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hello iamp;#39;m dr kevin thomas a cardiac electrophysiologist with the norton heart and vascular institute an implantable cardioverter defibrillator commonly known as an icd is a device designed to administer life-saving therapy in the event of a cardiac arrest your doctor may recommend this procedure if you have previously experienced or are at increased risk for life-threatening abnormal heart rhythms called ventricular tachycardia or ventricular fibrillation these life-threatening rhythms can cause sudden cardiac arrest which can lead to death if not immediately treated the icd monitors your heart rhythm 24 hours per day and when the icd senses a dangerous life-threatening heart rhythm it will send an electrical pulse to your heart to reset its normal rhythm and allow your heart to resume pumping blood through your body this is known as defibrillation the icd is composed of a generator which is the small lightweight metal case that contains the battery and circuitry and leads whic