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Leadless pacemakers - keeping pace with technology

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  • čas přidán 18. 08. 2024

Komentáře • 115

  • @grantadamson3478
    @grantadamson3478 Před 3 lety +19

    We don't always have access to a cardiologist or the time during an appointment to ask the best questions. Your videos are priceless. Thank you.

  • @HappyComfort
    @HappyComfort Před 6 měsíci

    My mom was given one of the bullet shaped pacemakers that go into the heart. It has worked fabulously for her and she is now 92 years old and still hanging in there! 👍🥳🌷

  • @donbaxley5530
    @donbaxley5530 Před 3 lety +7

    They pierced my heart putting the leads in! Spent 6 days in ICU. Fine now!

  • @BigDaddy-rg8gb
    @BigDaddy-rg8gb Před 3 lety +6

    This guy gave me my life back. My cardiologist gave me meds that put me in the hospital. Please people get 2nd and 3rd opinions before blindly trusting any doctors.

  • @kathyh857
    @kathyh857 Před 3 lety +15

    Very good to see you back! The science is amazing...I can only imagine what the future holds.

  • @peggymicsky8607
    @peggymicsky8607 Před 3 lety +3

    Thank you, Sanjay! Welcome home. Great to have some new videos! 💖

  • @csmcsm-lv6he
    @csmcsm-lv6he Před 3 lety +6

    Thankyou, i don't need it yet only having af now and again after one ablation but it's really nice listening to someone who doesn't lie. You are extremely well received and appreciated. And as our society's ability to communicate deteriorates due to all of our addiction to tv screens and what we all think we need more of...ill hold on to... the good whilst it's still coming..... yes..... you're the good. Thankyou for your time , it's priceless

  • @mary-vb7fm
    @mary-vb7fm Před 3 lety +3

    Good to see you again. Hope all is well with you and your family.

  • @richardcarroll9864
    @richardcarroll9864 Před 6 měsíci +1

    I'm scheduled to get one 12 March 23!!!!I I HOPE it is a great success!!

  • @andeebee2530
    @andeebee2530 Před 3 lety +3

    I’m a recent pacemaker recipient for sudden complete heart block and developed POTS. I have learned so much from your videos. Sadly the doctors and specialists here in Australia who I’ve seen don’t seem to know much about POTS.

  • @carol137
    @carol137 Před 3 lety +4

    So good to hear from you again Dr Gupta. Interesting video.

  • @daniellehammerschmidt5712

    Long time no seen! So nice to have you back on CZcams ♥️

  • @mjass
    @mjass Před 3 lety +2

    Hello Dr. have a great week for you and your family~

  • @anithapatil1016
    @anithapatil1016 Před 3 lety +1

    Oh wow good to see you dear Dr. 🥰

  • @sumanhalder9818
    @sumanhalder9818 Před 11 měsíci

    Easy and Excellent talk. Thank you Sir.

  • @robertoluis9238
    @robertoluis9238 Před 3 měsíci

    BRAVO--VERY CONCISE EXPLANATION.

  • @rezamohamadakhavan_abdolla8627

    Thank you very much doctor.

  • @missmerrily4830
    @missmerrily4830 Před 3 lety +3

    Wow, exciting news. This is a huge leap forward. A great success rate too. Thanks for sharing this good news and good to see you here again!

  • @Jim-ok9zi
    @Jim-ok9zi Před 3 lety +2

    That was so interesting
    Thanks for posting 👍

  • @williamerosh4597
    @williamerosh4597 Před 3 lety +2

    Great, as always. Welcome back, Doc.

  • @shumailakamal6831
    @shumailakamal6831 Před 3 lety +2

    Gud to see u back

  • @davidwoodbury9175
    @davidwoodbury9175 Před 3 lety +4

    Great video! I’d love to see a video covering what happened to Christian Eriksen in the euros

  • @user-mn5hr3fe6j
    @user-mn5hr3fe6j Před 3 lety +1

    Very happy to see you again.take care

  • @smallfootprint2961
    @smallfootprint2961 Před 3 lety +2

    Very helpful.

