ICDs
Electrophysiology Studies
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Pacemaker Implant
Pacemaker Implant

An implantable cardioverter defibrillator, also called an ICD, is a surgically implanted device that continuously monitors a person's heart rate. An ICD device recognizes potentially life-threatening arrhythmias (changes in the heart beat). If an unsafe heart rhythm begins, the ICD recognizes the problem rate and will deliver a shock to the heart converting it to a normal rate. In addition to delivering a strong shock to the heart to override an unsafe rhythm, an ICD can also send impulses to help the heart beat faster if the rate is too slow.

The ICD is not a cure for a heart rhythm problem however it can save your life by quickly controlling an unsafe heart rate.

The ICD is surgically placed under the skin in the upper left shoulder area. The surgeon makes an incision under the skin, like a pocket, that is just large enough to hold the generator portion of the ICD. The leads are then threaded through a large vein and positioned in the heart. Your doctor will check the settings on the defibrillator to make sure the ICD is working properly. The incision is then closed with staples or sutures.

Most often, patients receiving ICD devices are admitted to the hospital for an overnight stay. Before discharge, you will receive information about the ICD, what to expect for the next few days, what to do if you receive a shock and activity instructions.

It is important to remember that regular follow-up with your doctor is a MUST to ensure that the ICD is working properly and that the battery is in good working order.



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