Follow Up of Implantable Cardioverter Defibrillator

ICD Follow Up

Goals of ICD follow up:

  1. Assess system integrity
  2. Proper programming for better battery life

Basic steps:

  1. Assess patient’s clinical status
  2. Drug history has to be checked
  3. Inspection of the site of implantation
  4. Chest radiography and fluoroscopy to document lead and device positions if needed
  5. ICD interrogation
  6. Interrogation at the earliest after every device therapy (shock)
  7. Whether a particular position of the body or activity triggered the shock
  8. Charge time and battery life should be closely monitored