Which of the following should be included in pre-implantation counseling for an ICD?

Including the benefits, safety, and risks of ICD therapy in pre-implantation counseling is essential for informed patient decision-making. Understanding how the Implantable Cardioverter-Defibrillator (ICD) functions, its purpose in preventing sudden cardiac arrest, and the potential side effects or complications can help patients weigh the advantages against any concerns they may have. It enables patients to have realistic expectations regarding the therapy and prepares them for any lifestyle adjustments they may need to make following the implantation.

This conversation about the benefits, such as improved survival rates and quality of life for patients at risk of life-threatening arrhythmias, combined with a discussion of risks—like device-related complications or the psychological impact of receiving a shock—provides a comprehensive overview. Effective counseling ensures that patients feel empowered to make an educated decision about their treatment options and supports the development of a trusting relationship between the patient and the healthcare team.