@scoleo70058 Hello Scott (your last name will be removed for privacy reasons) and welcome to Connect! I am not understanding "xs and os of how everything" you are asking about. I have an ICD installed after I was experiencing and electrical problem resulting in dizziness, giddiness and arrythmias after a septal myectomy, never had a shock. The Life Vest (I just looked it up) looks like a wearable ICD device. I'm impressed! Otherwise, you may have to be hooked up to a machine in the hospital until August 6th! Here is a link to read about AV node ablation https://www.mayoclinic.org/tests-procedures/av-node-ablation/multimedia/img-20096449 Please do read the comments written by other bionic people in this discussion thread. Where will you be going for your procedure? How was your AFib controlled until now?