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Typically, the ICD is placed under your breastbone or along your ribs. In infants, it can be placed in the abdomen. With some devices, your doctor may first thread one or two sensor wires through your blood vessels into the chambers of your heart.
With others, a single sensor wire is placed along the breastbone. The doctors will use a monitor to guide the wires and put them in the right place.
Once the device is in place, your doctor will test it. Then your doctor will sew up the cut. The entire surgery takes a few hours.
You may be able to leave the hospital once the medicines you received for the surgery wear off. You can then continue your recovery at home.
At your next scheduled appointment, ask your doctor about living with an ICD and what to do when you feel an electric pulse or shock from your device.
As with any surgery, there are some risks related to the surgery used to place an ICD. Although they are rare, possible complications include:.
After sudden cardiac arrest, surgery to implant an ICD, or a fitting for a WCD, you will need regular visits with your doctor to check your condition, the device, or any medicines you are taking.
You can get an ID card with information about your device to keep with you. It can be helpful in an emergency, to show airport security, or for medical personnel who need to know more about your device.
If you have an ICD, be aware of the signs of complications with your device. These devices can deliver electrical energy at different strengths to regulate your heart.
Read more about how ICDs work. You will be wearing it all the time, except when you are taking a shower or bath. Your doctor will explain how to charge and change the batteries in your WCD.
Talk to your doctor about when you can return to normal activities, such as physical activity and driving. Once you have an ICD, you will visit your doctor at least every six months.
At these visits, your doctor will examine the area where the device was implanted and check information about your heart rhythm that was recorded by the device.
In between visits, your doctor can monitor data from your device remotely. Electrical devices and devices with strong magnetic fields can interfere with your ICD.
You may not be able to sense when this happens. If something disrupts your ICD, step away from the disruptive device to help restore its normal working.
To be safe, keep your ICD at least six inches away from the following devices, or, when necessary, use them only briefly:.
This depends on the procedure and your device model. For example, some people with newer models can undergo MRI. Tell your dentist or doctor that you have an ICD and discuss your options with them.
You can show them the card with information about your device. It is possible for a wire in an ICD to fire at the wrong time or become infected.
Call your doctor if you have signs of symptoms that concern you, and if you have these signs in particular:. Occasionally an ICD does not work properly and cannot be fixed with changes in programming or medicine.
If this happens, your doctor might have to replace the ICD. When you visit the doctor, ask whether the manufacturer has announced any problems with your device.
If you have survived sudden cardiac arrest, you may worry about whether it will happen again. After surgery to implant an ICD or fitting for a WCD, adjusting to the uncertainty of life with the device may cause fear, anxiety, and stress.
When your device sends a strong shock, it may startle or distress you or cause you pain. This can make some people stop doing the things they used to do.
After having sudden cardiac arrest or getting an ICD, some people report anxiety, depression, or other more serious emotional health concerns.
If you have survived cardiac arrest or are living with an ICD or WCD and experience anxiety or depression, tell your doctor about your concerns.
We are committed to advancing science and translating discoveries into clinical practice to promote the prevention and treatment of heart, lung, blood, and sleep disorders, including defibrillators.
Learn about the current and future NHLBI efforts to improve health through research and scientific discovery. Learn about the following ways NHLBI continues to translate research and science into improved health for people who need defibrillators.
In support of our mission , we are committed to advancing research for people who can benefit from defibrillators in part through the following ways.
We lead or sponsor many studies relevant to defibrillator use. See whether you or someone you know is eligible to participate in our clinical trials.
Learn more about participating in a clinical trial. View all trials from ClinicalTrials. Defibrillators are devices that restore a normal heartbeat by sending an electric pulse or shock to the heart.
They are used to prevent or correct an arrhythmia, a heartbeat that is uneven or that is too slow or too fast. Different types of defibrillators work in different ways.
Automated external defibrillators AEDs , which are in many public spaces, were developed to save the lives of people experiencing sudden cardiac arrest.
Even untrained bystanders can use these devices in an emergency. Other defibrillators can prevent sudden death among people who have a high risk of a life-threatening arrhythmia.
They include implantable cardioverter defibrillators ICDs , which are surgically placed inside your body, and wearable cardioverter defibrillators WCDs , which rest on the body.
It can take time and effort to get used to living with a defibrillator, and it is important to be aware of possible risks and complications.
Explore this Health Topic to learn more about defibrillators, our role in research and clinical trials to improve health, and where to find more information.
It may also help to understand how the heart works. How do AEDs work? Image of an automated external defibrillator in use.
