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Comments: 465 +-   Artificial Heart Recipient Has No Pulse on Wednesday September 30, @09:14AM

Posted by Soulskill on Wednesday September 30, @09:14AM
from the just-a-low-pitched-hum dept.
medicine
biotech
science
laggist writes "A heart patient in Singapore has been implanted with an artificial heart that pumps blood continuously, allowing her to live without a pulse. From the article: '... the petite Madam Salina, who suffers from end-stage heart failure, would not have been able to use the older and bulkier models because they can only be implanted in patients 1.7m or taller. The 30-year-old administrative assistant is the first recipient here to get a new artificial heart that pumps blood continuously, the reason why there are no beats on her wrist.'" The story is light on details, but an article from last year in MIT's Technology Review explains a bit more about how a pulse-less artificial heart works.
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  • by Anonymous Coward on Wednesday September 30, @09:16AM (#29593049)

    First pulse.

  • by walmass (67905) on Wednesday September 30, @09:18AM (#29593069)
    "Paramedics/Doctors: Do not write me off as dead. Try to resuscitate"
  • by curmudgeous (710771) on Wednesday September 30, @09:18AM (#29593075)

    ...but I definitely see the need for a special Medic Alert badge for this.

  • by faux978 (1554709) <shanecram@gmail.com> on Wednesday September 30, @09:18AM (#29593079)
    This probably wouldn't happen cause of medical history and all that jazz, but that aside, it'd be priceless to see a nurse unaware of the circumstance trying to take her pulse..
  • by MyLongNickName (822545) on Wednesday September 30, @09:18AM (#29593081) Journal

    With hundreds of millions of years of evolution, are there any systems in the human body that are dependent on the pulse to function properly?

    • by Anonymous Coward on Wednesday September 30, @09:21AM (#29593117)

      We'll find out pretty soon now, won't we?

    • by dsanfte (443781) on Wednesday September 30, @09:24AM (#29593149) Journal

      Most of these artificial heart patients end up dying of strokes, caused of course by blood clots. It's theorized that such clots are easier to form in a pulse-less environment of steady-flow than in an environment where the blood is being "shaken" a bit, ie the pulse with each heartbeat.

      • by MBGMorden (803437) on Wednesday September 30, @09:43AM (#29593459)

        Well if we're in there redesigning the system anyways, it seems that there should be some way to filter or shake the blood as it passes through this thing to prevent clotting. Heck in some distant future it'd be interesting to see if it could be designed to filter out unwanted levels things like cholesterol and the like. Or for diabetics, directly monitor blood-sugar levels and inject insulin as needed to keep things under control.

        Or with it being in such directly contact with so many of the body's essential systems, perhaps enough monitors could be built in that it could via wifi or the like send signals to the local dispatch office if the blood stops flowing, or if the blood pressure crosses a certain threshold.

        Of course I'm playing armchair medical engineer here with no real knowledge whatsoever, but that's what most "futurists" do anyways :D.

    • by 0x000000 (841725) on Wednesday September 30, @09:26AM (#29593175)

      Apparently not a single organ in the body does serial communication by having it clocked in or out on the rising or falling edge of the pulse.

    • by Myji Humoz (1535565) on Wednesday September 30, @09:27AM (#29593183)
      Speaking as a biomedical engineer, there are no significant systems that we know of that require a varying pressure of blood to function correctly. The pulse as the blood gets pumped stretches the arterial and capillary walls slightly, but that's about it. Very few cells in the body experience the effects of the pulsing pressure to begin with, and those tend to be ones that can function despite the pulse rather than because of it.
  • Awesome... (Score:4, Funny)

    by pohl (872) on Wednesday September 30, @09:21AM (#29593105) Homepage

    ...now I only need to come up with the perfect crime that only a person with no pulse could get away with and I can cash-in on a screenplay for an episode of CSI.

