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Living with an ICD

Clinical and psychosocial follow-up of patients with an implantable cardioverter-defibrillator.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kardiyoloji department. Book Appointment →

What is Living with an ICD?

An implantable cardioverter-defibrillator (ICD) is a device that recognizes ventricular tachycardia and ventricular fibrillation and terminates them with a shock or anti-tachycardia pacing to prevent sudden cardiac death. It may be implanted for primary or secondary prevention.

While appropriate shocks are lifesaving, patients with an ICD may need support around inappropriate shocks, psychological impact, driving restrictions, electromagnetic interference and quality of life.

Long-term follow-up includes regular device checks, remote monitoring, optimization of medical therapy, control of recurrent arrhythmias and psychosocial support. Battery replacement, lead failure and re-evaluation of indications are important issues.

Symptoms

Anxiety after device shocks
Palpitations and near-syncope
Fatigue
Discomfort at the pocket site
Pain from inappropriate shocks
Presyncope symptoms
Emotional fluctuations after shocks

Risk Factors

Dilated or ischemic cardiomyopathy
Family history of sudden cardiac death
Inherited channelopathies
Prior cardiac arrest
Advanced age and comorbidities
Difficulty adhering to antiarrhythmic therapy
Exposure to strong electromagnetic environments

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Schedule a visit after a single shock; seek emergency care for multiple shocks
  • Syncope or near-syncope
  • Signs of pocket infection
  • Severe anxiety and sleep disturbance
  • Remote monitoring alerts

Treatment Methods

01
Optimal heart failure and antiarrhythmic therapy
02
Regular device checks and remote follow-up
03
Psychosocial support and cognitive-behavioral therapy
04
Driving and occupational evaluation
05
Programming optimization for inappropriate shocks
06
Ablation or sympathetic denervation when needed

Which Department to Visit?

You can visit our Kardiyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.