The image shows a typical setup using an automated external defibrillator AED. The AED has step-by-step instructions and voice prompts that enable an untrained bystander to use the machine correctly.
How do ICDs work? Comparison of an implantable cardioverter defibrillator and a pacemaker. The image compares an ICD with a pacemaker. Figure A shows the location and general size of an ICD in the upper chest.
The wires with electrodes on the ends are inserted into the heart through a vein in the upper chest. Figure B shows the location and general size of a pacemaker in the upper chest.
How do WCDs work? Who needs an AED? Who needs an ICD? If you have the following conditions, you may be at risk for a life-threatening arrhythmia and your doctor may recommend an ICD: You survived sudden cardiac arrest.
You developed an arrhythmia during or after treatment for a heart attack. You have a genetic condition that causes arrhythmia. This includes having congenital heart disease or an inherited conduction disorder.
You have a neuromuscular disorder. For example, the progression of muscular dystrophy can damage the heart and cause unpredictable heart rhythms.
This can lead to unexplained fainting and a high risk of death. You have cardiac sarcoidosis. You have poor heart function following a procedure to improve blood flow.
Your doctor detected an arrhythmia during an electrocardiogram EKG or stress test. If this happened several times, you may be at increased risk.
Who needs a WCD? This might occur under these conditions: You are recovering from a heart attack. You are waiting for a heart transplant.
You are fighting an infection. You are removing or waiting to replace your ICD. Using an AED in an Emergency.
When to use an AED. If you think someone may be in cardiac arrest, try the following steps: If you see a person faint or if you find a person already unconscious, first confirm that the person cannot respond.
The person may not move, or his or her movements may look like a seizure. You can shout at or gently shake the person to make sure he or she is not sleeping, but never shake an infant or young child.
Instead, you can gently pinch the child to try to wake him or her up. If the person is not breathing and has no pulse or has an irregular heartbeat, prepare to use the AED as soon as possible.
Where to find an AED. How to use an AED. When using an AED: Call or have someone else call If an electric pulse or shock is needed to restore a normal rhythm, the AED uses voice prompts to tell you when and how to give the shock, and electrodes deliver it.
Some AEDs can deliver more than one shock with increasing energy. The device may instruct you to start CPR again after delivering the shock.
Before and during surgery. Follow the instructions you receive. Your healthcare team may tell you to take these steps: Check the cut on your chest often and keep the area clean and dry.
Call your doctor if any swelling or bleeding occurs or if you develop a fever. Take over-the-counter pain medicines such as acetaminophen if you feel pain.
But talk to your doctor first; he or she may tell you to avoid taking ibuprofen or other kinds of pain medicines, for example.
Ask your doctor when you can resume taking medicines that you took before the surgery, how soon you can take a shower, and when you can return to work.
You will probably have to avoid driving for at least a week while you recover from your surgery. Your doctor may also ask you to avoid high-impact activities and heavy lifting for about a month.
Although they are rare, possible complications include: A bad reaction to the medicine used to make you relax or sleep during the surgery A collapsed lung A defibrillator wire puncturing the heart or a vessel Bleeding from the site where the device was placed Blood vessel, heart, or nerve damage Swelling, bruising, or infection at the area where the device was placed Venous thromboembolism Some ICD models have a lower risk of clots, puncture, and infection.
Living With to learn more about your recovery and life after you return home. Research for Your Health will explain how we are using current research and advancing research on defibrillators.
What to expect from electric shocks. The low-energy electrical shocks your device gives are not painful. You may not notice them, or you may feel a fluttering in your chest.
The high-energy shocks last only a fraction of a second, but they can be strong or painful. They may feel like thumping or a kick in the chest, depending on their strength.
Before a shock, you may feel arrhythmia symptoms. If you feel one or two strong shocks over a short period and the symptoms go away, it may be a sign that the device is working.
He or she will want to assess your condition and the device. During the adjustment period after your surgery, your device may deliver a shock when it is not needed.
A damaged wire or a very fast heart rate due to extreme physical activity may trigger unnecessary shocks.
These shocks can also occur if you forget to take your medicines. Some people also feel phantom shocks, even when the device does not detect an arrhythmia.
Make sure your WCD is fitted properly. Return to normal daily activities. An ICD usually will not limit you from taking part in sports and exercise, including strenuous activities.
You may need to avoid full-contact sports, such as football. Contact sports can damage your ICD or shake loose the wires in your heart. Ask your doctor how much and what types of physical activity are safe for you.
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