HOSPITALS Magazine issue 65

Page 64

ARTICLE

Installing a subcutaneous device that emitselectric shocks

Al-Ahli hospital saves the life of a Qatari whose heart suddenly stopped By Dr. Abdurrazzak Gehani, Consultant Cardiologist and Head of the Cardiac Center at Al-Ahli Hospital - Doha / Qatar

D

r. Abdul Razaq Gehani, Consultant Cardiologist and Head of the Cardiac Center at Al-Ahli hospital, revealed that the hospital installed an implantable cardioverter-defibrillator (ICD) for a Qatari teenager under the skin and delivered wires to the heart chambers, adding that the device can constantly monitor and record heart rhythm and provide rapid intervention to give electric shocks to treat severe acceleration leading to cardiac interruption.

Gehani continued: "Last year, he came to my clinic at Al-Ahli hospital and asked to install the device that he had rejected before. In fact, the device was successfully installed and during the installation process, all the factors related to the electrocardiogram and the wires that were successfully installed were tested. Then he continued coming to the clinic periodically, to follow up and monitor the device on his computer and things were going well, and during all the follow-ups there was no imbalance in the beats."

According to Gehani, in such cases, heart muscle weakness is a major cause of severe and sudden acceleration of the heart rhythm, rendering the heart's pumping of blood ineffective and leading to what is known as sudden cardiac arrest or sudden heart arrest.

He lists the development of the patient after the installation of the device, reporting, "On December 27, his heart suddenly stopped completely and he fell unconscious with grief and great distress among his parents. But the device directly recognized the severe confusion in the heart rhythm that evolved into a complete stop of heart function and then the device gave him the appropriate electric shock according to the program we put in place for him to deal with such a condition. After only one trauma, his heart rhythm became normal, and he rose from his coma, wondering what had happened to him, in the midst of his family's daze".

Survival from death The consultant cardiologist reviewed the patient's pathological history. The patient was saved from certain death due to a complete cardiac arrest at home by a special electric shocks device, which Al-Ahli hospital successfully installed nearly a year ago. He added that the Qatari teenager began his therapeutic journey several years ago after suffering from an acute coronary clot and had coronary stents that saved him from an acute coronary clot. However, unfortunately the heart muscle was affected by the clot's inflation, causing him to suffer from severe heart muscle weakness. That's why I advised him to install an electric shocks device, and to regulate his heart rhythm according to numerous studies because he became at risk of sudden cardiac arrest. But unfortunately, he refused to install the device at the time and wanted time to think, but this took several years.

JULY.AUG 2022

64

Gehani asserted that "Without Bounty of Allah first, then the existence of the device and its response at that time, the patient would not be with us today." Explaining that the device installed deals with cases of slow heart rhythm such as conventional devices, as well as dealing with cases of stopping the acceleration of beats and returning them to their normal level even if they reached the cardiac arrest stage thanks to electric shocks to the heart chambers where the device performs this function through complex programs placed in it, where it can determine the speed of heart rhythm if it is rapid

THROUGH COMPLEX PROGRAMS INSTALLED IN IT, IT DEALS WITH THE SLOWING AND ACCELERATING OF HEARTBEATS.


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