Does an ICD pace the heart?

Most people are unaware when the ICD is pacing the heart. But, a defibrillation shock is described by many as feeling like a "kick in the chest." An ICD can also be programmed to work as a basic pacemaker as needed. Sometimes after a shock is delivered, the heart may beat too slowly.
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Does a defibrillator pace your heart?

Automated external defibrillators (AED).

In an ICD, a generator containing a battery and circuitry is attached to wired sensors. These sensors rest on or inside your heart and help the ICD to determine the intensity of the shock to deliver. A low-energy shock will speed up or slow down your heart rate.
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What is the difference between a pacemaker and an ICD?

A pacemaker helps control abnormal heart rhythms. It uses electrical pulses to prompt the heart to beat at a normal rate. It can speed up a slow heart rhythm, control a fast heart rhythm, and coordinate the chambers of the heart. An ICD monitors heart rhythms.
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Can an S ICD pace the heart?

The SICD cannot provide pacemaker or resynchronization therapy.
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Can you feel an ICD pacing?

When the ICD delivers pacing or acts as a pacemaker, you may not feel anything. This is because little energy is used. Some people feel fluttering in their chest. However, there is no pain or discomfort.
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British Heart Foundation - Your guide to ICD and pacemaker implantation



What is the life expectancy of someone with an ICD?

Background: Manufacturers of implantable cardioverter-defibrillators (ICDs) promise a 5- to 9-year projected longevity; however, real-life data indicate otherwise.
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What can't you do with 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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Do all ICD have pacemakers?

All modern ICDs also function as pacemakers. 100% ventricular paced rhythm.
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What is the difference between ICD and S-ICD?

An S-ICD is different from a traditional ICD because the wires (leads) that run from the device to your heart are implanted under your skin instead of through your veins. This allows the leads to be more easily removed and replaced.
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Is an implanted defibrillator the same as a pacemaker?

An implantable cardioverter defibrillator (ICD) looks similar to a pacemaker, though slightly larger. It works very much like a pacemaker. But the ICD can send an energy shock that resets an abnormal heartbeat back to normal. Many devices combine a pacemaker and ICD in one unit for people who need both functions.
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What is the purpose of an ICD?

What is an implantable cardioverter defibrillator? An implantable cardioverter defibrillator (ICD) is a small electronic device connected to the heart. It is used to continuously monitor and help regulate potentially fast and life-threatening electrical problems with the heart.
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How does an ICD work?

An ICD works to control the heartbeat by delivering shocks to the heart when the device detects an irregular heartbeat. An implantable cardioverter-defibrillator (ICD) is a small battery-powered device placed in the chest to detect and stop irregular heartbeats (arrhythmias).
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Can you have an MRI with an ICD?

The results demonstrated that MRI exams—including chest MRI exams—can be performed safely in pacemaker-dependent ICD patients and in patients with non-MR conditional devices or abandoned leads.
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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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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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Is a dual chamber ICD a pacemaker?

A dual chamber pacemaker paces the atrium and ventricle. A biventricular pacemaker paces both ventricles. An implantable cardioverter-defibrillator can work as a pacemaker would. In addition, if it detects ventricular tachycardia or ventricular fibrillation, it sends out a shock to reset the heart to a normal rhythm.
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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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Does a subcutaneous ICD pace?

This type of device is also potentially advantageous in younger patients with an indication for ICD protection as it avoids the long-term risk of lead-related complications. The greatest disadvantage of a subcutaneous ICD system is its lack of ability to pace.
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How do you feel after ICD shock?

Most patients who have received shocks from their ICDs describe them as startling, jolting and unsettling, but not painful.
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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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How much does an ICD cost?

ICDs are expensive devices, with acquisition prices in the USA ranging from ∼$18 000 for the simplest devices to over $35 000 for ICDs with biventricular pacing capabilities.
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What is the difference between an ICD and a CRT D?

A CRT-D differs from an ICD in that it has a second electrode over the left ventricle of the heart to help synchronize a patient's heartbeat and improve cardiac function.
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What should you avoid with an ICD?

Avoid certain high-voltage or radar machines, such as radio or T.V. transmitters, arc welders, high-tension wires, radar installations, or smelting furnaces. Cell phones available in the U.S. (less than 3 watts) are generally safe to use.
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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 you drink alcohol with 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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