What’s it like having an ICD? I don’t want to do it.

Posted by krb48 @krb48, Mar 23, 2024

I am 75 years old and was just diagnosed with hereditary HCM. I was shocked that my LVEF is only 35%. I feel fine. My brothers are begging me to go ahead and get an ICD, but I don’t want to.

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Profile picture for jachrist @jachrist

@walkinggirl
I have HOCM and have had 2 incidents of sudden cardiac arrest. I now have an ICD. Now I have complete heart blockage so my pacemaker is working 100 percent of the time and my heart is completely reliant on my pacemaker. Also my Defibrillator went off and woke me up a few nights ago. When I had my ICD put in I woke up during surgery and knew better than to move or say anything. The ICD was put in and a few hours later I was released. I went to a Hotel but could not lay down flat. I slept in a recliner. At 2 in the morning I had chest pain so bad I had my wife take me to the ER. Once there my BP was extremely high so I had IV's in each arm after I was given 2 nitro pills that did nothing. Then I had 2 shots of morphine, then 2 shots of Fentanyl, then 2 shots of oxycodone. Still no reaction. I was then given 6 shots of Fentanyl/Oxycodone. Finally the pain started to ease.
Was my ICD surgery difficult--Absolutely but I would be dead since I have complete heart blockage and my ICD (pacemaker) is now working full-time and my Defibrillator has gone off.
Jim

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@jachrist Jim, thank you for sharing your story. I cannot imagine waking up during the surgery (not enough anesthesia?) and I am sorry you had to go through all that pain. I think you may have been an unusual case. Thanks to your medical care, you are here to tell your tale and explain how grateful you are to have your ICD. Have you had a septal myectomy or another procedure? I, too, slept in a recliner for a while, this may be a common temporary way to sleep.

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Profile picture for Linda, Volunteer Mentor @walkinggirl

@jachrist Jim, thank you for sharing your story. I cannot imagine waking up during the surgery (not enough anesthesia?) and I am sorry you had to go through all that pain. I think you may have been an unusual case. Thanks to your medical care, you are here to tell your tale and explain how grateful you are to have your ICD. Have you had a septal myectomy or another procedure? I, too, slept in a recliner for a while, this may be a common temporary way to sleep.

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I had an alcohol septal ablation. They went up through my femoral artery
and into the left side of my heart.

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Profile picture for jc76 @jc76

@krb48
What is your reluctance in getting one? Yes it is surgery but consider minor and outpaitent in most cases.

I think those who have had one implanted and has activated can tell you they are life savers. With me I have had about a dozen shocks over the 20 years I have had one.

I have come to feel the device is there to save me if I go into tachacardia. What my cardiologist told me that once you reach 30 % EF (ejection fraction) a ICD is recommended. You have not got there yet but very close.

I am not familiar with hereditary HCM but I have HF caused by cardiomyopathy. My HF doctor just put me on Jardiance not for diabetes but research was showing can help remodel heart and improve EF.

Talk to your doctors about your hesitation, explore medications with them, or see a second opinion.

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@jc76 My doctor put me on Jardiance also. After only three days taking Jardiance, I experienced a frightening episode of adrenaline rush and confusion. It was terrifying. I think it is removing too much glucose or something. I stayed very hydrated so don't know what caused this other than too much blood pressure medication? I am afraid to stay on this. I want to keep taking only my Entresto and Metoprolol. Never had scary side effects with them. Can't get into my cardiologist right now because I am waiting for referral to an Electrophysiologist and supposed to be taking all three medications for now. Not sure what to do :).

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Profile picture for jachrist @jachrist

I had an alcohol septal ablation. They went up through my femoral artery
and into the left side of my heart.

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@jachrist Jim, please note that I asked the moderators to remove your personal information. EVERYONE should omit their full name, address, personal email address, and phone number to protect privacy. It's OK to state that you live in NE Minnesota, I live in Upstate NY. etc. Yes! I had a catheterization the same way you had your septal ablation when my HCM reached a crisis, a syncope, and we thought I was having a heart attack! I was lightly sedated and talking as we were looking at the interesting screen. Looking forward to more of your informative contributions.

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Profile picture for Linda, Volunteer Mentor @walkinggirl

@jachrist Jim, please note that I asked the moderators to remove your personal information. EVERYONE should omit their full name, address, personal email address, and phone number to protect privacy. It's OK to state that you live in NE Minnesota, I live in Upstate NY. etc. Yes! I had a catheterization the same way you had your septal ablation when my HCM reached a crisis, a syncope, and we thought I was having a heart attack! I was lightly sedated and talking as we were looking at the interesting screen. Looking forward to more of your informative contributions.

