Automatic Cardioverter Defibrillator Implantation
(Implantable Cardioverter Defibrillators [ICD]; Automatic Implantable Cardioverter Defibrillator [AICD])
|Implanted Cardioverter Defibrillator|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Bradycardia—heart beating too slowly
- Ventricular tachycardia—heart beating too rapidly
- Ventricular fibrillation—heart muscle not pumping, but just quivering
- Have had one or more episodes of serious irregular heart rhythms
- Have had a heart attack and are at high risk for arrhythmias
- Have a high risk of dangerous arrhythmias
- Have a weakened heart muscle
- Have a high likelihood of developing an arrhythmia
- Have the condition known as hypertrophic cardiomyopathy, which is an enlarged heart muscle that does not function properly
- Damage to the heart or lungs
- Damage to blood vessels
- Inappropriate shocks or device malfunction
What to Expect
Prior to Procedure
- Blood tests
- Chest x-ray—a test that uses radiation to take a picture of structures inside the body
- Electrocardiogram (ECG), implantable loop recorders (ILR), electrophysiology study (EPS)—tests that record the heart’s activity by measuring electrical currents through the heart muscle
- Echocardiogram—ultrasound to evaluate heart structure and function
- Stress testing or cardiac catheterization—to evaluate for coronary artery disease
Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure, like:
- Anti-inflammatory drugs such as ibuprofen
- Blood thinners
- Anti-platelet medication
- The night before, eat a light meal. Do not eat or drink anything after midnight.
- Ask your doctor if you should take your daily medications with a sip of water on the day of the procedure.
Description of the Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
You may need to avoid:
- MRI scans
- Heat therapy, which is often used in physical therapy
- High-voltage or radar machinery, such as electric arc welders, high-tension wires, radar installations, or smelting furnaces
- Contact with radio or television transmitters
- Prolonged contact with household appliances, such as microwave ovens
- Do not carry a cell phone in a pocket directly over the device. Keep your phone on the side away from the device. Also, headphones worn with MP3 players may cause interference.
- Turn off car or boat motors when working on them. They may temporarily confuse your device.
- Tell your doctor or dentist that you have a device before a surgical procedure.
- Check with your doctor about the safety of going through airport security detectors with your particular device. Do not linger in security devices.
- Be sure to follow your doctor’s instructions.
Call Your Doctor
- You feel a shock
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
- Pain that you cannot control with the medicines you have been given
- Cough or severe nausea or vomiting
- Have chest pain or shortness of breath
- Feel lightheaded and do not feel a shock
- You are still feeling symptoms after a shock
- You feel three or more shocks in a row
American Heart Association http://www.heart.org
Heart Rhythm Society http://www.hrsonline.org/Patient-Resources
Health Canada http://www.hc-sc.gc.ca
Heart and Stroke Foundation of Canada http://ww2.heartandstroke.ca
American College of Cardiology Foundation and the American Heart Association. ACC/AHA guideline update for implantation of cardiac pacemakers and antiarrhythmic devices. American Heart Association website. Available at: http://circ.ahajournals.org/content/106/16/2145.full.pdf+html. Accessed June 25, 2013.
DiMarco JP. Implantable Cardioverter-Defibrillator. New England Journal of Medicine. 2003;349:1836-1847.
Implantable cardioverter defibrillator (ICD). Cleveland Clinic Heart Center website. Available at: http://my.clevelandclinic.org/heart/services/tests/procedures/icd.aspx. Accessed June 25, 2013.
Implantable cardioverter defibrillator. Heart Rhythm Society website. Available at: http://www.hrsonline.org/Patient-Resources/Treatment/Implantable-Cardioverter-Defibrillator. Accessed June 25, 2013.
Implantable cardioverter defibrillator (ICD). Stanford University School of Medicine Medical Center website. Available at: http://stanfordhospital.org/cardiovascularhealth/arrhythmia/treatments/icd. Accessed June 25, 2013.
Pacemakers and defibrillators: Frequently asked questions. University of Iowa Virtual Hospital website. Available at: http://www.uihealthcare.org/2column.aspx?id=16240. Updated February 2011. Accessed June 25, 2013.
Reiffel JA, Dizon, J. The implantable cardioverter-defibrillator: patient perspective. Circulation. 2002;105:1022-1024.
Winters SL, et al. Consensus statement on indications, guidelines for use, and recommendations for follow-up of implantable cardioverter defibrillators. Journal of Pacing and Clinical Electrophysiology. 2001;24:262-269.
11/19/2008 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Lee S, Ransford B, Fu K, Tadyoshi K, Maisel W. Abstract 662: electromagnetic interference (EMI) of implanted cardiac devices by MP3 player headphones. Circulation. 2008;118:S596.
- Reviewer: Michael J. Fucci, DO; Michael Woods, MD
- Review Date: 06/2013 -
- Update Date: 05/11/2013 -