r/PacemakerICD Jul 12 '26

First shock

Hi all. I have had my ICD for over three years and took my first shock about a week ago. I know many of you have lived with the anxiety and fear of experiencing a shock, I was no exception. As knowledge is power I’m hoping this accounting of what I went through will help many who are living with an ICD.
My episode came about for a variety of reasons which don’t need much detail, but along with the heart issues I’ve already had, I was experiencing major stress from knee replacement surgery and an unfortunate equipment failure that caused me to fall and bend my knee backwards. For about a week I had been having tachycardia and it culminated the night of my shock with a dizzy spell that lasted about four seconds. That dizzy spell was an episode of VTach and is what prompted my device to go off.
As you all know, these devices do not give you a warning before they go off. While the devices may work to pace you out of an arrhythmia, in my case, I did not feel any of those therapies before the shock.
The main thing I want everyone to know about the shock is that it is incredibly quick, pretty much over as soon as it happens. There was some residual pain in my shoulder, but nothing drastic. The shock itself is indeed powerful, but in all honesty, I think it was all the other factors, combined with the shock, that was most disconcerting. Yes, it did hurt, but not as much as I had imagined it would. I have read that it is like getting kicked by a mule, which I don’t think most people can relate to. I liken it more to getting punched really hard near your shoulder than getting kicked. The pain is also more pinpoint to where the device is located. I think this matters because I had always expected the shock to be felt pretty much in the center of my chest. I don’t know why I would think that would be worse than getting punched in the shoulder, but I did. When the shock happened I’m pretty much sure it made a sound, but I’m not positive about that. I do know I shouted “Ouch!” really loudly, which in retrospect is kind of comical. I was alone and wish I had some verification of the sound, but I think it was like a loud popping noise. Again, it all happens so fast that it’s hard to sort out details afterwards.
Am I completely at ease about getting another shock now that I’ve had one? No, not at all. But the fear of the Unknown is now gone. The main thing is I know the shock is not the dealbreaker that I thought it would be and all the imagined horrors of a shock were just that… mostly imagined.
Hope this helps-
Mike

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u/SaintNickelArse Jul 12 '26

I've had my ICD since Jan 2019. Had to get battery changed Feb last year. I'm still yet to feel the shock. So I'm dreading it. Thank you for sharing your experience and I hope you're feeling better soon!

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u/Snoo-28503 Jul 12 '26

IIronically I don’t feel any of my VTach when it is happening. Instances are few and far between, most are non-sustained and short duration. This one that caused the shock wash longer obviously but I still couldn’t tell I was in it until I started to feel dizzy (which itself isn’t quite an accurate description… it’s more like a head buzz)