How effective is an ICD?

Among patients with an old myocardial infarction, ICD therapy was associated with a significantly lower risk of mortality (37% reduction, hazard ratio 0.63, 95% confidence interval 0.45 to 0.86) and a non-significant 26% reduction in sudden cardiac death (0.74, 0.40 to 1.35).
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What is the success rate of a ICD?

One- and 5-year implantable cardioverter-defibrillator survival rates are 92% and 68%, respectively, and are 88% and 54% for cardiac resynchronization therapy defibrillators.
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Can you have normal life expectancy with ICD?

Living with a Pacemaker or Implantable Cardioverter Defibrillator ICD. Pacemakers and ICDs generally last 5 to 7 years or longer, depending on usage and the type of device. In most cases, you can lead a normal life with an ICD.
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Does ICD improve quality of life?

Perceived QOL was found to be improved more in the ICD group. Significant improvement from baseline to the 6- and 12-month follow-up assessment was seen for 7 of the 10 variables assessed. Quality of life did not improve in those patients who received > or =5 shocks from their device.
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Can your heart stop with an ICD?

An ICD isn't very helpful at the end of life.

The shocks can't stop heart disease from getting worse. They can be very painful, like you're being kicked in the chest. They can cause anxiety, fear, and depression. They probably won't fix a dangerous heart rhythm near the end of life.
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Real-World Effectiveness of Primary ICDs Implanted during Hospitalizations for Heart Failure



Is it worth having a defibrillator?

However, many cardiac arrests occur at home, so having a home AED can save precious minutes in reviving a person with ventricular fibrillation or ventricular tachycardia. Proponents of home AEDs say putting them where they're needed most will save many lives.
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Which is better pacemaker or defibrillator?

The pacemaker is the steady hand guiding your heart through each day, while the defibrillator is the guardian angel standing ready to keep you safe if your heartbeat becomes dangerously irregular. Whether you need a pacemaker, an ICD, or both, Oklahoma Heart Hospital is here to help.
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What to avoid if you have an ICD?

Don't dangle headphones round your neck or within 3cm (1in) of your ICD. Don't put mobile or cordless phones, or MP3 players within 15cm (6in) of your ICD. Don't wear magnetic fasteners near your ICD. Don't use a TENS machine for pain relief, and keep electric-pulse body-toning tools below your stomach.
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What are the side effects of having a defibrillator?

Possible risks of having an ICD implanted include:
  • Infection at the implant site.
  • Swelling, bleeding or bruising.
  • Blood vessel damage from ICD leads.
  • Bleeding around the heart, which can be life-threatening.
  • Blood leaking through the heart valve (regurgitation) where the ICD lead is placed.
  • Collapsed lung (pneumothorax)
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Can you drink with an ICD?

The general advice for people who have an ICD is that they can drink alcohol in moderation. For overall health, "in moderation" means no more than two alcoholic drinks a day for a man, no more than one for a woman.
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What is the longest someone has lived with a defibrillator?

Summary: Most patients with ischemic cardiomyopathy and dilated cardiomyopathy who have an implantable cardioverter-defibrillator (ICD) now live more than seven years and those ICD patients with hereditary heart disease can live for decades, according to new research.
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Does ICD improve ejection fraction?

Heart failure patients with primary prevention implantable cardioverter-defibrillators (ICD) may experience an improvement in left ventricular ejection fraction (LVEF) over time.
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Do ICD shocks damage the heart?

A recent prospective, randomized, multicentre trial confirmed that the ICD shock itself, and not ventricular fibrillation (VF), seems to cause myocardial micro-damage, as evaluated by high-sensitivity troponin assessment.
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How long does it take to recover from an ICD implant?

Because every patient is different, it's hard to say with certainty what your recovery time will be. In general, you should be able to return home the day after your implant procedure. Full recovery from the procedure normally takes about 4 to 6 weeks.
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Is having an ICD a disability?

Having a pacemaker or implanted cardiac defibrillator (ICD) doesn't automatically qualify you for Social Security disability, especially if the device is controlling your symptoms well.
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What does it feel like when your ICD shocks you?

You may feel a flutter, palpitations (like your heart is skipping a beat), or nothing at all. Fibrillation may require that you receive a “shock.” Most patients say that the shock feels like a sudden jolt or thump to the chest.
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Can a person with a defibrillator drive?

Conclusions. Patients who have received an ICD for primary prevention should be restricted from driving a private motor vehicle for 1 week to allow recovery from implantation of the device. Patients receiving ICDs for secondary prevention should be restricted from driving for 6 months.
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What is the most common complication of defibrillator?

The major lead complications were insulation defects (56%), lead fractures (12%), loss of ventricular capture (11%), abnormal lead impedance (10%), and sensing failure (10%). Patients with lead defects were younger and more often female.
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What exercise can I do with an ICD?

Your ICD won't limit you from exercising and playing most sports. However, contact sports could affect your device and damage the wires, so rough sports like football should be avoided. As you ease back into exercise after your ICD, start with short and simple walks, and gradually increase length and intensity.
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Can you go in a hot tub if you have a defibrillator?

While a hot tub will not harm your implanted device, your medical condition may not permit this activity.
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Can you have both ICD and pacemaker?

Yes, this is safe. Most pacemakers and ICDs (implantable cardioverter defibrillators) are implanted in the upper left side of the chest. During CPR, chest compressions are done in the centre of the chest and should not affect a pacemaker or ICD that has been in place for a while.
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Does an ICD help with AFib?

Pacemaker or Implantable Cardioverter Defibrillator (ICD)

A medical device like a pacemaker or an ICD can detect and treat AFib early and suppress the onset of AFib.
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Should you go to the hospital if your defibrillator goes off?

If it's the first time it's ever gone off, then it might make sense to call anytime day or night. But certainly if there's been multiple shocks, two shocks in a row, that's considered really an emergency and should prompt you to get urgent medical attention.
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Can ICD prevent heart failure?

Implantable cardioverter defibrillators (ICDs) represent the only available tool in our treatment armamentarium proven to prevent arrhythmic sudden cardiac death. In addition, cardiac resynchronization therapy (CRT) is an established treatment option significantly improving both quality of life as well as mortality.
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When does a defibrillator not work?

The interruption ideally causes the heart to go back to beating a normal pace and rhythm. If there is no beat, irregular or not, shocking the heart will not benefit the patient and the AED will not deliver one.
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