The benefit of implantable cardioverter –defibrillators beyond the first generator

Implantable cardioverter –defibrillators (ICDs) are lifesaving and are placed based on guideline recommendations for primary or secondary prevention of fatal arrhythmic death due to underlying cardiomyopathic processes.1 Although the benefits of ICD therapy are clear, potential drawbacks such as inappropriate shocks can l ead to significant morbidity and may be associated with increased mortality.2 Indwelling leads and devices are prone to bloodstream infections.3 Psychosocial aspects, such as posttraumatic stress disorder from shocks,4 and disqualification or restrictions in certain vocations, driving, and competiti ve sports can be devastating to the psyche of patients.
Source: Heart Rhythm - Category: Cardiology Authors: Tags: Editorial Commentary Source Type: research