Travelling with an ICD

Check with your doctor, but most people with an ICD should be able to travel. If you are going to be away for three months or more it is wise to get the details of the nearest pacing clinic to where you are going, in case you need to get your device interrogated.

Airport security

Most people with defibrillators are not affected when passing through security gates in airports, or by electronic anti-theft gates in stores and libraries. However it is wise to avoid them if possible. If you are made to walk through the electronic gate simply walk through the gate at a normal pace and avoid lingering near or leaning on the system. If you experience dizziness, fast heartbeats (palpitations), or an extra shock caused by interference from equipment, simply move further away from the item. Your defibrillator will immediately return to working normally. If the metal case around your defibrillator sets off an airport detection alarm, show your defibrillator identification card. (For international airports, you may want a six-language card that states: “I have an implanted heart defibrillator that may set off your metal detection device.”

Request a hand search to clear you through the security system. Avoid handheld screening wands because these have strong magnets. Moving the wand back-and-forth over the defibrillator may cause the defibrillator to deliver a shock.

Are ICDs reliable?

Yes, ICDs rarely go wrong or cause any problem at all. But just to be completely sure it is working correctly, you will have a regular check at the pacing clinic.

Will excitement or activities set the device off ?

No, normal levels of excitement or activity will not trigger the device. Arguments, sexual activity, DIY, fast walking, digging the garden are all perfectly safe. It is important to stay active and to live a normal life.

Does the device cause damage if it goes off ?

No, it does not damage your heart. If the device delivers a therapy you may first lose consciousness for a moment. If you are awake it may be painful. Some people describe it like being kicked in the chest. Others say the experience is not bad. Most people feel fine after a shock, but it is always wise to contact the pacing clinic to tell them. A shock can cause loss of confidence. This is a normal reaction and you will start to feel better after a few days.

If someone is touching me when it goes off is it dangerous ?

It is unlikely that they will feel anything at all. If they do, it may be a slight tingle.

Electrical Interference

There are many myths about electrical devices. Most common household items such as microwave ovens, electric blankets, computers and remote controlled phones are safe. Some things which should be avoided are:

MRI - (magnetic resonance imaging), also shock wave therapy for kidney stones and muscle or nerve stimulation for pain management.

Cellular phones - these rarely interfere with ICD action, although patients are encouraged to keep the phone at least six inches away from the device site.

Strong electrical or magnetic fields - these include some amusement park rides, large stereo speakers (e.g. concert size) and large magnets.

If in doubt about any piece of equipment it is wise to ask at the pacing clinic.