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ICD / AICD

An Implantable Cardioverter-Defibrillator (ICD), sometimes called an Automatic Implantable Cardioverter-Defibrillator (AICD), is a small battery-operated device which is fitted under the skin in the chest to electronically monitor the heart’s rhythm and control it if necessary. Basically, it is designed to monitor and treat life-threatening tachyarrhythmias – that’s irregular fast heartbeats – using electrical impulses. ICD is prescribed in patients who are more likely to develop cardiac arrest or other mortal ventricular tachyarrhythmia.

Patients who may benefit from an ICD often experience:

Syncope (Fainting): Syncope, which is defined as transient loss of consciousness which has no apparent cause.
Palpitations: Palpitations or irregular heart rhythm that could be rapid that could feel like fluttering or pounding action of the chest.
Dizziness or Light-headedness: Sensations that are characterised by feeling of dizziness or weakness often accompanied by palpitations.
Shortness of Breath: Heart failure: This occurs when the heart cannot deliver sufficient amount of blood to the lungs causing breathing complications.
Chest Pain: Chest discomfort or pain associated with arrhythmias or other heart disease.

Symptoms Collapse Symptoms

Unexplained Fainting: Any period of fainting particularly if you have had previous history of heart disease or arrhythmia.
Severe Palpitations: Palpitations which occur often or are severe enough to feel as though the heart is beating too quickly or irregularly.
Persistent Dizziness: Recurrent episodes of dizziness or losing consciousness which continues to hinder one from carrying out its normal activities.
Breathing Difficulties: Worsening of the shortness of breath if it was there initially or the development of the new shortness of breath that is not caused by other diseases.
Pre-existing Conditions: If you have heart-related issues, including heart failure or prior myocardial infarction or a cardiac arrest.

When to Go for a Medical Check-up Collapse When to Go for a Medical Check-up

An ICD may be recommended for patients with conditions that predispose them to life-threatening arrhythmias, including:

Coronary Artery Disease (CAD): Lodging in the paths to the heart known as arteriosclerosis causing diseases such as coronary artery diseases and abnormal heartbeat.
Heart Failure: A situation where the heart cannot pump blood effectively making the affected individual prone to developing high risks of arrhythmias.
Previous Heart Attack: An area of the heart muscle that was damaged because of a previous heart attack that also has the capacity to disturb its electrical function.
Genetic Conditions: Genetic disorders passed down through families including Long QT Syndrome or Brugada Syndrome that put the patient at risk for arrhythmias.
Idiopathic Ventricular Fibrillation: Any pathology that is not due to a clear and defined, specific cause of the cardiac arrhythmias.

Causes Collapse Causes

The diagnosis for an ICD involves several steps:

Medical History and Symptoms: Assessment of the patient’s complaints, past medical history, and specific factors that may predispose him/her to arrhythmias.
Electrocardiogram (ECG): Electrocardiography: the process of capturing data on electrical signals of the heart in order to detect arrhythmias.
Holter Monitor: A wearable ECG monitor that is attached to the skin and used continuously for 24-48 hours to capture the heart rhythms while the patient is performing his or her regular duties.
Electrophysiological Study (EPS): An indicated check that uses electrodes and records electricity of the heart in order to discover irregular patterns.
Echocardiogram: Echocardiography which entails the use of sound waves to capture images of the heart and its chambers as a way of determining its function.

Diagnosis Collapse Diagnosis

The treatment process for an ICD includes:

Implantation Procedure: The ICD implantation is done through a minimally invasive procedure; the patient is given local anaesthesia with additional sedation. It is an implantable device which is probed into the chest skin and requires leads that pierce the veins of the heart.
Device Programming: ICD has predefined patterns of the arrhythmias that it is capable of identifying and administering an appropriate shock or pacing.
Post-Procedure Care: Patients are observed for complications; however, the patients with severe pathology may require a stay in the hospital. A certain number of home visits are necessary to assess whether the device works and how the battery is holding up.
Long-Term Management: One has to visit the hospital often to ascertain that ICD is working well as well as for reprogramming. Patients will also require to follow dietary guidelines and self-medication procedures that are essential to heart health.

Treatment Collapse Treatment

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