This bruising can create a bluish discolouration over the upper chest and arm. If your procedure is in the morning, DO NOT EAT OR DRINK AFTER MIDNIGHT, except for sips of water to help you swallow your pills.Īfter the procedure you will have some bruising and discomfort in the area of the implantable loop recorder that may persist for several weeks. If your procedure is in the afternoon you may have a light breakfast. You will be required to fast for at least six hours before each of the procedures. The doctor will also confirm the time you should be at the hospital for admission the following day. You will also require an ECG and blood test. Some country patients may need to make arrangements to stay overnight with family or friends.Īt the pre-admission clinic you will see a doctor who will record your medical history. Patients having the procedure at the Royal Melbourne Hospital will be required to attend the pre-admission clinic on the day prior to the procedure. Your doctor may arrange for you to have daily heparin injections after you stop the warfarin. If you are taking anti-coagulation (blood thinning) medication eg warfarin then you will need to stop this for approximately 5 days prior to your procedure. You will receive a letter from the hospital bookings clerk or from the Doctors secretary outlining the date of your procedure and date and time of your admission to the hospital. The device is able to pick up the electrical activity from the heart from the outside of the chest without any wires as it sits in the tissue over the heart, just like an ECG A small scar ~2cm will be visible initially but will fade with time. The device is inserted into the pocket and the wound is then closed with dissolvable sutures. IMPLANTED HEART MONITOR SKINA small pocket (shaded pink) is made underneath the skin to accommodate the device. You will be given oxygen to breathe by a small tube that is positioned under your nostrils or by a mask that covers your face.Ī small ~2cm incision is made in the chest wall. You will be able to look out from under the sheet to the side and a nurse will be present at all times. You will be covered by a large sterile sheet that will partly cover your face. The area is prepared with a special sterile solution that may feel cold. This is needed as a reliable way to give you medications such as antibiotics and pain relief medications as part of the procedure. A nurse or doctor will insert an intravenous line usually into the back of your hand. Many ECG monitoring electrodes will be attached to your chest area. The staff in the lab will all be dressed in hospital theatre clothes and during the procedure will be wearing hats and masks. This is a special room that has a patient table, X-Ray tube, ECG monitors and other equipment. The procedure takes approximately 15-20 minutes and is performed in the cardiac catheter laboratory. It is performed under local anaesthetic with sedative medication to make you feel comfortable. Insertion of an Implantable Loop Recorder is a very common procedure. What is involved in an Implantable Loop Recorder Implantation? It allows continuous recording of the heart’s activity so that we can diagnose arrhythmias. The implantable loop recorder comes in many different sizes is generally about the size of a computer USB and sits underneath the skin. It can also be used to monitor patient’s heart rhythm after atrial fibrillation ablation procedures. It is often used to help find a cause for recurrent unexplained syncope when there is a strong suspicion of a heart rhythm cause but all other simple tests have been normal. An implantable loop recorder is a small electrical device that is able to continuously record the heart activity.
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