Defibrillator-Pacemaker: What's the Difference?

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Bob Graham had no idea his heart was ailing until he collapsed at the gym.

"All of a sudden I just went over and that's the last I remember until I woke up about two weeks later."

When Bob left the hospital, he took two things with him; a stent to keep his artery open and a pacemaker that regulates his heartbeat.

"I have it checked about every three months, and they check it out to see if they have to put another new battery in."

Pacemakers are often confused with defibrillators which can both be implanted in the chest. They both stay with you for life but inside are very different devices.

"A defibrillator is a device that's very similar to a pacemaker. A defibrillator is a bit different in that it senses if the heart stops and can actually shock the heart internally and return normal function," says Dr. Richard Chazal, a cardiologist with Lee Memorial Health System.

The pacemaker is meant for patients like Bob, with heart arrhythmias, which are not treatable with medication. It only works when it's needed.

"A typical pacemaker simply can keep the heart from going too slowly but if a person had their heart stop the pacemaker usually won't work," says Dr. Chazal.

About the size of a pocket watch, the pacemaker is smaller and targets arrhythmias. A slightly bit bigger in size, the defibrillator takes up the pacemaker's function but includes the ability to jump-start the heart.

"A defibrillator will provide that pacing function but also in someone with a really bad heart where the heart might actually stop or having what we call ventricular fibrillation, that defibrillator can sense that event and immediately shock the heart within a matter of seconds," Dr. Chazal.

You doctor can address the suitability of either device. Both have proven safe and reliable restoring patients quality of life.

"I live normal, I have no problems," says Bob.

Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries.

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I have an ICD since two years. I'm very happy of my "new friend" who cares of me in case of... My life is normal, as before the implantation.

claudiograssi
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an over-simplification of the function of the defibrillator...it doesn't shock a "stopped" heart, but instead, it shocks a heart rhythm that is too fast, as in ventricular tachycardia or ventricular defibrillation.

mcornett
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I have had one now for 8 years after 5 years at they change the battery I also had them turn down the defibrillator so it wouldn't Shock Me So Hard instead just tickle my heart a little bit and it goes off occasionally usually like 5 in the morning my heart Pacer Works usually when I go to sleep at night anyway thank God for the heart Pacer and defibrillator otherwise I'd be dead

lestermunyon
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My pacemaker works all the time because of the severity of my heart block and arrhythmia.
#Pacemakerlife

catieq
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Is it possible to have a stimulator and a défibrillateur togather ?

schirmeyerb
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What happens to a patient with either a ICD or pacemaker at end of life or once admitted to hospice?

-jd
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what should be covered during a pre op on a pt who has a pacemaker?

OurPetss.
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I have both in one my back went back to normal...

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I have both of them I shock and die every day yes I have many

ANGEL-sdto
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I know me they put a magnet over mine to turn it off

kimberlyschwartzentrub
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My pacemaker works all the time because of the severity of my heart block and arrhythmia.
#Pacemakerlife

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