I have recently had a defibrillator implanted by my doctor. After I recover, what are my chances of going back to diving? I am told that it works as a pacemaker too.
[vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column el_class=”page-text”][vc_column_text]These implantable devices have been found to benefit patients at high risk of ventricular tachycardia, ventricular fibrillation, or other rhythm defects that can lead to sudden cardiac arrest. The pacemaker will increase the heart rate of the patient if it slows to an inefficient rate. With or without the pacemaker feature, these internal devices are used to treat potentially life-threatening rhythms. It is the opinion of diving medicine professionals that due to this potential life threat, individuals with these implanted devices are disqualified from diving. These devices are intended to prevent sudden cardiac arrest, but the heart itself may be in generally poor health which is not compatible with safe diving. As relaxing as diving is there is still an increased work-load placed on the heart. The heart needs to be able to respond effectively to any increased exercise demand, especially in an emergency situation. A heart that is prone to life-threatening rhythms has most likely sustained injury from coronary artery disease or other conditions that affect the muscle tissue of the heart, or its electrical pathways. Any exercise restrictions from the diver’s cardiologist would be a good indicator that diving would hardly be in their best interest.
Implantable devices can be both defibrillators and pacemakers, or even have both functions in the same device, depending on the underlying pathology.
In the first case, the indications for implantation are all those pathologies with a high risk of life-threatening tachyarrhythmias: ischaemic heart disease (post-infarction) associated with severe ventricular dysfunction and cardiomyopathies (dilated, hypertrophic and congenital arrhythmogenic heart diseases).
In the second case, the most common indications are atrioventricular block, sinus node disease, neuromediated syncope and atrial fibrillation.
In general, the pathology that necessitated the implantation of the device will determine the subsequent “fit to dive” question, which must be carefully assessed by the arrhythmology specialist in consultation with the diving physician.
In addition, if there are no cardiological contraindications to returning to diving, it is essential to choose a device that is compatible with hyperbaric conditions, for which the specialist must consult the company that certifies the safety of this type of device at depth. [/vc_column_text][/vc_column][/vc_row]
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