ICD vs. Pacemaker: What’s the Difference?

Patients with heart rhythm disorders may be advised to have a pacemaker or an implantable cardioverter defibrillator (ICD). While these devices may seem similar, they serve different purposes in managing heart conditions.


What is a Pacemaker?

A pacemaker is a small device that helps control slow or irregular heartbeats. It sends electrical signals to help the heart beat at a normal rate and rhythm, improving blood flow and reducing symptoms like dizziness and fatigue.

Used for:

  • Bradycardia (slow heart rate)
  • Heart block
  • Symptoms like fainting or extreme tiredness due to slow rhythms

What is an ICD?

An ICD (Implantable Cardioverter Defibrillator) is a device that monitors your heart rhythm and can deliver a life-saving shock if it detects dangerous fast rhythms (ventricular tachycardia or ventricular fibrillation) that can lead to sudden cardiac arrest.

Used for:

  • Patients at risk of sudden cardiac arrest
  • Those who have survived a cardiac arrest
  • Patients with certain types of heart failure and dangerous arrhythmias

Key Differences Between ICD and Pacemaker

Feature

Pacemaker

ICD

Main Function

Prevents slow heart rates

Treats dangerous fast rhythms

Shock Capability

No

Yes, delivers shocks to restore rhythm

Pacing

Continuous pacing support

Pacing + shock therapy

Used For

Bradycardia, heart block

VT/VF, sudden cardiac arrest prevention


Which Device Do You Need?

The choice between an ICD and a pacemaker depends on:

  • Your heart rhythm condition
  • Risk of sudden cardiac arrest
  • Presence of heart failure
  • Recommendations from your cardiologist

Your doctor and cardiac device specialist will evaluate your condition and guide you to the most appropriate device to improve your quality of life and safety.


I’m Md Mijanur Rahman, as an Expert of ICD and Pacemaker Support in Dhaka, Bangladesh

With over 11+ years of experience in cardiac device support, I provide:
Technical assistance during ICD and pacemaker implantation
Programming, follow-up, and troubleshooting
Patient counseling for safe device management
Collaboration with hospitals and cardiologists across Bangladesh

If you need professional ICD or pacemaker support, please contact me for expert assistance.


Final Patient Tips:

Always attend regular follow-ups to check your device.
Report any unusual symptoms like palpitations or dizziness.
Carry your device ID card at all times.