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ICD settings


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Toogoofy317 non-obstructed hcm, AICD 11-01-02 and 10-6-05
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  • ICD settings

    I'm just curious as to what everyone else's settings are so I can get an idea. My settings seem extremly high.

    My ICD is set to start recording and firing at 220! I've read that others are around 165 or so. I've also heard that others experience v-tach around those numbers too. With these ongoing episodes of being tachy at 130-145 and last night hitting above 150 I just can't help but wonder if I am having some sort of arrythmia. When I feel my own pulse it is not always steady. It will beat really hard and fast then stop for a second and go back.

    I've got a call in to Dr. Maron to see if he can shed some light on this.

    Mary S.

  • #2
    Re: ICD settings

    i think mine wakes up at 180--i'll check and confirm


    • #3
      Re: ICD settings

      My husband had his ICD interrogated today and it is set to shock at 200 bpm.


      Husband has HCM.
      3 kids - ages 23, 21, & 19. All presently clear of HCM.


      • #4
        Re: ICD settings

        My device is also set to shock me at 200 bpm.

        Mongo - It may be that your device is set a bit too low, and that your shock the other day was innappropriate. Maybe you should have your setting adjusted upward.

        Mary - I have my device programmed to "monitor only" arrythmias over 150 but less than 200 where my ICD will treat them. Maybe you could have yours set this way so you will have some record of what episodes you are having, even if they don't need treatment.
        Daughter of Father with HCM
        Diagnosed with HCM 1999.
        Full term pregnancy - Son born 11/01
        ICD implanted 2/03; generator replaced 2/2005 and 2/2012
        Myectomy 8/11/06 - Joe Dearani - Mayo Clinic.


        • #5
          Re: ICD settings

          Mine is set to monitor at 145, fire 1 at 165, fire 2 at 185. On the low side it will begin to pace at 50 bpm.


          • #6
            Re: ICD settings

            Your settings are also going to vary based upon your condition and age. My husband is 35 and shows no symptoms, so they set his at 200.


            • #7
              Re: ICD settings

              These are right from my printout, which I just got Tuesday:

              Paces at 40 bpm, the voltage was just upped a bit.
              Intitial Detection: 170 bpm
              VF Zone: 185 bpm
              A-Tachy Response: 170 bpm


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