ICD Placement: Recovery at Home

Most people return to their normal routine in 1 to 2 weeks.

You may see the outline of the device under your skin or feel a hard ridge; this usually softens over the coming months.

Do not raise your arm (on the side where the ICD is located) above shoulder level.

You must follow this rule until your doctor says it is okay. This prevents the leads (wires) from pulling out of your heart while they heal.

Walking: Recommended. Increase distance daily to prevent pneumonia.
No Straining: For 3–4 weeks, avoid pushing mowers, vacuuming, lifting heavy groceries, or holding children.
No Heavy Exercise: Avoid jogging, weight lifting, or heavy cardio.
Driving/Work: Ask your doctor when it is safe to return (usually 1–2 weeks for work).

Cleaning: Wash daily with warm water/soap. Pat dry. Do not use hydrogen peroxide or alcohol.
Bathing: Ask your doctor when you can shower. Keep the area dry.
Medicines: Many patients can take NSAIDs (such as ibuprofen or naproxen) after this procedure, but some patients should avoid them.
- NSAIDs may not be safe if you have kidney disease
- They may increase bleeding risk if you are on blood thinners or antiplatelet medications (such as Plavix®)
- They may not be recommended if you have a history of stomach or GI bleeding
Always confirm with your cardiologist or care team which pain medications you can and cannot take based on your specific health conditions.
Bandages: Leave tape strips on until they fall off (about 1 week).

Living with an ICD

Identification: Carry an ICD ID card and wear a medical alert bracelet/necklace.
Electronics: Keep cell phones 6 inches away from the device. Avoid strong magnetic fields.
Be Prepared: Have an action plan from your doctor about what to do if you receive a shock.
End of Life: Talk to your doctor about including ICD instructions in your advance directive.