Implantable Cardiac Defibrillators
(Implantable Cardioverter Defibrillators)
- Implantable cardiac defibrillators facts
- What are implantable cardiac defibrillators (ICDs)?
- How does a normal heart function?
- How do abnormal heart rhythms decrease blood delivery by the heart?
- What is the cause of tachycardias?
- What are the symptoms of tachycardias?
- What are life-threatening tachycardias?
- What are the causes of ventricular tachycardia and ventricular fibrillation?
- How can ventricular tachycardia and fibrillation be treated and prevented?
- Who should receive an ICD?
- How are ICDs designed?
- How are ICDs implanted?
- What happens after implantation of an ICD?
- What are the complications of ICD implantation?
- What happens during a tachycardia episode after the placement of an ICD?
- Living with an ICD.
- What outside electrical sources are safe?
- What outside electrical sources can interfere with the ICD?
- What does the future hold for ICDs?
- Patient Comments: Cardiology
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Implantable cardiac (cardioverter) defibrillators facts
- Implantable cardioverter defibrillators (ICDs) can prevent death from cardiac arrest.
- Cardiac arrest due to life-threatening fast heart rhythms is the most common cause of death in the United States.
- ICDs are implanted in the chest in a manner similar to that of pacemakers.
- ICDs deliver electrical pulses or shocks to the heart to convert a life-threatening fast rhythm to a normal rhythm.
- Certain electrical equipment with strong magnetic fields can interfere with ICDs, but most household appliances in good order are safe.
What are implantable cardiac defibrillators?
An implantable cardioverter defibrillator (ICD) is a small electronic device installed inside the chest to prevent sudden death from cardiac arrest due to life threatening abnormally fast heart rhythms (tachycardias). The ICD is capable of monitoring the heart rhythm. When the heart is beating normally, the device remains inactive. If the heart develops a life-threatening tachycardia, the ICD can attempt pacing to bring the hear rhythm back to normal, or it can deliver an electrical "shock(s)" to the heart to terminate the abnormal rhythm and return the heart rhythm to normal.
How does a normal heart function?
The heart is an organ consisting of four chambers that pump blood. The two upper chambers are called the right and left atria, and the two lower chambers called the right and left ventricles. The right atrium receives venous blood (oxygen-poor blood) from the body and pumps it into the right ventricle. The right ventricle pumps the oxygen-poor blood to the lungs to receive oxygen. The oxygen-rich blood from the lungs then travels to the left atrium and is pumped by the left atrium into the left ventricle. The left ventricle delivers the oxygen-rich blood to the rest of the body. In addition to oxygen, the blood carries other nutrients (glucose, electrolytes, etc.) to the organs.
In order to keep a body healthy, the heart must deliver a sufficient amount of blood to the body. As a pump, the heart is most efficient in delivering blood when functioning within a certain heart rate range. Normally, the heart's natural pacemaker called the SA node (a special tissue located on the right atria wall), keeps the heartbeat (heart rate) in the normal range. Electrical signals generated by the SA node travel along special conduction tissues on the walls of the atria and the ventricles. These electrical signals cause the heart muscles to contract and pump blood in an orderly and efficient manner.
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