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Implantable Cardioverter-Defibrillator complication
From WikEM
Contents
Background
- Approximately 1/3 - 1/2 of ICD patients receive a shock within one year of placement[1]
- Generally described as a "kick to the chest"
- Can be very distressing and a source of anxiety for patients
Clinical Features
Differential Diagnosis
Evaluation
Management
Disposition
- Consider discharge if:
- Single shock only
- Currently asymptomatic
- No concerning associated symptoms (e.g. chest pain, dyspnea, syncope)
- Admit all others
See Also
External Links
References
- ↑ Sears SF Jr., Shea JB, Conti JB. Cardiology patient page. How to respond to an implantable cardioverter-defibrillator shock. Circulation. 2005;111:e380–e382