Doctor insights on:
Can I Play Laser Tag With An Implantable Cardioverter Defibrillator
An implantable cardioverter defibrillator, or icd, is a small device that can automatically detect abnormally fast heart rhythms and stop them with a rapid pulse of paced beats or a shock. It monitors the heart rate and delivers the treatment through special wires, or leads, that may be attached to the inside or outside of the heart or placed under the skin. Most icds ...Read more
First of, this is a life saving device for individuals needing one! As this is inserted using surgical techniques, risks associated are bleeding, infection etc... Once implanted the device or leads can malfunction or administer an inappropriate shock etc.
Bottom line: very high benefit (stay alive), low risk. ...Read more
I Agree, and...: I agree with dr. Wright's answer. In addition, there is always a (very) small risk of nerve or vessel damage to the arm on the same side as the device, and it's best if it's not the dominant hand. Since most people are right-handed, it's quite convenient that the left side is the easiest and most effective location for us to place the device. ...Read more
Sudden cardiac death: Icd's are utilized in patients who are at risk for sudden cardiac death or ventricular arrhythmias. These can be patients who already have significant structural heart disease or may have already suffered a sudden death episode. Also they are utilized in patient's who have certain familial conditions which may predispose them to sudden death. ...Read more
Is it safe to be under the sun for an extended period of time with an implantable cardioverter defibrillator?
Yes: It should not affect the function of the device. Use sunscreen to protect the scar tissue. ...Read more
Yes: Implanted cardioverter defibrillators (icds) are the most effective treatment in terminating dangerous arrhythmias. Icds are not 100% effective, but are significantly better than medication alone. ...Read more
An implantable cardioverter defibrillator (icd) is primarily used to treat abnormally rapid heart rates that are considered to be life threatening. The most common of these conditions are ventricular tachycardia and ventricular fibrillation.
These devices can also act as pacemakers to treat low heart rates, but this is a secondary function. ...Read more
I Agree, and...: I agree with dr. Wright, and would add that we generally discourage contact sports which may directly impact the device such as boxing, tackle football, and hard-check basketball. Though quite rare, very forceful impact has the potential to destabilize the connection between the leads (wires) and the device, or even damage the wires themselves. ...Read more
Is it possible for you to do physical activities if you have an implantable cardioverter defibrillator?
Yes: As long as it's properly programmed, there shouldn't be a problem. ...Read more
Short vs Long Term: Device insertion is very safe, with estimated 2% risk of complications (bleeding, infection). Depending on the person's age and health status, they may have the defibrillator for many years. There is a low risk of infection of device in future (rough estimates of this are single digit to 10%), and risk of getting inappropriate shocks from the device (causing anxiety) is in this rough range as well. ...Read more
An aicd is recommended for very specific conditions and following very specific and well documented indications as published by professional societies (american college of cardiology, american heart association, european society of cardiology etc...)
any prescription/recommendation has to follow these indications. ...Read more
Yes if you mean LVAD: If by pump you mean left ventricular assist device (lvad), then yes you can have a pacemaker/icd, and most people that require a lvad already have an icd. ...Read more
ICD: The ICD is probably the most effective treatment for cardiac arrest as it is in place and monitoring for a shockable ventricular tachyarrhythmia. It is the fastest way to accomplish defibrillation. ...Read more
Terminate arrhythmia: These are devices which may detect and automatically treat malignant (life-threatening) arrhythmias. Those include ventricular tachycardia and ventricular fibrillation. They use either bursts of rapid pacing or one or more high energy shocks. Patients receive these either after an arrhythmic event or prophylactically because they are at risk for these arrhythmias. ...Read more
Usually not: The indications for icd placement indicate it should not be performed if there is are reversible causes. In all of the trials comparing icd therapy to alternatives in the absence of a reversible cause, the outcome with icd was much better. ...Read more
It is designed: To terminate life threatening arrhythmia & can also serve as a pacemaker. ...Read more
Palpitations, jolt: If your heart has a serious rhythm problem, the device should intercede to correct it. When that happens, you may feel palpitations or a jolt in your chest. If the defibrillator didn't intervene, you might never feel anything again! ...Read more
Life saver: An implantable cardioverter defibrillator (icd) system has leads (wires) that are inserted through the veins under the collarbone and threaded to the heart. The leads are attached to a box that goes under the skin. The box has a computer that continuously monitors the signals from your heart for a dangerous arrhythmia. If this occurs, the icd stops the arrhythmia by delivering an internal shock. ...Read more
New Guidelines: This is somewhat complex and will not all fit in 400 characters so I am creating initials. 1. Ischemic cardiomyopathy, i.C., with ejection fraction, ef, >30% but <35%, newyork heartassoc, nyha, class ii or iii, and >30 days post mi/revascularization. 2. Ic, ef <30%. 3. Ic, ef between 36-40% with inducible ventricular fibrillation or tachycardia, 4. Non-ic with ef <35% and nyha class ii or greater. ...Read more
No: The defib. Device is implatnted in the inner chambers of the heart and bypass is on the out side of the heart where the coronary arteries lie. Unless there's another reason to remove the device ie an infection the device is left in. ...Read more
No: It was put in for a reason so unless something has changed, it will ordinarily be left in place unless the battery is failing, in which case it would be replaced. ...Read more
Heart rhythm device: An implantable cardioverter defibrillator, or icd, is a small device that can automatically detect abnormally fast heart rhythms and stop them with a rapid pulse of paced beats or a shock. It monitors the heart rate and delivers the treatment through special wires, or leads, that may be attached to the inside or outside of the heart or placed under the skin. Most icds also have pacemaker function. ...Read more
Pain and AICD: Post-operative pain is normal but should not be excessive. First, what is the cause of the pain? If the surgical site is red, swollen, or oozing fluid, contact the implanting physician immediately. The problem could be serious. ...Read more
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Why would the implantable cardioverter-defibrillator not start a pacemaker when the pacemaker shut off?
???: I think there may be some confusion. An implanted cardio-verter defibrillator delivers a shock when certain rhythms are detected per the parameters or threshholds set by the cardiologist. The pacemaker paces the heart - the pacemaker would only 'shut off' if it was end of life, i.e. Expired battery. The icd is a pacemaker and a defibrillator and they serve two functions, both tied to heart rhythm. ...Read more
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