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@walkinggirl
Thank You very much.
Yes I've had numerous surgeries (38 just in the past 4 years) 2 sudden cardiac arrest, 6 heart surgeries, HOCM, and cardiac amyloidosis (stiff heart syndrome) bladder cancer, prostate cancer, hole in the top of my septum, 3 tumors in my liver, stage 3 kidney disease, and I have an ICD. My defibrillator went off 2 days ago and my pacemaker is working full time because my heart is not working.
Yes I do have just a few medical issues to share.
Jim

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Having an ICD is a must especially if you've had Sudden Cardiac Arrest. I've had 2 and my ICD has gone off. Having one put in is not a big deal. You have a choice of having a sudden cardiac arrest or having an ICD. Get it done!

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Profile picture for ejbb @ejbb

@jc76 My doctor put me on Jardiance also. After only three days taking Jardiance, I experienced a frightening episode of adrenaline rush and confusion. It was terrifying. I think it is removing too much glucose or something. I stayed very hydrated so don't know what caused this other than too much blood pressure medication? I am afraid to stay on this. I want to keep taking only my Entresto and Metoprolol. Never had scary side effects with them. Can't get into my cardiologist right now because I am waiting for referral to an Electrophysiologist and supposed to be taking all three medications for now. Not sure what to do :).

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@ejbb Keep in mind that a visit to the ER or Urgent Care is an option. Are one or both of these nearby?

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Profile picture for Linda, Volunteer Mentor @walkinggirl

@jc76 Hi! I am a little confused because you wrote you have cardiomyopathy but not hereditary HCM. That is new to me, would you be willing to explain nonheredity cardiomyopathy to us? Thank you.

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@walkinggirl
“My cardiomyopathy is non‑hereditary because it wasn’t caused by a gene mutation. I developed it after a viral infection that inflamed and damaged my heart muscle — this is called viral myocarditis. When the heart is injured by a virus, it can weaken and enlarge over time, leading to dilated cardiomyopathy. So in my case, it’s an acquired condition, not something inherited or passed down in families.”

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Profile picture for Linda, Volunteer Mentor @walkinggirl

@jc76 Hi! I am a little confused because you wrote you have cardiomyopathy but not hereditary HCM. That is new to me, would you be willing to explain nonheredity cardiomyopathy to us? Thank you.

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@walkinggirl
I posted a reply here explaining non hereditary cardiomyopathy but don't see it. It is when the cause of the cardiomyopathy is caused by infection or virus infection of heart which can cause heart injury, heart enlargement, electrical issues, ejection fraction reduction but the cause was not hereditary.

In fact mine was not caused by cardiovascular disease (Catherization of arteries done) as had no signs of clogged arteries when diagnosed with cardiomyopathy. I was asked back then if had been sick recently. I replied yes couple of months ago horrendous viral infection.

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Profile picture for ejbb @ejbb

@jc76 My doctor put me on Jardiance also. After only three days taking Jardiance, I experienced a frightening episode of adrenaline rush and confusion. It was terrifying. I think it is removing too much glucose or something. I stayed very hydrated so don't know what caused this other than too much blood pressure medication? I am afraid to stay on this. I want to keep taking only my Entresto and Metoprolol. Never had scary side effects with them. Can't get into my cardiologist right now because I am waiting for referral to an Electrophysiologist and supposed to be taking all three medications for now. Not sure what to do :).

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@ejbb
Got to stay with what your medical doctors want you to do.

I can only give you my personal experience with Jardiance. I experience no side affects from it. It was given to me not to address diabetes but it was shown (per my Mayo HF doctor) to help remodel a heart failure/enlarged heart.

Now again if from my own experience and not as a medical doctor when you are worried, stressed, anxiety, your body will cause adrenaline rush. It is the "fight or flight" response from your body and sends adrenaline. Now not saying that is the reason you got it but just to pass on to you you can get adrenaline rush from worrying, concern, anxiety, stress, etc.

Have your doctors suggested you drink electrolytes? I know when I have issues with tachycardia and go to ER the first thing they check is my electrolytes. The medications you mentioned are very common for heart failure, PVCs, PACs, etc.

Do you have a primary care doctor. If you can't get to your cardiologist seek out your primary care doctor for guidance on the Jardiance.

I see both a heart failure doctor and electrophysiologist and both interact as a team. If you are on entresto do you have heart failure? If so you can see why you cardiologist put you on Jardiance with the possible benefit of remodeling your heart that research is showing.

I don't want to infer I know why you had adrenaline rush I am not a medical doctor. Wanted to pass on my personal experience with this. When I experience high stress, anxiety, I can have an adrenaline rush. I take "Coreg" that is suppose to curtail adrenaline rushes. But I recently lost my PTSD dog of 13 years and my stress and anxiety caused me to have adrenaline response and I developed tachycardia and eventual shocks from my ICD.

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