    • by simoncpu was here (1601629) on Wednesday September 30, @09:31AM (#29593283)
      That has already been done with Star Trek TNG, Episode 148, where a Takaran sabotaged a test and faked his own death in order to discredit a Ferengi scientist and steal the metaphysic shield technology for use as a weapon.
  • by ShadowRangerRIT (1301549) on Wednesday September 30, @09:22AM (#29593125)
    The article doesn't address this, but I'm a little concerned by the idea of a pulseless system. On the one hand, there is no pressure spike, but on the other hand, the pressure never lets up. I'[m curious what effect this sort of device will have on strokes and other blood flow disturbances. The steady pulse-and-release rhythm constantly tugs at potential clots in different directions, presumably breaking up many incipient clots. Will a steady flow system do the same?
  • What about clotting? (Score:4, Interesting)

    by cyberjock1980 (1131059) on Wednesday September 30, @09:27AM (#29593197)

    I'm no med student. I'm just curious. I had heard that blood clotting relies on the blood remaining still for a period of time. Normally your pulse still allows for clotting because of the brief period of time that the blood doesn't flow. If you get a cut, you will bleed. In this case if the blood never stops moving will the individual bleed to death from something as simple as a papercut?

    But at the same time, if that were the case how did the patient survive the surgery?

  • by Nexus7 (2919) on Wednesday September 30, @09:30AM (#29593251)

    You know,
          piston engine go boing boing boing... rotary go mmmmmmmmmmmmmm...

  • by BobMcD (601576) on Wednesday September 30, @09:31AM (#29593281)

    Having always had a heartbeat since birth, I can only assume that I can feel it beat, but am ignoring it. Obviously there are exceptions where I can very much feel and hear my pulse, and am very well aware of it.

    She'll never feel that again.

    Does she notice?

    • by dpilot (134227) on Wednesday September 30, @09:56AM (#29593657) Homepage Journal

      Without the implant, she won't feel anything again. There's no way to put this other than that it's a life-changing event. Many things after this will be different from the way they were before. But generally a life-changing event is to be preferred over a life-ending event.

    • by PaganRitual (551879) <markgreyam.gmail@com> on Wednesday September 30, @08:25PM (#29600917)

      I'll swap with her. I've had an artifical heart valve since very shortly after birth, and every single pulse of my life since I've been old enough to understand the concept of my heart beating is, so long as it's not overly noisy, completely audible. And because it's an internal noise, or because I know what to listen for, it's much easier to pick up than you would think. I'm sitting in an office with about 10 people all working at computers and I can hear it now.

      Allow me to assure you that the tick of your own heart beating audibly for every single fucking beat, will slowly but almost certainly drive you mad. I used to sleep with a radio every single night on for a period of virtually 10 years. Even now from time to time I go to bed with headphones on to not bother my wife but still drown out the ticking.

      I would swap an audible pulse for no pulse at all in a ... well, heartbeat.

  • by ThatsNotFunny (775189) on Wednesday September 30, @09:44AM (#29593477) Homepage
    I shall now have to amend my requirements for women that I will have sex with.

    Pulse now optional.
  • by isThisNameAvailable (1496341) on Wednesday September 30, @09:53AM (#29593627)
    Snipers have to concentrate to manage their heart rates and time their shots between beats. A little practice and we've now got the world's quickest shot at 1,000 meters.
  • Heart Mate II Pump (Score:5, Informative)

    by t00le (136364) on Wednesday September 30, @10:01AM (#29593733)

    She is holding a Heart Mate II pump...most of our patients get this model...and NONE have a regular pulse. Funny since this is just breaking news and St Lukes Heart Transplant do it day in and day out, for a loooong time.

    • by Spaceman Spiff II (552149) <gabe@gabedurazo.com> on Wednesday September 30, @02:17PM (#29597597) Homepage
      I was looking for this comment as the tech is not new. I was surprised to see it now on Slashdot. Ventricular Assist Devices have been around for a long time, and I know that at least Thoratec's Heartmate II and Heartware's HVAD are continuous flow. At least 50 [reuters.com] people in the US already have Heartware's device in them, and I think there's been a European study, too. One thing I've heard and would be curious to know if it's true, is that even though the device is a continuous flow pump many patients spontaneously develop a pulse anyway. Have you seen that?
    • Re:In a movie (Score:5, Informative)

