Quick facts
Treatment type
Implanted cardiac device
Procedure time
About 1-2 hours
Hospital stay
1-2 days
Anaesthesia
Local, sometimes with light sedation
What is it
An Implantable Cardioverter Defibrillator (ICD) is a small device placed under the skin near the collarbone. It continuously monitors the heart rhythm and can treat life-threatening abnormal rhythms by delivering electrical therapy.
Why it is done
The ICD monitors the heart continuously. If it detects a dangerous rhythm such as ventricular tachycardia or ventricular fibrillation, it can deliver pacing therapy or an electrical shock to restore a normal rhythm.
Who needs it
Previous cardiac arrest or life-threatening ventricular arrhythmias
Severely weakened heart muscle with a low ejection fraction due to heart failure
A previous heart attack with poor heart function
Certain inherited heart conditions
Unexplained fainting associated with arrhythmia
Types and options
The ICD system has a pulse generator, containing the battery and electronics, and leads that connect the device to the heart and both detect and deliver electrical impulses.
Pacing therapy - a brief series of electrical impulses.
Shock therapy - a higher-energy electrical shock when required.
Tests before treatment
Heart rhythm and medical history
Electrocardiogram (ECG)
Heart function and ejection fraction
Cardiac imaging
Previous cardiac events
Risk of life-threatening arrhythmias
Inherited or structural heart conditions where applicable
How it is done
The procedure generally takes about one to two hours, and many patients go home within one to two days.
Recovery
Most patients gradually return to normal activities following their doctor's guidance. The ICD should be checked regularly, in clinic or remotely, to make sure it is working properly. Attend regular device check-ups, follow the precautions about strong magnets and electromagnetic fields, carry your ICD identification card, and follow your cardiologist's instructions on physical activity and medications.
Benefits and outcomes
Prevents sudden cardiac death - detects and treats potentially life-threatening arrhythmias
Continuous monitoring - watches the heart rhythm around the clock
Improves survival - can improve survival in appropriately selected high-risk patients
Peace of mind - provides protection against certain dangerous heart rhythms
Risks and complications
Infection
Bleeding or bruising
Lead dislodgement
Pneumothorax, air around the lung
Device malfunction
Your cardiologist will discuss the individual risks and benefits before implantation.
Preparing to travel
Complete the required cardiac evaluation
Undergo an ECG and any other necessary tests
Review medications with your cardiologist
Assess the need and suitability for an ICD
Follow instructions about medications, food and preparation before the procedure
How it is done
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1
Preparation
The procedure is performed under local anaesthesia, sometimes with light sedation.
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2
Small incision
A small incision is made below the collarbone to create a pocket for the device.
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3
Lead placement
The leads are guided through a vein into the heart and connected to the ICD.
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4
Device testing
The ICD and leads are tested to make sure they are positioned correctly and working properly. The incision is then closed.
Where you can have this
1 listed
What it costs
USD 6000 – USD 10700
The range hospitals publish for this treatment. Your own price is confirmed after a surgeon reviews your reports.
(1 providers)
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What changes the price
Type of ICD
Device and leads used
Hospital selected
Cardiologist or electrophysiologist fees
Diagnostic tests
Length of hospital stay
Additional medical requirements
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