  • @Davidh741
    @Davidh741 Před 3 lety +2

    I just come here to give him thumbs up on his video this Doc is awesome help me so much with his videos

  • @latchmansugrim9245
    @latchmansugrim9245 Před 3 lety +2

    Thanks for your advice 😍

  • @kausikroychowdhury1859
    @kausikroychowdhury1859 Před 3 lety +7

    Great to see you back! Where you've been for all these days?

    • @virginiamoss7045
      @virginiamoss7045 Před rokem

      I believe he spent some time in Nairobi, Kenya, with his father who was not well and passed away. I don't remember when that was, but about a year ago seems right.

  • @alone15151
    @alone15151 Před 3 lety +2

    Love all the advice from this adorable doc ♡

  • @ajs.k.2447
    @ajs.k.2447 Před 3 lety +1

    I am a new subscriber to your channel and binge watching your videos! I have recent anxiety and have been to 4 different E.R.'s with all kinds of blood tests, CT scans and x-ray. However, none of that has made me feel as calm and confident in my health than you. Thank you so much for your expertise and time!

  • @jeffreybaier5312
    @jeffreybaier5312 Před 3 lety +1

    Glad to see you back, was worried you were ill.

  • @lyricaldon9045
    @lyricaldon9045 Před 3 lety +1

    Thank you..i hope you are well.

  • @kenc4104
    @kenc4104 Před rokem +1

    As the (co) designer of the integrated circuit electronics in the Nanostim single chamber and dual chamber leadless pacemakers, I will say that if I had to have a pacer, given the choice, I would go with a conventional lead based unit over leadless.

  • @keerthithambu5140
    @keerthithambu5140 Před 3 lety +1

    Great doc

  • @mac2658
    @mac2658 Před 3 lety +3

    Thank you very much doc, useful an entertaining. Hadn't seen you in a while.

  • @rhodes1948
    @rhodes1948 Před 3 lety +3

    Glad to see you back but I hope you’re ok ,you look tired

  • @daadkhanakhundzada7524
    @daadkhanakhundzada7524 Před 3 lety +2

    Thank you Dr, it was very useful information

  • @mariamarimari1971
    @mariamarimari1971 Před 3 lety +1

    Hello Dr. Gupta, this is very excellent information. Thank you for sharing. 😊

  • @steveday2868
    @steveday2868 Před 3 lety +2

    I have been told I need a pacemaker asap. I'm trying to get one of these.

  • @mahadvlogs8571
    @mahadvlogs8571 Před 3 lety +2

    Nice to see you with the latest Infos. I watch regularly your videos but most of these are 4 or 5 years old. I was wondering why there is no fresh updates. Thanks for coming up with the latest. Keep it up bro. Your narration is like a poetry. We need you because most of the doctors take their patient for a ride. Be blessed. Any latest update about POTS?

  • @BluePatch-pc7sx
    @BluePatch-pc7sx Před 11 měsíci

    Hello Doc, been watching your videos for years now. Found Heart Failure and AFIB at age 47( 2017) RF was around 22%, my doc gave Beta blocks/beat enhancers and blood thiners. Was told to walk, so my wife and I walked several miles, several times a week. Got the RF to 52% Had both Cardioversion(1st lasted about 6 months next one I think 2 months) Cryoblastion twice. For the last 6 months EKGs have seen no AFIB, so Dr. had me wear a heart monitor for 2 weeks. Turns out my lower chamber are stopping from time to time, hated the idea of a pacemaker, Doc said the one they install in the heart would work for me. Looks like I am riding the technology wave 9/24/23 0950 getting read to go to church, thanks everone.

  • @hcdgj.1675
    @hcdgj.1675 Před 3 lety +1

    Thanks for such good info

  • @DarrellStock
    @DarrellStock Před 11 měsíci

    Thank you so much for giving that overview of leafless pacemakers. I have a dual lead pacemaker and I’ve always wondered if the leafless pacemaker would work for me. Since I need 2 leads for pacing, it looks as if the leafless pacemaker would not work for me.
    I’m new to having my pacemaker about 5 months now. The complication that scares me is regurgitation at the tricuspid valve. I’ll be talking to my cardiologist about this at my next appointment in October.
    Thanks again doctor for helping me to understand leafless pacemakers.

