Automatic Implantable Cardiac Defibrillator (AICD) by Dr Ashutosh

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Heart Beat

An Automatic Implantable Cardiac Defibrillator (AICD) is a small device implanted in patients at risk of sudden cardiac arrest due to irregular heart rhythms, especially in cases of heart failure or chronic heart conditions. The device monitors heart activity and can deliver electrical shocks to restore normal rhythm when dangerous arrhythmias, like ventricular fibrillation or ventricular tachycardia, occur.

AICD Implantation Procedure

The AICD implantation procedure involves placing the device under the skin, typically near the collarbone. The procedure is minimally invasive and is often performed under local anaesthesia. During the procedure, leads (wires) are inserted into a vein and guided to the heart. These leads connect the heart to the AICD device, allowing it to monitor and, if necessary, correct abnormal heart rhythms by delivering electrical pulses or shocks.

AICD Device and Functionality

An AICD device is a life-saving tool that acts as both a monitor and a treatment for life-threatening arrhythmias. The device continuously checks for abnormal heart activity and can provide pacing when the heart beats too slowly or shocks when the heart is beating erratically or too fast. It is particularly used in patients with a high risk of sudden cardiac death due to heart failure or a history of arrhythmias.

AICD for Heart Failure and CHF (Congestive Heart Failure)

The AICD for heart failure is commonly recommended for patients who have suffered from heart failure or are at high risk of sudden cardiac death due to heart failure complications. In cases of CHF (Congestive Heart Failure), the device is used to prevent life-threatening arrhythmias, which are common in advanced stages of heart disease. By providing immediate treatment when the heart enters dangerous rhythms, the AICD reduces the risk of sudden death in CHF patients.

Types of AICD

There are several types of AICDs available, depending on the patient’s condition and specific medical needs. The most common types include:

AICD Procedure and Recovery

The AICD procedure typically takes around 1-2 hours. Recovery is generally quick, with most patients returning to normal activities within a few days, although strenuous activities should be avoided for some time. Patients are closely monitored after the procedure to ensure the device is functioning correctly and effectively managing their heart rhythm. If you are considering an AICD or have been recommended for one, it’s essential to consult with a heart specialist to determine the best approach for your specific heart condition.