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What happened after you were shocked and were you asked to go into hospital for a check ?

I just wanted to know about ICD wearers experiences. My dad (43yrs old) recently had one implanted because he had an unexplained cardiac arrest at work. However they can t find anything wrong with his heart. He is really fit, doesn t smoke, has a healthy diet , does tonnes of exercise and there is no family history whatsoever. They think it must be some sort of electrical fault but can t explain it. He was really lucky to have survived and caused a lot of interest in the medical profession because there was only a 1% chance he would live (because he was out of hospital in the company of a complete non first-aider). He went for a check a month after where they found it had become dislodged after being in place for just a week, so they had to open him up again an refit it. Yesterday he was cycling at a fast pace and felt a bit dizzy. He looked down at his heart rate wrist monitor and it was reading 230bpm (the max it can actually read) next thing he felt was a massive electric shock in his chest which maded him fly over the handle bars of his bike. He felt fine after but was just a bit shocked because he has been cycling lots since the op and has been fine. He can t get hold of his arrythmia nurse until tomo because of the bank hol and while he seems fine I am worried because no one can get to the bottom of this problem and it could happen again at any time. I just wondered what peoples experiences are living with an ICD. Why was it fitted and has it ever shocked you ? What happened after you were shocked and were you asked to go into hospital for a check? I am interested in this not only because of my dad but also because I am a 3rd year Junior Doctor about to start my Heart, Lungs and Blood module. Any personal experience about this would be really appreciated. Thanks.
Asked On : Sat, 19 Dec 2009
Answers:  2 Views:  219
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Cardiologist, Interventional 's  Response
Dear Junior Doctor ... welcome ...
first of all ur father's history u written, looks very good ...
in case of ICD's, doctors use to programme the ICD for a particular rate.
for eg 170 heart rate .. that means whenever heart rate will be more than 170, ICD will give a shock. some time what happens ICD sensing properly losses, and it gives a wrong heart rate signal to defibrillator during exercise, running ect. ICD cant differentiates normal sinus rhythm and Ventriculat tachycardia it look only for heart Rate and according to that it gives shocks.
solution for these type of problem is that u should go to ur cardiologist he will set the ICD in different parameter.
so, dont worry , every problem has some solution ...
good luck and be a GOOD human being, becoz a good hu being can be GOOD DOCTOR ... keep in touch .. for further queries ...
Answered: Fri, 23 Mar 2012
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  User's Response
From what you describe, your father had an appropriate ICD discharge. That means it saved your father's life once more. It is better to check the arrhythmia which caused the shock by interrogating the device once a shock is delivered. This will identify whether the shock was appropriate. Any change in programming needed may also be done along with.
Answered: Sun, 20 Dec 2009
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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