  • @VINCENTOCONNOR
    @VINCENTOCONNOR Před 3 lety +3

    Hi Dr. Sanjay,
    Thank you for your video, very informative. I love your channel.
    I have AV Block 2.1 and had to have a pacemaker installed Sep 2020.
    I am 57 years old and still very active [ I do kayaking etc ] so I looked into having a Micra lead-less pacemaker installed and my electrophysiologist [ in Dublin Ireland ] was happy to do so, however he felt it was best to use the older twin lead device [ manufactured by Medtronic as well ].
    Reasons -
    1. The Micra lead less device works well however it will only pace the heart efficiently up to 110 beats per minute.
    2. Once the Micra lead less pace maker has been installed after x2 months it is extremely difficult to remove due to tissue from the heart growing around the device, at the attachment points.
    As a result, when the battery expires it leaves you with having to install a second one in the heart [ this uses more volume in the chamber ].
    3. Studies show that pacing from one chamber only when you have AV Block 2.1 can cause more rapid heart deterioration.
    Note -
    In Jan 2020 they updated the software in the Micra device so it now has the ability to pace dual chambers [ very clever, I believe it uses sound vibration to synchronise pacing ].
    I went for the traditional Medtronic duel pacemaker in the end, and it has worked out fine so far [ 10 months later ].
    Hope this info helps other people.
    ❤️😀

  • @rehmancricket
    @rehmancricket Před 3 lety +1

    Great information thank you

  • @terleenm1
    @terleenm1 Před 3 lety

    Great... Thank you

  • @Davetg01
    @Davetg01 Před 3 lety +1

    We have an Angio dept at Darlington Memorial.

  • @nomebear
    @nomebear Před 2 lety +1

    Having once worked for a pacemaker manufacturer I know that the body encapsulates the leads making them most difficult to remove when a new pacemaker is implanted.along with new leads. It is the old leads which were left in place that can cause a constriction, that eventually lead to death of the patient.

    • @gwenfancello5384
      @gwenfancello5384 Před rokem

      Goodness, that's scared me! I have a pacemaker implanted nearly 2 years now. Hope I don't need it replaced anytime soon.

    • @virginiamoss7045
      @virginiamoss7045 Před rokem

      From the video I take it that the pacemaker with leads leaves the leads in place when a new "generator" is required. The spent main unit is exposed with an incision and the leads are disconnected from it, leaving the leads and the unit in place. The new main unit gets connected outside the body to the original leads and tested for operational adequacy. Then the original main unit is removed and the new unit implanted.

  • @garymoore3446
    @garymoore3446 Před 3 lety

    Thank you

  • @dinakostarelou5999
    @dinakostarelou5999 Před 3 lety +1

    We missed you Sanjay, when I fisrt saw the title I was very enthusiastic but when you explained how it works I was bit of disappointed, as the way through the blood vessels is not very appealing to me, reminds me of my dad who needed a stent for an aorta aneurysm but his iliac arteries were making a lot of turns and they might be not so flexible because of his age , so there might be a danger of repture of the vessel, so this danger may stand in this ocassion too. I tought that technology had invented something that could control the pace from outside through a bluetooth or something like that, I am sorry to day that medicine has poor outcomes in common cardiac diseases and this also leads me to wonder if they fail on purpose, anyway, I was really glad to see your smiling face again.!!

    • @virginiamoss7045
      @virginiamoss7045 Před rokem

      On purpose? I'm fairly cynical about a lot of things these days, but there's too much regulation to go through to design something to fail in medicine ... at least so far.

  • @donaldadams420
    @donaldadams420 Před 2 lety

    Had pacemaker for years. Just got new bullet. GREAT I SAY! I'm 77

  • @tactileslut
    @tactileslut Před 3 lety +4

    What kind of magical battery will be a full time lifesaver for fifteen years? Lithium primary cells are good for about ten years, but only if you're not using them. Modern rechargeables are swollen toxic trash after about five years.

