Implantable cardioverter-defibrillator

An implantable cardioverter defibrillator (ICD) or automatic cardioverter defibrillator (AICD) is an inside-body implantable system that completes cardioversion and heart pacing and defibrillation. The system is also capable of correcting most cardiac arrhythmias that are life-threatening. ICD is the first-line treatment and prophylactic therapy for patients at risk of sudden cardiac death due to ventricular fibrillation and ventricular tachycardia. In addition to low-energy and high-energy shocks, current devices can be programmed to monitor irregular heart rhythms and provide therapy by programmable antitachycardia pacing.

A less invasive system that can avoid sudden cardiac death is the implantable string subcutaneous defibrillator (ISSD). The ISSD does not require a metal pulse generator pocket, unlike current subcutaneous defibrillators. Instead, with no leads inside the core, it uses a single flexible string-shaped unit. The average implantation time is only 20 minutes, and a smartphone can be connected to the device.

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