse new wireless technology that lets doctors check the devices remotely while the patient remains at home.  The full list of guidelines will be published by the American College of Cardiology

 

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Helen Rodenbaugh
Posted by Helen Rodenbaugh
May 19, 2008 1:10 PM

My husband Jack suffered a dizzy spell in church on October 15. 2006. He was being cared for by a cariolgist for over 20 years for asymptomatic 2nd degree heart block. Never had any symptoms. Very active life. Doctor who was taking care of him told him "Jack, you've had this heart block for years with no symptoms, but now that you having symptoms it's time for a pacemaker. That decision cost Jack his life. From day one the pacemaker gave him grief "I can't breathe"...."pains in my arms"....he told me he wanted to rip the d.... out. In one month's time he was back in the hospital ... he almost had to go on dialysis. Got thru that and came home for anothr three months of hell. His stomach would ripple. Doctor said "I don't know what that is?" I got so frustrated I call St. Jude and they sent down two reps. They found he was getting a double jolt from one of his leads. Said they were able to correct. Problems continued. In February 2007 I called an ambulance because I couldn't watch him in misery. They were going to admit him but did not have room in CCU... said he wasn't critical. He died in the emergecy room. I live this nightmare over and over again every day. I feel as if a contributed to his death .... I should never have agreed to the pacemaker. If only I had researched and talked to the Pacemaker Club before I would not have allowed them to put in a pacemaker . I live in torment. I would appreciate any input you may have. Thank you for your kindness.

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