Follow Up of Implantable Cardioverter Defibrillator
|ICD Follow Up
Goals of ICD follow up:
- Assess system integrity
- Proper programming for better battery life
Basic steps:
- Assess patient’s clinical status
- Drug history has to be checked
- Inspection of the site of implantation
- Chest radiography and fluoroscopy to document lead and device positions if needed
- ICD interrogation
- Interrogation at the earliest after every device therapy (shock)
- Whether a particular position of the body or activity triggered the shock
- Charge time and battery life should be closely monitored