    • @HifiCentret
      @HifiCentret Před 2 lety +1

      If not rechargeable then lithium thionyl is a good bet. They're also used in high tech equipment which doesn't have possibility to be recharged or having battery changed yet the equipment works for 20+ years. Lithium thionyl has even more energy and longer shelf life than regular high grade lithium cells (Like energizer L91, CR123 etc.).
      (And can you overlook the calibration certification replacing the cell(s) and it'll work for another 20+ years - personally I've replaced a few cells in laboratory clock/stop watches on behalf of a family member and saved their employer for huge amount on new stopwatches (no issues with calibration for their use))

  • @BrianMillsSkills
    @BrianMillsSkills Před 3 lety +1

    The idea of it moving along an artery to somewhere it shouldn't be is pretty scary.

  • @mohammadkaudeer7381
    @mohammadkaudeer7381 Před 2 lety +2

    Hi Dr. Gupta. Thanks for revealing the existence of this " miracle" device.
    Regarding infections , do risks of infections exist for as long as I have a pacemaker or just at the time of implantation ?
    Like your videos , by the way.
    Many thanks.

    • @virginiamoss7045
      @virginiamoss7045 Před rokem

      That's my question as well. I think it's an ongoing risk.

  • @larahamilton2273
    @larahamilton2273 Před 3 lety +4

    You’re not clear about the condition that requires 2 chambers (old pacemaker), rather than one. I have a-fib that comes and goes and wonder if I’ll need one of these someday.

  • @ncbluegrassevents1984
    @ncbluegrassevents1984 Před 3 lety +3

    My moms cardiologist only out in one lead - when he said he was going to put in two. He put it in the top part - when she needed it in the bottom part. She had multiple blood clots in her left arm the day after surgery.
    She had the battery replaced last October.
    She is 85 and in heart failure and her doctor wants to put in new leads. She had a really good PA who got her out of heart failure for 3 years. But she is back in it again since replacing her battery.
    Would this be something that would help her?

  • @amym7825
    @amym7825 Před 3 lety +5

    Thank you for your informative content. I have 2 questions.
    If the device has to be removed what kind of damage will the tines do to the heart? If removed Will the tines leave a space that could potentially fill with fluid or blood?

    • @gwenfancello5384
      @gwenfancello5384 Před 2 lety +1

      Did you ever get to know the answer to your question? I was interested as I have a pacemaker implant.

    • @amym7825
      @amym7825 Před 2 lety +2

      @@gwenfancello5384 no unfortunately I never got a response. I have a pacemaker with leads. I am curious about the leafless one though. I will probably talk to my electrophysiologist about one if I ever have to have this one replaced. Best wishes to you!

    • @gwenfancello5384
      @gwenfancello5384 Před 2 lety +1

      @@amym7825 And all the very best to you 🙏

    • @amym7825
      @amym7825 Před rokem

      @@gwenfancello5384 no answer-beat wishes to you

    • @giedjwu1028
      @giedjwu1028 Před rokem

      I’m imagining a knife attack and removal of it will lead to gushing out of blood if not squirting 😢

  • @dennislurvey3235
    @dennislurvey3235 Před 3 lety +2

    do they have the same thing with defibulators ??

  • @chaank1069
    @chaank1069 Před 3 lety +2

    Dr. . Gupta, I live in the US. Do you do telephone consultations outside UK?
    Thank you for your very helpful videos.

    • @YorkCardiology
      @YorkCardiology  Před 3 lety +1

      Yes I do..i can be contacted via yorkcardiology@gmail.com

  • @justwatchlng019
    @justwatchlng019 Před 3 lety +1

    Nice video Doc. Could you make a video about ectopic atrial tacycardia?

  • @QuantumOfSolace1
    @QuantumOfSolace1 Před 3 lety +3

    Is this good for Bradycardia??
    This hit me - no rhyme or reason!! I am angry - I was in great shape and suddenly - I am in pacemakerville!!!

