Related Questions

What happens during surgery of an implantable cardioverter-defibrillator?

AICD Surgery. Aicd or automatic implantable cardioverter defibrillator surgery is done under deep sedation anesthesia. Chest veins are entered and two or three leads are placed into the heart in the right venticle & atrium, and coronary sinus. The leads are connected to the aicd pacemaker and placed under the skin in your chest. The device is checked to be certain that it will function if a rhythm problem.
Sedation. The patient is sedated or anesthetized. Incision is made. Venous access is done. Needle, introducers, and wires are passed to proper position with fluoroscopic - xray control and tested electronically. Then a device nice - the aicd is attached. The wound is closed.

What patients should get an implantable cardioverter-defibrillator (icd) for heart failure?

See Below. 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%, newyorkheartassoc, 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.
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.

What patients need an implantable cardioverter defibrillator?

Ventricular Arrhythm. Patients that have dangerous arrhythmias such as ventricular tachycardia or ventricular fibrillation are the usual candidates for an implanted cardio-verter defibrillator or icd.
VT/VF, certain other. In addition to preventing dangerous ventricular arrhythmias (which can cause sudden cardiac death) in people who have had these, in certain select cases cardioverter defibrillators have use for prevention of these heart rhythms in people who are at high risk for them. This can include certain cardiomyopathies, also some cases of congestive heart failure (combined with a biventricular pacemaker).

What are the risks are associated with an implantable cardioverter-defibrillator?

AICD. 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.
Tiny risk. An icd is indicated for people who are judged to be at significant risk for sudden cardiac death. Not implanting an icd in this context confers a far higher risk than the procedure which, itself, is a relatively simple and low risk minor operation done with sedation and local anesthetic. There are small risks of bleeding, blood clot and infection.

What is the morbidity rate for people with an implantable cardioverter-defibrillator?

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.
Minimal. About 1% or less -- the morbidity is more from the heart disease and others but not from having an icd implanted.

What precautions should be taken in prescribing an implantable cardioverter-defibrillator?

AICD. 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.
A few precautions. Please visit the following website for a complete list http://www. Mayoclinic. Com/health/implantable-cardioverter-defibrillator/my00336/dsection=results.

Why did my doctor order an implantable cardioverter defibrillator for me?

See Below. Please ask your cardiologist to fully explain your individual indications for the implanted defibrillator. In general, a icd is implanted because the patient has a dangerous, life-threathening arrhythmia such as ventricular tachycardia or ventricular fibrillation. The shock (s) delivered by the icd can return the heart to a normal rhythm in an instance of deadly arrhythmia.
ICD. You must be at risk for an arrhythmia called ventricular fibrillation that the icd is designed to detect and shock to avoid sudden death.