An implantable cardiac device (ICD) is a small battery-powered electrical impulse generator implanted SC in patients at risk of cardiac arrest from cardiac arrhythmias.
Lead(s) are po...
Felt bad before shock and good after: Likely appropriate therapy
Felt good before and after shock: Likely inappropriate therapy
Felt bad before and after shock: Consider ongo...
Continuous EKG monitoring
Advanced cardiac life support (ACLS) protocols
Ongoing/suspected cardiac ischemia or heart failure
Multiple ICD shocks and initiation of antiarrhythmic agents for VF/VT or other SVT
Aspiration of device pocket is not recommended.
Care should be taken not to deliver external shocks directly over the device, as it may shunt energy away from the heart.
Epstein AE, DiMarco JP, Ellenbogen KA, et al. 2012 ACCF/AHA/HRS focused update incorporated into the ACCF/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnor...
V45.02 Automatic implantable cardiac defibrillator in situ
V53.32 Fitting and adjustment of automatic implantable cardiac defibrillator
996.04 Mechanical complication of automatic implantable ...
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