The old man is 90 years old, with coronary heart disease, slow heartbeat, and occasional pain, do yo

If you need to install a pacemaker, you have to install it at any age!

1. Pacemakers are the only way to be effective against these diseases.

This is my point of view, because the only effective way to slow a heartbeat is to implant a pacemaker, yes, the only effective way. There is no second way to improve and ** cardiac arrest, atrioventricular block, long pauses, etc., which can make us symptomatic bradycardia. Therefore, if there is a situation such as recurrent syncope, and secondary factors are ruled out, or there are secondary factors but these factors are not modifiable, then the pacemaker still needs to be implanted.

2. What age is a contraindication to pacemaker implantation?

The age of 90 years old and the three lesions mentioned by the questioner are all relative contraindications, not absolute contraindications. Because for conditions such as sinus syndrome and atrioventricular block that require pacemaker implantation, not implanting a pacemaker means that life may be in danger at any time, and implanting a pacemaker can have hope of survival. At this time, these advanced age, diabetes, thinness, etc. are no longer contraindications that cannot be operated, because no surgery is a dead end, and the heartbeat of the surgical patient can return to normal.

Therefore, we often say that as long as it is not directly life-threatening, pacemaker surgery can be done.

3. What are the conditions that require pacemaker implantation?

However, not all slow heartbeats require a pacemaker, and in general, a pacemaker implant should be considered only in the following cases. Pacemaker implantation can be considered in cases where symptomatic bradycardia, chronotropic sinus node insufficiency, and drug **-related diseases must be added, but the heart rate can no longer be treated with rate-lowering drugs.

Do you understand? Pacemaker implantation is not a major surgery, but it is important not to be afraid of risks and age when it is needed.

A 90-year-old man with coronary heart disease and a slow heartbeat. Do I need a pacemaker for occasional pain? I think it's normal for 90-year-olds to be in this situation. Give him some aspirin and other blood-thinning ones. I don't think it's necessary to have a pacemaker.

90-year-old people, all the functions of the body have declined, even if the pacemaker is installed, the effect will not be great, but how much can be relieved, see if you can find a Chinese medicine doctor to do a conditioning for him? Now there is an old Mr. Yao Denggui on the Internet about qi and blood, which is of great help to the diseases of the elderly, incurable diseases, you might as well check it on the Internet to see if it can help, Chinese medicine regulates qi and blood very well, it does not hurt people's bodies, and replenishes qi and blood to the elderly, his body can be more comfortable, Western medicine treats the diseases of the elderly, there is no good way, people are too old, and they can't stand the toss.

After all, the old man is also a 90-year-old person, I feel that I have a pacemaker, and I have to let the old man suffer once, he only occasionally feels pain, I also think it's like this, slowly rely on drugs to recuperate, don't install a pacemaker.

It's a matter of human life, and if you don't listen to the advice of clinicians, you have to go online to find so-called diagnoses on paper. Don't seek medical treatment if you are sick, whether you need it or not, whether you can pretend or not, it all depends on the specific situation of the patient, rather than prescribing it out of thin air here. It is recommended that you take him to a regular hospital and ask a professional doctor to determine it according to the results of the clinical examination.

For such an old man, don't move.

In the twilight of life, birth, old age, sickness and death are the normal laws of life, and the installation of pacemakers is also a common operation.

This should be checked in the hospital, and the hospital has indicators for installing pacemakers, to see if the indicators of pacemakers can be reached, and if not, they can also use drugs.

There is a problem with atrioventricular conduction (a long period of prolonged PR intervals) and second-degree type 2 atrioventricular block. There are also obvious atrial premature contractions and frequent multi-source ventricular arrhythmias with a high degree of risk, and I don't know if there has been transient melenopia or syncope with blackening in front of the eyes.

There is a reason for pacing, and the determination of the model needs to refer to a variety of factors, DDD pacing to ICD or CRTD may be a reasonable choice. If there is financial distress, for the minimum guarantee, it is also possible to have a single-chamber pacing to provide safety for the use of B-blockers** multi-source premature ventricles, hypertension, and ventricular hypertrophy.

For the safety of imaging, temporary pacing may be required without embedded pacing, so doctors recommend pacing first, so as not to affect the placement of pacemakers with strong antiplatelet resistance after possible stents. Of course, you can do a non-invasive coronary assessment, such as dual-source CT, which does not have to be paced first**.

Long-term hypertension and ventricular hypertrophy may also lead to arrhythmia, and there may not necessarily be vascular lesions.

Most clinical options are not the only one, and the path to solving the problem and the starting point may be different and need to be discussed specifically.