    • @ifeanyijoshua6773
      @ifeanyijoshua6773 Před 2 lety +1

      My holter result shows 326 episodes of atrial fibrillation, 21 episodes of bradycardia, 1 episode of tachycardia and 1 episode of wenckebach block. I haven't faint before. Please do I need pacemaker or I will be fine? My cardiologist havnt said anything yet. Am just 29

    • @QuantumOfSolace1
      @QuantumOfSolace1 Před 2 lety +1

      @@ifeanyijoshua6773 I feel your pain - hang in there!
      Potassium capsules and Hawthorne Berry capsules - helped a little.

    • @ifeanyijoshua6773
      @ifeanyijoshua6773 Před 2 lety +1

      @@QuantumOfSolace1 thanks much I appreciate. Am trying my best to see if this issue cn stop....It havnt been easy. I don't smoke, nor drink. Can it be because of my everyday playing football? I hope I get healed

  • @BlakeTedKord
    @BlakeTedKord Před 2 lety +2

    What about for those with unknown heart conditions that have yet to have a cardiac arrest…I know proper ECK & ECG along with cat scan of heart is best…maybe wearing a CPR vest around that an auto-detect a cardiac arrest and gives you the electro CPR shock to restore the heart rhythm to restore consciousness and follow-up with proper medical heart work-up at a hospital if no one that knows CPR and AED defib device is around or near you to resuscitate you …that way you won’t die.

  • @thaerss16
    @thaerss16 Před 3 lety +3

    What type of exam's n tests are done to determine if a person need a pacemaker?

  • @dacisky
    @dacisky Před 3 lety +1

    Do pacemakers help with I Atrial flutter ? If not.would this work if attached to an atrial chamber?

  • @yashshah3792
    @yashshah3792 Před 3 lety +1

    Please make a video on Jugular vein distension (JVP) does it related to heart failure. From last week I can see a slightly visible vein on my neck right side does it related to heart failure or because I am thin and tall.
    ??

  • @Dan-ej9iu
    @Dan-ej9iu Před 5 měsíci

    My Dr.wants to but a dual peacemaker in me one wire on top of heart,and 2 wires on the bottom. I like the one you talk about am in Mo. Do they do the pacemaker you talk about here in Mo.

  • @jameskantor0459
    @jameskantor0459 Před 3 lety

    Dr you are looking much better.. How is your father.

  • @ifeanyijoshua6773
    @ifeanyijoshua6773 Před 2 lety +1

    After one year and 4months of unexplained palpitations, which resting ecg keep showing normal, echo last year shows remodeling of left ventricle with no valvular abnormalities.
    I did holter last 4weeks.
    My holter result shows 326 episodes of atrial fibrillation, 21 episodes of bradycardia, 1 episode of tachycardia and 1 episode of wenckebach block. I haven't faint before. Please do I need pacemaker or I will be fine? My cardiologist havnt said anything yet. Am just 29

  • @premyogan5845
    @premyogan5845 Před 2 lety

    Biological Pacemaker TBX-18, please do talk about that doctor how far are we into human trails if any???... Thank you doctor

  • @nicholaswilson8536
    @nicholaswilson8536 Před 6 měsíci

    How long can a lead less pace maker last and can they be removed?

  • @darienravin
    @darienravin Před rokem

    Hi!! How do you know if you will need one in the future. My heart rate is low and seems to be getting lower but with no symptoms. How do you know if something is going wrong with your heart?

  • @stacisrainbownursery7825
    @stacisrainbownursery7825 Před 3 lety +1

    Do you have any videos on hypertrophic cardiomyopathy? Thank you 🙏🏻

  • @fareenaashfaq5902
    @fareenaashfaq5902 Před 6 měsíci

    My son is 12 years old 5 months ago first time put pacemaker but he was infected that’s why now doctor remove pacemaker now doctor said he need three chambers pacemaker need so leadless pacemaker helpful for him or not ? Plz reply me about it .

  • @stevemyers2092
    @stevemyers2092 Před 3 lety

    Hi enjoy your channel - keep it going! Question - my sister 71 now, and possibly I (66) have "hot spots" in the surface of her heart. Something weird about them, she had them hit with a laser I think - curious what you know about those. Me I had a 90% blockage that was rectified with a stent 3 yrs ago. So far so good - I went shopping 3 hrs after that procedure and felt like I was 40 again. Have had an echo cardiogram for the heart AND my carotids as well as ophthalmology, and endocrinologist for blood panels to regain my Medical for flying airplanes (used to be commercial bush pilot). I am also on TRT. results = all good green light to return to flying.

