implantable defibrillator  The Israeli hospitals increasingly are installing cardioverter-defibrillator (ICD-aids), providing a normal heart rhythm for arrhythmia. Due to high professionalism of medical workers, the use of modern technologies and devices, treatment in Israel is one of the most efficient in comparison with other countries.

Cardioverter-defibrillators are small devices the size of a pager, which are installed in the chest. They reduce the likelihood of death in cases where there is violation of the rhythm of the lower heart chambers (ventricles), as a result, reduce the risk of heart attack. Patients suffering from ventricular tachycardia - increased heart rate, or chaotic heartbeat that results in disruption of the normal blood flow, ventricular fibrillation and cardiac arrest is also recommended to implant the device.

Ask for help in coordinating the service «Tlv.Hospital», you can get the most detailed answers to all questions about implantable defibrillators, simplify your choice of the Israeli clinic, to solve the problem with the support and flight, as well as provide the most luxurious accommodation and treatment .

Due to the defibrillator constantly monitor the heartbeat of the patient, and, if necessary, is applied an electrical discharge which provides a reduction in heart muscle fibers, thereby restoring a normal cardiac rhythm. Implantable defibrillators are needed for patients suffering from:

  • ventricular fibrillation;
  • ventricular tachycardia;
  • syndrome long interval QT (hereditary heart disease);
  • other diseases associated with the risk of sudden cardiac death.

In one study, conducted by the National Heart, Lung and Blood, the National Institutes of Health department, it became known that the survival rate of patients suffering from gastric arrhythmia, with implanted devices is much higher than the survival rate of patients with the same disease, but undergoing conventional treatment. In general, patients with a mortality of cardioverter-defibrillator is from 1% to 2% per year.

How does an implantable cardioverter defibrillator

The machine detects violations heart rate and normalizes the heartbeat:

  1. The device can function as a pacemaker and can send short electrical signals to the heart when needed.
  2. When the patient has too fast and chaotic heartbeat, ICD-machine causes electrical shocks to restore normal heart function.
  3. Implantable defibrillator is available 24 hours a day, thus ensuring complete control over the heartbeat.

Usually one electrical discharge is sufficient to restore the normal rhythm of heart muscles. But sometimes the patient suffers three or more of the discharge for a day. Frequent shocks in the short term - an electric storm, can be caused by incorrect operation of the device or a number of other factors that need to find out as early as possible. With increased number of bits of the patient should call the ambulance.

Preparation for the installation of an implantable cardioverter-defibrillator

Before operation Installation ICD-unit patient may need to undergo several diagnostic tests :

  1. Electrocardiography (ECG).
  2. Echocardiography.
  3. Electrophysiological examination of the heart (EFI).
  4. Holter monitoring (ECG mount daily).

Prior to the implantation of cardioverter -defibrilyatora doctors can deny the patient to take some medications. Patients also should not eat or drink anything for a specified time (usually at least 8 hours before the procedure), but if there was a need to take the medicine - are allowed to take a sip of water.

The implantation of a cardioverter-defibrillator

ICD-unit in its structure similar to a pacemaker and consists of three main components: the generator, wiring and electrodes. Generator, weighing 85 grams, is placed in a small rectangular container, the width of which is about 5 cm. It is charged by a lithium battery, it is responsible for creating electrical discharges and controlled by a small programmable computer chip. Attached to the generator wires are usually made of platinum and are insulated with silicone or polyurethane. At the end of each electrode is attached, which conducts an electrical shock to the heart. Thus, the discharge is generated in the generator is distributed and transmitted over the wire through the electrodes to the heart.

Installing cardioverter-defibrillators in Israel can be carried out both in the operating room and in the electrophysiology laboratory, under local anesthesia. Typically, if a patient - left-handed, setting the apparatus is performed on the right side, and vice versa. Heart surgeon makes two small incisions, one on the chest wall, and the second - under the collarbone. The wires are held through a vein and attached to the heart on the one hand, and on the other - to the generator, implanted between the collarbone and chest. Thereafter, the physician programs the device and sutured incisions. The average duration of the procedure is about an hour. One of the best surgeons in Israel Ehud Ra'anana , will help solve the problem with the heart of any complexity.

Immediately after the surgery is performed chest X-ray to confirm proper placement of the wires to the surface of the heart.

After the procedure is likely to occur with pain in the incision, which may remain swollen and sensitive for a few days or even weeks. Usually painkillers are prescribed to the patient medication (acetaminophen, ibuprofen). Do not take aspirin (to prevent bleeding) without an appointment or consent of the attending physician.


Modern ICD-phones used by Israeli doctors, are protected against electromagnetic radiation, and, contrary to the erroneous opinion, their operation can not be broken by most modern devices (for example, microwave ovens). There are several factors that can affect the operation of an implantable defibrillator:

  • strong electromagnetic fields;
  • rifle shooting from the shoulder, close to the apparatus installation site;
  • wireless and mobile phones used by the ICD;
  • magnetic mattresses (for treating arthritis);
  • Magnetic resonance imaging (MRI).

Hours part of the ICD-vehicle lithium battery is up to 7 years. Every 3-6 months, the patient should undergo regular check-ups with your doctor or nurse to check the battery cardioverter-defibrillator. Once it is fully discharged, the old generator is removed and replaced with a new one.

prices for treatment

heart surgery in Israel is carried out surgeons that are known worldwide. You can contact, to get the best cardio surgeons. Below you will see the prices of some operations.

Coronary artery bypass grafting - 38,480 dollars.

Included in the price:

  1. Payment surgeon.
  2. Payment anesthesiologist.
  3. Payment of the surgical team.
  4. Hospital for 5 days.
  5. Material (disposable).

Replacement and heart valves - 48980 dollars.

The cost of the operation include:

  1. Payment surgeon.
  2. Payment anesthesiologist.
  3. Payment of the surgical team.
  4. Hospital for 4 days.
  5. Material (disposable).

Coronary coronary stent - 17800 dollars.

The cost of the operation include:

  1. Payment surgeon.
  2. Payment anesthesiologist.
  3. Payment of the surgical team.
  4. The hospital for 2 days.
  5. Disposable consumables.

The stent is not included in the cost of operations.

In addition to specifying the amount already includes logistics services. You will be greeted on arrival to help accommodate, you get a local SIM - card and all documents will be translated into Russian.