@8godspeace8 "Welcome to Mayo Clinic Connect, a forum where you can meet others with similar health issues. It is not a place to get professional medical care. You are wondering if you need an ICD or BiVentricular pacer. This is probably all new to you, no wonder you feel lost and overwhelmed! Please believe me when I write here that just about everyone reading these discussions thought or expressed the very same reaction! I'll add scared to the mix. Yet, here we are, the bionic people, living our lives with our devices.

Your medical team is the group of people who would answer your question. To help you make that decision with them, please learn all you can about both, that will help generate questions for you to ask. The best patients are the well-informed patients. Knowledge is Power!

I just learned, while looking for links you can choose to read, that a BiVentricular pacer is a "fancy" name for a device that helps the ventricles (lower chambers) do their squeezing in a more organized way. You can read about that here: https://www.mayoclinic.org/tests-procedures/cardiac-resynchronization-therapy/pyc-20385014

In addition, an ICD is explained here: https://www.mayoclinic.org/tests-procedures/implantable-cardioverter-defibrillators/about/pac-20384692

While both help your heart function better, there are differences in how they function. One important question that comes to mind is which would better suit your unique needs? Your doctors know the specific things about your heart and would be the ones giving their professional answer based on their medical expertise.

What symptoms are you experiencing? Have they been happening for a long time? Are you affiliated with a specialized heart institution?