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Old 27th April 2004, 06:17 PM
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Default pacemaker for a baby

I have patient for which cardiologist suggested to install pacemaker. Is there any specific remedy which can be use as Pacemaker Replacement.

Thanks
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Old 27th April 2004, 07:42 PM
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To my mind, there are no homeopathic specifics for any problem as (presumably) serious as this. In your place I would want to know what exactly the cardiac (or other) abnormality was, the birth history, the child's family history, and the mother's physical, emotional and mental state during the pregnancy, as well as any salient homeopathically useful characteristics of the baby itself. My other thought is that given that cardiologists don't often want to put pacemakers in babies (well not around here, anyway), I would consider most carefully whether to treat this condition homeopathically at all.
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Old 28th April 2004, 01:05 AM
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Pacemaker causes many complications. what is the skin colour of the baby?
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Old 28th April 2004, 04:05 PM
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Default History of the patient

Thanks for the response.

Quote:
HISTORY OF THE PATIENT

The baby boy was born on 10.2.2003. Couple of hours prior to the birth i-e on the Due Date the doctors tried to monitor the heart beat of the baby. It was too low to monitor and therefore they delivery was done through an operation in order to save the child. The doctor on duty examined the baby soon after the delivery. According to him the baby turned blue immediately after the birth and his heartbeat was slow. At first instance the baby was immediately placed in the incubator and oxygen was supplied for breathing. In addition DIJOXIN was given to escalate the heartbeat. The heart was continuously monitored which ranges between 55- 75.It was advised after an hour of the birth that ELECTROLYTE and OXYGEN SATURATION TEST should me done. Following was result of both the tests

S.NO TEST RESULT
1 SODIUM 131
2 POTASSIUM 4.85
3 CALCIUM
(IONOZED) 1.12

TEST RESULTS
10.2.2003 RESULT
11.2.2003 RESULTS
12.2.2003
Ph 7.346 7.415 7.401
PCO2 29.7 36.0 32.9
PO2 197.4 108.6 78.5
HCO3 15.9 22.6 19.6
O2 Sat 99.3 98.1 95.7
BE –5.3

After 24 hours of birth, as per recommendation of a cardiologist, ECHOCARDIOGRAPHY was done. The echocardiogram report is reproduced as under.

1. CARDIAC DIMENSION/FUNCTION

RV1V = 4.5
RVP =4.5
RV1D =17 EF=89%
RV1 =7.5 FS=50%

2. SEGMENTAL SEQUENTIAL ANALYSIS
• Levocardia
• Atrial situs solitus
• Normal venous connections
• AV discordance
• VA discordance
• Intact IAS
• Intact IVS
• Normal AV.VA Valves
• Dominant 2 sided Ventricle (RV) e good function
• Small PDA

DIAGNOSIS AND COMMENTS

• Congenitally corrected transposition of great arteries.CCTGA
• Small PDA
• CHB
• Normal ventricular function

After the echocardiography the cardiologist stated that the child is having Bradycardia. He further asked the doctors to gradually reduce the application of DIJOXIN and incase the heartbeat does not fall below 50 bpm, the medicine should be withdrawn over 24 hours. The DIJOXIN was withdrawn in 24 hours and the beat became stable at 50-55 bpm. The child was kept in the hospital for a week and was discharged later.

It was advised by the cardiologist that the parents should be watchful for three basic things. Firstly, the baby feeds well, secondly does not vomit and thirdly does not turn blue. The baby started with mother feed and over a period of one year the turning blue never happened. The variation in feed intake was noticed but only in case when he was sick or having cough etc. Similarly, there was never a persistent vomiting. In case he does not have burp after feed, have cough or other problem the vomiting was noticed. For four months the baby was entirely on mother feed. The additional/supplement feed was started after that . The cardiologist examined the baby after fortnight for first three months and later after every month. During six month it was noticed that the baby was little pale. It was advised to give iron supplement. The breathing per minute was noticed to be increased during third month, for which medicine was given and later it became normal The follow up of ECHOCARDIGRAPHY was done after exactly three months with the following results.

1. SEGMENTAL SEQUENTIAL ANALYSIS
• Atrioventricular Discordance
• Ventriculoarterial discordance
• Intact IAS
• Intact IVS
• Good Biventricular function
• No other chance
• (It was told by the cardiologist that there is no small PDA)

After seven months the baby’s weight was 7.5 kg. The HB was 13.0, TLC 8000, Polymorphs 56%, Lymphocytes 40%, Monocytes 02%, Eosinophils 2%.