Exchanges cannot be completed online, in writing only. Look at your information to provide more attentive, many days without the network recommended to me this reason, I hope my rough answer has reference value. Please discuss with a cardiologist in your local area.

Problem Analysis: Hello, less than 60 is called bradycardia. There are several types of bradycardia, the most common being sinus bradycardia.

Sinus bradycardia can be divided into pathological and physiological. Physiological sinus bradycardia is a normal stool phenomenon, with a typical heart rate of 50 to 60 beats.

Athletes' heart rate may be 40 beats, not **, which is common in normal people who sleep and are more physically active than this.

Suggestions: If the current heart rate is asymptomatic, observe it temporarily, and follow up in time if there are uncomfortable symptoms. It is best to go to the hospital first to do a dynamic electrocardiogram monitoring to see if there is a problem with the heart before proceeding**.

Analysis: A heart rate of less than 60 beats per minute can diagnose a bye as bradycardia. A slow heart rate may cause symptoms such as palpitation, chest tightness, decreased blood pressure, and dizziness. **Depends on a case-by-case basis.

Suggestion: If the patient is not unwell, there is usually no need for **. If there are obvious clinical symptoms, it is recommended to go to the hospital for examination. Cardiac pacing should be considered if the drug is not controlled**.

Hello! The warranty period is 8 years for single-chamber pacemakers and 6 years for dual-chamber pacemakers, but the actual service life is generally longer than this year. According to the results of pacemaker testing, ambulatory electrocardiogram and other examinations, it can be judged whether the replacement period has been reached.

If there is no pacemaker dependence and the parameters of the test electrode are good, the pulse generator can be removed, connected to the original electrode and directly placed in the subcutaneous pouch. For pacemaker-dependent patients, replacement surgery should generally be performed under the auspices of a temporary pacemaker. The surgery is less invasive, shorter, and less dangerous.

Good luck! Dr. Wang Shanling of Henan Provincial People's Hospital solemnly reminded Jian Qitan: Because the patient cannot be seen face-to-face and cannot fully understand the condition, the above suggestions are for reference only, and the specific diagnosis and treatment must be carried out in the hospital under the guidance of the doctor! ）

Hello, I did not see the patient, the current age and condition, first consider the drug **, and actively ** coronary heart disease, etc., regular reexamination, if the condition is serious, the effect of the drug ** is not good, the physical condition allows, consider the possibility of installing a pacemaker. I hope you find my answer helpful and I wish you good health and happiness.

Hello, I am a patient who has installed a pacemaker, but I am only 24 years old this year, your grandmother's situation is much better than mine, I am a third-degree atrioventricular block, my heartbeat was less than 50 on average, the lowest time was 29 times, your grandmother's is only the second degree, I feel that your grandmother's no need to be safe (personal opinion) depends on what the doctor says, after the installation of the pacemaker is generally not ***, but the installation site is afraid of touching, afraid of impact, and can not be close to the electromagnetic field, the rest is nothing, Mainly in the winter, the old man goes out to someone to follow, don't fall, the pacemaker I installed is imported double cavity all the surgery down to more than 60,000, but considering that the old man is so old, you have to ask if the installation can be specified successfully. I hope my answer will bring you joy.

The elderly can't keep up with all aspects of their age, so if they can be conservative, they still choose to be conservative to avoid accidents.

Sinus bradycardia (54 minutes) sinus atrial block, which is an indication for pacemaker, in addition to dizziness, may be that the heart blood supply is too slow, resulting in dizziness, which is symptomatic, think your family can install a ddd pacemaker if the economy can meet her, in addition, the elderly have premature beats, and may inhibit premature beats after implanting a pacemaker, which has double benefits. Hope it answers your questions. What you said *** is actually similar to a normal person after implantation.

After birth, the quality improves, and there is no other difference. If you want a pacemaker with a long lifespan, you can use the American ST, Jude, (St. Jude), the old brand.

Hope it helps.

Problem Bench Analysis:

Hello, less than 60 is called bradycardia. There are several types of bradycardia, the most common being sinus bradycardia. Sinus bradycardia can be divided into pathological and physiological.

Physiological sinus bradycardia is a normal phenomenon, the general heart rate is 50 60 times, athletes may have a heart rate of 40 times, no **, common in normal people sleep, people with more physical activity.

Suggestions: If there are no symptoms of the heart rate before the sleepiness, observe it temporarily, and follow up in time if there are uncomfortable symptoms. It is best to go to the hospital first to do a dynamic ECG monitoring to see if there is a problem with the heart before proceeding**.