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What does a pacemaker do?
Maintains an appropriate HR/rhythm when intrinsic conduction is inadequate
Common reason for pacemaker implantation
Symptomatic bradyarrhythmias/conduction abnormalities
What does an ICD do?
Continuously monitors rhythm
Delivers electrical therapy when dangerous arrhythmias occur
Pacemaker vs ICD
Pacemaker: primarily prevents/treats excessively slow rhythms
ICD: detects/treats potentially lethal ventricular arrhythmias
PT implication
Know the device indication and prescribed HR limits
Observe post-implant UE/incision precautions
Monitor for dizziness, syncope, palpitations, or device discharge