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The clock that saved my life
Stephen the Fourth, a 33-year electrical and entrepreneur Camaiano, in the province of Lecce, his wife, for Christmas, gave a smartwatch. One of those tools with a lot of functions, and also with the apps the ECG, which in a few seconds is able to run an electrocardiogram and notify you of any irregular heart rhythm. A gift right, because Stefano is passionate about technology, and then because a couple of years ago when play football or go running, the heart sometimes speeds up too. From the wrist to the hospital. In the Pdf, But one evening, after physical activity his new watch says that something is wrong, and detects an arrhythmia. To Stephen all that remains is to send the document in Pdf format from the wrist directly to the hospital, to the City of Lecce Hospital.
“The disease of Stefano, called ventricular tachycardia, and is an anomaly of the operation of a ventricle. For the rest, his heart is healthy: no structural heart disease. Then after a ct scan coronary artery and a cardiac magnetic resonance we have submitted to catheter ablation by inserting a catheter in the right femoral vein," explains Saverio Iacopino, director of the service of Clinical Arrhythmia and Electrophysiology at the Maria Cecilia Hospital, Cotignola, in the province of Ravenna, where the surgery was performed. The catheter ablation is practiced on the patient awake under local anesthesia, by inserting in the femoral vein, a probe that reaches the heart and draws a map of the cardiac three-dimensional highlighting exactly the cells with electricity capacity abnormal, that is, the structures responsible for the arrhythmia. Then an ablation catheter, with a current that generates heat (radio frequency) burns, inattivandole. The intervention after the alarm of the watch “it's a routine procedure that we perform for years – it clearly says Iacopino – but this is the first time that it is practiced on a patient with ventricular arrhythmia following the alarm given by a smartwatch. And the second time, - adds the expert - that the smartwatch detects a pathology other than that for which it has obtained the certification of Fda (according to the scientific literature is already happened in November last year). In fact, the us body for the control of drugs has validated the smartwatch as a tool in medical diagnosis for atrial fibrillation, an arrhythmia is widespread, which increases the risk of stroke, disability and even death. But the ventricular arrhythmia is another disease, which if untreated over time can give you symptoms ranging from tachycardia to the blurred vision from the lack of breath, loss of consciousness and, in the case of a sick heart, even sudden death”. the And if it did come anxiety? , But wear a watch, an easy tool (at the bottom you buy and it brings you to the wrist) that continuously monitors the heart, it increases anxiety, especially those who are a little anxious already? “On the contrary – responds Iacopino - thanks to the technological tools (not just talking about watches but also pacemakers and other devices implanted subcutaneously), the patient sends information to and receives information quickly from the doctors which they trust a lot. In telemedicine, the relationship of trust between doctor and patient is essential. And when there is, and there is, you feel more peaceful”. And the patient what do you think? “You know being under constant control and in contact with a specialist – confirms and concludes Stefano – the anxiety the fells”.

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