      by TheRaven64 (641858) on Wednesday September 30, @09:21AM (#29593113) Homepage Journal
      The easiest way of moving a fluid is with a fan. It's trivial to make an artificial heart that works like that, but it has a disadvantage; the fan blades damage the blood cells. A few devices that work like this have been around for a while for emergency use (e.g. if the heart stops in the middle of an operation), but they can't be used for more than a couple of days without killing the patient (having a few blood cells killed is generally better than having no blood flowing, so they're fine for short-term use). I don't know how they solved that problem for this machine.
    • by sakdoctor (1087155) on Wednesday September 30, @09:23AM (#29593131)

      What are the drawbacks?

      Welcome to the afterlife, Jean-Luc. You're dead.

      • by thhamm (764787) on Wednesday September 30, @09:31AM (#29593277)

        Welcome to the afterlife, Jean-Luc. You're dead.

        No, I am not dead. Because I refuse to believe that the afterlife is run by you. The universe is not so badly designed.

        • by jockeys (753885) on Wednesday September 30, @12:33PM (#29596183) Journal

          Welcome to the afterlife, Jean-Luc. You're dead.

          No, I am not dead. Because I refuse to believe that the afterlife is run by you. The universe is not so badly designed.

          Blasphemy! I should... cast you out, or smite you, or something.

    • by digitig (1056110) on Wednesday September 30, @12:35PM (#29596217)

      What are the drawbacks?

      Well, I'm going to have to relax my "anything with a pulse" criterion...

      • Re:In a movie (Score:5, Interesting)

        by sopssa (1498795) * on Wednesday September 30, @09:29AM (#29593225)

        Or even more so, how do machines or the nurses/doctors see you're still living if you're temporary unconscious (maybe a few too many beers?) and your pulse is zero. Then they'll declare you dead and dig you to graveyard. Nice place to wake up after a night of partying.

        • by QuantumRiff (120817) on Wednesday September 30, @10:07AM (#29593829)
          Even more than that.. I want to see the eyes of the nurse that doesn't know her condition when she checks her blood pressure...
        • Re:In a movie (Score:5, Informative)

          by mrdoogee (1179081) on Wednesday September 30, @10:50AM (#29594589)

          According to the MIT write-up, you still have blood pressure. The device would pump more or less blood based on your body's need at the time. What you would NOT have is a systolic/diastolic reading. You'd have one pressure reading. No more 110/70 reading, perhaps a 85mmHg in its place.

          • Re:In a movie (Score:5, Insightful)

            by saider (177166) on Wednesday September 30, @12:17PM (#29595947)

            And how would that be measured (non-invasively)? Blood pressure is read by squeezing off the artery and listening and watching for the various points in the pulse. If there is no pulse, there is no measurement.

          • by Anonymous Coward on Wednesday September 30, @10:13AM (#29593915)

            Almost as good as smoking through that little hole in your neck.

            Oh damn! I thought that what it was for. A cigarette, after all, fits the hole perfectly.

            I just made an appointment with my surgeon to have it fitted for cigars, too.

    • by Demonantis (1340557) on Wednesday September 30, @09:25AM (#29593157)
      I suspect the battery pack strapped to her side and the scars on her chest might give them a clue this is not a normal emergency call. Its not like a pace maker where its contained within the body completely. Now that I think of it pace makers would cause more issues and they have been around for a while.
    • by Smelly Jeffrey (583520) on Wednesday September 30, @09:31AM (#29593275) Homepage

      Automated external defibrillators, such as the Physio-Control LifePak 500, will only administer a shock if they detect a valid shockable rhythm, i.e. ventricular fibrillation [wikipedia.org]. This AED will not shock anyone or anything that does not have that rhythm present.

      Manual external defibrillators, such as the Physio-Control LifePak 12, which may only be used by EMT-I or EMT-P (Paramedics) in my home state, can be used to administer a shock regardless of the presence or absence of any cardiac rhythm. This requires a manual override, and from what I have seen, is used even less often than the precordial thump [wikipedia.org].

Paranoid Club meeting this Friday. Now ... just try to find out where!