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La Inserción de marcapasos - Medical Animation

 

This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this image for other purposes, click here.

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La Inserción de marcapasos - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: El cirujano le insertar un marcapasos en el cuerpo si el sistema de conduccin del corazn, el sistema elctrico que hace latir el corazn, no est funcionando adecuadamente. El corazn es un rgano muscular con cuatro cmaras. La sangre se acumula en las dos cmaras superiores o atrio. Antes de llenar las dos cmaras inferiores o ventrculos. Cuando los ventrculos se contraen, la sangre del ventrculo derecho es bombeada a los pulmones y la sangre del ventrculo izquierdo es bombeada al resto del cuerpo. El corazn tiene un marcapasos natural llamado ndulo sinoauricular o ndulo SA. El marcapasos controla la frecuencia cardaca determinando precisamente cuando los msculos del atrio y los ventrculos se contraen. La seal elctrica producida por el ndulo SA llega a los ventrculos a traves un camino estrecho que incluye el conocido ndulo AV y las ramas fasciculares. Consideradas todas juntas, se hace referencia a estas vas como el sistema de conduccin del corazn. Los problemas con el sistema de conduccin se pueden producir si el ndulo SA funciona incorrectamente y hace que el corazn lata demasiado rpido, demasiado lento o irregularmente. Como alternativa se puede producir un bloque en las ramas fasciculares haciendo que el corazn lata ms lentamente o irregularmente. Estos problemas pueden ser la consecuencia de una enfermedad cardaca, medicamentos o ciruga cardaca. Antes del procedimiento, se evalan la sangre y la orina, tambin se le tomarn radiografas del pecho y se le realizar un electrocardiograma o EKG que registrar la actividad elctrica del corazn. Se le inyectar anestesia local en la piel para adormecer el rea donde se le insertar el marcapasos. El cirujano realizar una pequea incisin por debajo de la clavcula. Los catteres del marcapasos sern insertados en la vena subclavia y luego deslizados hacia el corazn hasta llegar al atrio derecho. El cirujano observar las imgenes de rayos X en una pantalla de video para ubicar los catteres correctamente. Una vez evaluados los catteres sern conectados al generador de pulso. Luego el generador de pulso ser ubicado en una pequea bolsa que el cirujano crear de manera subcutnea debajo de la clavcula. Luego, el cirujano cocer la incisin. Mientras est en el hospital, el mdico controlar la frecuencia cardaca y la presin arterial para asegurarse de que el marcapasos est funcionando correctamente. Antes de partir, el mdico le har los ajustes finales a la configuracin del marcapasos. Posteriormente al procedimiento. Los medicamentos de venta libre para el dolor como acetaminofeno o ibuprofeno debern ser suficientes para aliviar cualquier dolor. No podr manejar durante dos semanas aproximadamente. Peridicamente, deber realizar un seguimiento con el mdico para evaluar y ajustar el nuevo marcapasos.

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Furr, Henshaw & Ohanesian
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Sullivan Papain Block McGrath & Cannavo, P.C.
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