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Forum Name: Cardiomyopathy

Question: Cardiomyopathy - ICD question


 endc12 - Mon Mar 12, 2007 9:02 am

I’m 42 years old male. Last January 2006, I was diagnosed with dilated cardiomyopathy with 35% EF. Currently I’m taking 25 mg Coreg and 20 mg Lisinopril twice a day. About a month ago, I had some palpitation, had an abnormal EKG and the attending physician sent me home and said check with your cardiologist. A week later I saw my cardiologist. He then recommended to see the Electrophysiologist about ICD (implantable cardio defibrillator) for consultation. The doctor asked about my medical history and told me that as of now it’s an “elective” – it’s beneficial but not urgent. Should I go for it? My wife said yes but I’m somewhat hesitant. I feel good. I walk at least 45 minutes a day and once in a while I lift weightsto build some muscles. In addition, I read some recalls about the ICD device. Please advice.
 Dr. Yasser Mokhtar - Mon Mar 12, 2007 11:04 am

User avatar Dear endc12,

The indications of having an icd placed are getting wider every day.

i am sure that your electrophysiologist went over the benefits of having the icd placed and the drawbacks.

If your electrophysiologist does not think you need it emergently, this means that there is no absolute indication to put it right away.

Since the main concern is abnormal heart rhythm, there are some tests that can be done to see whether or not a particular patient is prone to have such abnormal rhythms and hence needs an icd placed. These include holter monitors, heart event monitors, signal averaged ekg and even going all the way to having an invasive electrophysiological study done.

You might want to discuss this with your electrophysiologist.

Thank you very much for using our website http://doctorslounge.com and I hope that this information helped.

Yasser Mokhtar, M.D.

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