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Implantable cardioverter defibrillator or ICD therapy the electrical stimuli are generated in the SA node the natural pacemaker of the heart the SA node determines how often the heart beats per minute at rest a healthy heart beats about 60 to 80 times per minute during ventricular fibrillation the heart rate rises to more than 240 beats per minute it is caused by electric pulses being transmitted in an uncontrolled manner regulated conduction of electrical stimuli no longer takes place this causes the heart rate to increase so much that the heart muscle fib relates that is Quivers instead of contracting properly blood is no longer pumped through the body the circulation of blood essential for the supply of life-giving oxygen comes to a standstill if ventricular fibrillation is not halted quickly the brain will suffer oxygen deprivation leading to sudden cardiac death within a matter of minutes implantable cardioverter defibrillators or ICD s can stop life-threatening ventricular fibrillation and prevent sudden cardiac death I CDs are implanted through a small incision below the collarbone and connected to the heart via electrical leads through the leads the ICD can constantly monitor the heart rhythm and deliver electric pulses to the heart when needed ventricular fibrillation is often preceded by ventricular flutter also called racing heart the ICD can usually stop the rhythm disturbance through a rapid delivery of mild electric pulses to the heart this overdrive pacing is painless for the patient if the overdrive pacing is not successful and the heart begins to fibrillate the ICD emits a powerful electric shock this powerful electric surge also called defibrillation interrupts the ventricular fibrillation and restores the normal heart rhythm the body is once more supplied with the oxygen and nutrients essential for life
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