Implantable Cardioverter-Defibrillator complication

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


References
  1. Sears SF Jr., Shea JB, Conti JB. Cardiology patient page. How to respond to an implantable cardioverter-defibrillator shock. Circulation. 2005;111:e380–e382
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