Chennai, Jan 8: An 18-year-old local boy has become India's youngest patient to be fitted with a Subcutaneous Implantable Cardioverter Defibrillator (S-ICD) at the Kauvery hospital here.
A team of cardiac experts at Kauvery Hospital’s Sudden Cardiac Death Prevention Programme (SCDPP), led by Dr A B Gopalamurugan, Senior Consultant Interventional Cardiologist and Chief of Electrophysiology and SCDPP, successfully implanted S-ICD device on the young boy, who was found to be at high risk, thereby preventing sudden cardiac death.
The boy had an episode of loss of consciousness leading to significant head injury. He was assessed in other leading hospitals before he came to Kauvery Hospital for assessment.
Through a protocoled approach, he was found to have a life threatening heart electrical condition called arrhythmia, which needed immediate intervention.
It was indeed the lethal arrhythmia that caused the loss of consciousness on the boy and his health condition could cause electrical problems in the heart which might lead to sudden cardiac death.
The best way to prevent this was with an ICD which would help regulate his heart, Dr Gopalamurugan told reporters on Tuesday.
“Conventionally, these defibrillators which are well known to prevent death from heart electrical problems have been fitted only inside the body, which is inside the vascular system, through an operation', he said.
But this comes with its own problems, because the device was within the blood vessel and heart during the entire life span of the patient and places the patient at high risk of infection, re-operation, device extraction risks and radiation”, he said.
“In this case, instead of normal ICD, which utilizes wire leads inserted directly into the heart through a large vein, we used the S-ICD system, which was implanted not inside his chest, but outside the chest wall cavity just under the skin', he said.
This meant that the young boy would not be put through the risk of infection and recurrent invasive surgeries or heart injury, but still gets the benefit of the defibrillator that saves his life, Dr Gopalamurugan said.
The ICD was a small electronic device connected to the heart, used to continuously monitor and help regulate potentially fast and life-threatening electrical problems within the heart, Dr. Aravindan Selvaraj, Executive director, Kauvery Hospitals, who was also present said. (UNI)