Abstract
In people with cardiac arrest due to ventricular arrhythmia, the application of an electrical shock to the myocardium may terminate the ventricular arrhythmia and resuscitate the patient. In 1985, the approval of the implantable cardioverter-defibrillator made it possible to protect persons at high risk of cardiac arrest. While the first versions of the ICD were bulky and had to be placed in the abdomen with epicardial shock wires placed surgically, improvements in the design has made ICD implantation no more complicated than conventional pacemaker placement. Hence, ICDs today may be implanted in almost any patient and the decision to implant an ICD is based on an assessment of the likelihood of obtaining lifesaving therapy from the device compared to the short- and long-term risks associated with implantation, such as infection and inappropriate shocks.
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Thune, J.J., Køber, L. (2019). The Use of Implantable Cardioverter-Defibrillators in Nonischemic Cardiomyopathy. In: Steinberg, J., Epstein, A. (eds) Clinical Controversies in Device Therapy for Cardiac Arrhythmias . Springer, Cham. https://doi.org/10.1007/978-3-030-22882-8_1
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