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Letters |1 December 1995

More on Patients with Implantable Cardioverter-Defibrillators

Sergio L. Pinski, MD; Richard G. Trohman, MD

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  • Cleveland Clinic Foundation; Cleveland, OH 44195
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IN RESPONSE:
We appreciate the comments of Embil and Geddes. Return to work after implantable cardioverter-defibrillator implantation is potentially complicated by several issues, including lead stability, driving, operating machinery when syncope might result in serious injury or death, and effects of electromagnetic interference.
Endocardial leads are infrequently dislodged after nonthoracotomy implantation of the defibrillator [1]. Although most dislodgments are detected before hospital discharge, optimal lead fixation requires several weeks. We recommend that patients avoid lifting more than 30 pounds and other vigorous arm movements for 6 weeks after lead placement.
Many physicians permit driving about 6 or 7 months...
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Pinski SL, Trohman RG. More on Patients with Implantable Cardioverter-Defibrillators. Ann Intern Med. 1995;123:893. doi: 10.7326/0003-4819-123-11-199512010-00022

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Published: Ann Intern Med. 1995;123(11):893.

DOI: 10.7326/0003-4819-123-11-199512010-00022

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