  • @marty666bali4
    @marty666bali4 Před 2 lety

    Can I come and see you and how do I make an appointment and what kind of Insurance u take I like to discuss about my heart condition

  • @SovereignKnight74
    @SovereignKnight74 Před 3 lety

    I wanted to ask you about the Xio Patch. How does that work? I'm wearing one right now, but I don't understand how two leads replaces 12...

  • @kuldeeptalukdar9494
    @kuldeeptalukdar9494 Před 3 lety

    Sir I have ectopic heart beats,and palpitations sometime,I'm having a surgery not related to heart will it be safe?

  • @asianqueenscoz6333
    @asianqueenscoz6333 Před 3 lety

    Dr i have high heart beat problem

  • @dianeculverhouse6979
    @dianeculverhouse6979 Před 3 lety

    Would they be suitable for wheelchair users

  • @sam12420
    @sam12420 Před 3 lety

    SIR, WHAT IS LEFT ATRIAL ENLARGEMENT, MY ECG SHOWS LEFT ATRIAL ENLARGEMENT

  • @jojo-pq5lo
    @jojo-pq5lo Před 3 lety

    Does 10% blockage of carotid artery require medication? Can't tolerate aspirin and now doc wants me to try plavix.

  • @realfunny7
    @realfunny7 Před 3 lety

    so since i have one can i get this one - i have Metronic was put in 6/4/20

  • @keerthithambu5140
    @keerthithambu5140 Před 3 lety

    My resting HR 110 my throid levels r normal, not anemic..even on metoprolol 25 mg HR does nt come down what to do

    • @keerthithambu5140
      @keerthithambu5140 Před 3 lety

      @chintu has increased my dosage of metoprolol.. As of now trying to figure out

  • @SoapinTrucker
    @SoapinTrucker Před 3 lety

    Follow Up Video from manufacturer (Medtronic): czcams.com/video/HRyvxx0cIdE/video.html
    (NOTE: Almost all of the second half of the video is note cards that can be paused and read at your leisure, giving further safety details and info!)

  • @AlexM-jd2ro
    @AlexM-jd2ro Před 2 lety

    How do you know all those things? My cardiologist has no idea what you are talking about....

  • @mommasoto
    @mommasoto Před 2 lety +1

    The science is amazing, but there are serious cons for patients who are terminal. My mother had a medtronic pacemaker after her heart attack due to low heart rate. Soon after we found she had aggressive breast cancer. While on hospice, it was time to turn it off as most hospice's do to patients toward the end, so she could go naturally, but they surprisingly refused. We had the medical team and hospice team talk to them and advocate for us quite a bit, and they said no. People need to know this as it's a serious issue and in my opinion cruel and unethical.

    • @spocksdaughter9641
      @spocksdaughter9641 Před rokem +1

      This interest me. Very elderly Grandfather at his end in the hospital....I was told his pace maker held up his end...I could not find out details. I do not want to be bionic.

    • @mommasoto
      @mommasoto Před rokem

      @@spocksdaughter9641 Yes understood. The traditional pacemakers under the skin get turned off easily waving a large magnet over the device. A nurse tried that method, but it did not wrk. We learned w/ these newer style devices implanted in heart you need a special technician to come disconnect it, but again they refused.

    • @spocksdaughter9641
      @spocksdaughter9641 Před rokem

      @@mommasoto wow thx, I just surfed the new styles of leadless pacemakers. Some they can't take out of where they put them deep in the heart or they may tear the heart.
      AND development on as far as I can tell, literally genetic changes not sure how maybe also tissue implants but a long way off. I appreciated your educating me. Imo science is a two edge sword.

  • @faisal.awanawan996
    @faisal.awanawan996 Před 3 lety

    Hi doc great to see u again..want to know about my skip beats can u plz guide mw

  • @Sand24
    @Sand24 Před 3 lety

    Hi Doc. Did you take the jab?