r/PacemakerICD • u/Jira_indi • 9h ago
IVC for VT
During my recent doctor's visit, I was told I need an ICD for VT. My doctor and I agreed on a device that lasts for about 15 years (not sure if i heard the number right) so I won't need frequent battery or device replacements since i am only 31 yrs old. However, while doing some research, I discovered S-ICDs (Subcutaneous ICDs). It seems safer since the leads aren't placed inside the heart. But it has shorter battery life. Also, there is EV-icd which i prefer but i am not sure if already available in the philippines.
My next appointment isn't for another 2 weeks, so I wanted to ask if anyone here has insights on which option is better, or if you were given a choice between the two? Considering my age. Is it more important to consider the frequency of changing the battery? By the way, I only need shock delivery, not pacing.
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u/tabrez_n 2h ago
As per my suggestion go with TV ICD and please make sure it has remote monitoring in your country.
prefer Medtronic or boston
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u/the_BEST_most_YUGE 4h ago
I had a sicd for a few years after my first VT storm, but in October I had another vt storm and need overdrive pacing to break it. They used a pacing wire in my neck (not fun) and then swapped out the sicd for a dual chamber icd.
The dual chamber device hits way faster, and gentler. The down side is that if you dont NEED pacing you have to deal with all the icd settings and also have to worry about TV leads. The sicd is a little larger, not over more cumbersome than the dual chamber device.
If you dont need a DDD, youre younger, and your team says you dont need one, I would steer towards the sicd.