On the evening of the 12th local time, a thrilling scene occurred in the European Cup Denmark vs. Finland . In the 42nd minute of the first half, Danish midfielder Eriksen suddenly fell to the ground without confrontation. After 13 minutes of chest compressions, defibrillator defibrillation and other rescues, Eriksen gradually recovered his own breathing and consciousness, and was rushed to the hospital. On the 17th, the Danish national team officially announced that after soliciting opinions from the national team doctor and private doctor, Eriksen needed to implant an ICD pacemaker (implantable cardiac replication defibrillator), and the player himself has received the treatment plan.
, deputy chief physician of the Department of Cardiovascular Internal Medicine of Beijing Anzhen Hospital, Tian Yilun, introduced that "suddenly fainted and fell to the ground, the heart stopped for a while, and he woke up after defibrillation with an external defibrillator." Judging from the on-site performance, Eriksen may have suffered from sudden cardiac death , which can be called "sudden death survivor". So, what device is an implantable cardiac rhythm defibrillator? Tian Yilun introduced that, generally speaking, this instrument is similar to a micro "defibrillator" implanted in the body. When a person dies suddenly, the heart will have a "twitching" state, resulting in pumping abnormalities, fainting and even death. It is scientifically called " ventricular fibrillation and ventricular tachycardia". There are generally three ways to solve this problem: one is to use artificial defibrillation. In order to highlight the visual impact in film and television dramas, medical workers often put electrodes on the patient's chest to rescue them, which is the method used; the second is the famous AED, also known as the automatic external defibrillator , which is more automated than the first method, but also requires professional training; ICD is the third method to solve rapid ventricular arrhythmia, and it is also the most advanced method at present.
ICD is very small and can be implanted into the patient's chest and abdomen subcutaneously. The electrode wire placed in the heart can automatically sense the patient's ventricular fibrillation and ventricular tachycardia at any time. pulse generator is quickly charged and generates electric shock energy. The whole process is only about 15 seconds, so that ventricular fibrillation can be terminated in time and life can be saved. Tian Yilun vividly describes ICD as "carrying AED". The advantage is that the success rate of electric shock is almost 100%. The patient's heart rate can be monitored all day long. If the patient experiences fatal arrhythmia, it can automatically identify and discharge treatment to restore the heart to normal.
is installed with ICD, can Eriksen still play football? Tian Yilun said that it is "not optimistic" clinically. He explained that athletes belong to the general training group, and compared with ordinary people, their heart hypertrophy is more common. "Objectively speaking, among athletes with heavy physical fitness and heavy competitive , their training purpose is to make the heart bigger, so that the heart strength can be beyond ordinary people, such as swimmers or weight athletes. From this perspective, the probability of ventricular fibrillation among athletes is higher than that of ordinary people." Tian Yilun explained that for patients with ICD implants, it is generally not recommended to participate in competitive sports activities, which is too high.
ICD was invented by Polish American doctor Michel Mirowski in the 1970s. It was successfully applied to the human body for the first time in 1980 and has gradually become popular all over the world in the past 20 years. Tian Yilun said that in the past 10 years, the clinical application of ICD in China has become more and more extensive, and with the development of technology, battery technology and surgical procedures have also been further upgraded.
"In the past, ICD batteries needed to be replaced every four or five years. Replacing the batteries meant another surgery, which was difficult to promote. Now the battery life has reached about 10 years, which has been nearly doubled," Tian Yilun introduced that in addition to battery technology, the size of ICD has become smaller, and the material of electrode conductor insulation layer is also safer. Thanks to the popularity of minimally invasive surgery, ICD implantation surgery is also more standardized.
Who needs ICD implant? Tian Yilun introduced that, first, the cardiomyopathy population is more likely to develop fatal arrhythmia and has a higher risk; second, after the population aging, the population of coronary heart disease in my country has also increased a lot. When this population undergoes myocardial infarction, complex heart structure changes will occur and heart function will decrease, and the use of ICD in this population is also increasing.In addition, ICD implantation is also recommended for people with hereditary arrhythmias.
Currently, the cost of ICD implant surgery is around 150,000 yuan. Data shows that the number of people who die of sudden cardiac death in China every year is about 600,000, of which less than 1% of them were successfully rescued because most of the sudden illnesses occur outside the hospital and cannot get the first rescue. Tian Yilun said that there are not many patients in China who have ICD installed, and its value is far from being discovered.
(Original title: Eriksen may suffer from sudden cardiac death. Can he still play football after implanting with ICD?)
Source: Beijing Daily Client | Reporter Yang Xujun
Process Editor: u007
Copyright Statement: The copyright of the text belongs to Beijing News Group. Reproduction or adaptation may not be done without permission.
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