At the age of ten months the Cardiologist recommended for 24 hours Holter Tape, to monitor the beats and pauses if any, which could assist in deciding the immediate need of Pace maker. The result of 24 hours reading is reproduced as below.

1. RECORDED ECG DETECTED.
• The average heart Rate was 53
• Maximum Heart Rate 60
• Minimum Heart Rate 40

2. SUPRA VENTRICULAR BEATS WERE DETECTED
• 1532 single premature supra ventricular beats
• 0 segment of PSVT
• O segment of supra ventricular tachycardia
• 10 segment of supra ventricular bradycardia
• 0 segment of supra ventricular rhythm
• 0 cardio pauses

3. 156 VENTRICULAR BEATS WERE DETECTED
• 156 single premature ventricular beats
• 0 segment of ventricular tachycardia
• 0 segment of IVR
• 0 segment of Salvo event
• 0 segment of bigeminy
• 0 ventricular couplets

Result
The patient encountered 0 abnormal situations: Congenital complete AV block with narrow QRS and rate about 60 bpm.

The cardiologist stated that there is no emergency at present for pace maker. However, we have to wait for some more time to decide. It was also discussed that when the baby will gradually grow and will exert more the symptoms will be noticed in addition to fresh test, which will assist in deciding the further action.




PRESENT STATUS.
• Weight ------- 9.2kg (The weight is same since last three months)
• Heart beat--- as per holter report
• General Condition. Food intake is satisfactory. Sometimes breathing gets fast. Sweats occasionally

QUESTIONS
• Does the baby require pace maker right now?
• If not now at what stage?
• Are pacemakers available for one-year child?
• What are the indicators leading to the decision?
• What are prospects of pace maker?
• The pace maker is fixed for what time period?
• Is it changed during the lifetime?
• Can a child survive without a pacemaker?
.
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Old 30th April 2004, 09:14 AM
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How about carbo veg, acon and digi
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Old 1st May 2004, 07:45 PM
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Result
The patient encountered 0 abnormal situations: Congenital complete AV block with narrow QRS and rate about 60 bpm.

The cardiologist stated that there is no emergency at present for pace maker. However, we have to wait for some more time to decide. It was also discussed that when the baby will gradually grow and will exert more the symptoms will be noticed in addition to fresh test, which will assist in deciding the further action.


QUESTIONS
1. Does the baby require pace maker right now?
Well, I think that that decision is for cardiologists to decide. Although I'm a bit confused, because DG is complete congenital AV block, and they still consider does baby needs pacemaker or not. Complete AV block is very serious condition.


2.Are pacemakers available for one-year child?
Yes, of course.


3. The pace maker is fixed for what time period?

Sorry, would you elaborate a question a little bit more?

4. Is it changed during the lifetime?

Yes, pacemaker must be changed about every 6-10 years. It'l probably be more often during childhood.

5. Can a child survive without a pacemaker?

I wouldn't play with it. It's much safer to put PM in. After all, having a pacemaker is not allways tragic. Some people can live fine life with it.

Try to ask something more on this forum:

http://www.implantable.com/

best wishes
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Old 1st May 2004, 08:26 PM
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What are the indicators leading to the decision?
The effective treatment for heart block is cardiac pacemaker. It is the cardiologist to decide the time of implantation of pacemaker however before installation one year ECG study is suggested specially PR interval readings. Religion and faith exert positive effects on health. An experiment was carried out having risk of heart surgery. Half of the relatives were asked to say good wishes for the patient before surgery and half were not asked to say anything. Out of half from first group (for which people offered wishes), got complete cure and rest of the half were developed slight complications which were withdrawned automatically after few days but in the second group, many complications were developed and non of them got cured rather half died earlier.


Put your child in your lap, read QURAN in good voice and pray for your baby, I hope your baby will not require any pacemaker. Insha allah
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Old 2nd May 2004, 11:23 AM
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Most of the BB members (me included) don't understand the Greek regarding the tests and their results.

My advice: Consult with a homeopath who has handled such a situation or let the heart specialist take charge.

If the problem is congenital and involves pathological issues then, then you should stay out.

I think you can help if the problem is with timing or strength of electrical impulses, or weakness of muscles. Discuss in detail with the heart specialist and then you can decide what to do.

Praying is one of the things to be done in treatment. Not the only thing.
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Old 3rd May 2004, 01:04 PM
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Thanks for the responses.

Please add what could be the homeopathic approach for this case. As the patient visited my clinic for homeopathic treatment and disposal
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Old 19th July 2004, 06:42 PM
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Dear Dr sahib
Im a an asian Dr based in uk and having difficulty in getting patients. Please can u help me so that I can become successful in my practice.
Dr ajaz
DHMS
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