Comments on: Implantable Cardioverter Defibrillator (ICD) Exercise Guidelines https://drbillsukala.com/implantable-cardioverter-defibrillator-icd-exercise-guidelines/ Health Science Communicator Tue, 21 Jun 2022 23:06:38 +0000 hourly 1 https://wordpress.org/?v=6.1.1 By: Dr Bill Sukala https://drbillsukala.com/implantable-cardioverter-defibrillator-icd-exercise-guidelines/#comment-2508 Mon, 09 Aug 2021 01:35:47 +0000 https://williamsukala.com/?p=562#comment-2508 In reply to Richard Cox.

Hi Richard, I’d recommend talking to your cardiologist to see about getting a referral to your closest cardiac rehabilitation. They will be able to work closely with you in a controlled environment to help you find the exercise motions that will be safe and not impact your leads. I’m sorry I’m unable to be more specific here, as I’m not able to give any specific advice online. Your medical management team will be most familiar with your medical history and will best be able to help you. Kind regards, Bill

]]>
By: Richard Cox https://drbillsukala.com/implantable-cardioverter-defibrillator-icd-exercise-guidelines/#comment-2505 Wed, 04 Aug 2021 23:24:27 +0000 https://williamsukala.com/?p=562#comment-2505 My nurse that reads my pacemaker told me I can’t have my clavicle go over my first rib because it may cause too much wear on my lead. What exercise can I do at the gym and what should I avoid?

]]>
By: Dr Bill Sukala https://drbillsukala.com/implantable-cardioverter-defibrillator-icd-exercise-guidelines/#comment-2504 Thu, 29 Jul 2021 05:40:06 +0000 https://williamsukala.com/?p=562#comment-2504 In reply to Annie.

Perhaps take a short video clip of how the machine works and then send it to your cardiologist to assess if it will affect your leads. Also bear in mind that exercise intensity may also affect the impact on the wires. It may be in your best interest to attend a cardiac rehabilitation to see about getting an assessment with an exercise physiologist and finding some exercises that will do the job and also be appropriate for your specific situation. Hope this helps.

]]>
By: Annie https://drbillsukala.com/implantable-cardioverter-defibrillator-icd-exercise-guidelines/#comment-2503 Wed, 28 Jul 2021 03:47:06 +0000 https://williamsukala.com/?p=562#comment-2503 I’ve been looking for information on safety exercising with an icd for a long time. This is the first time I’ve found anything even close to what I’m in need of.
I’m so confused. When I first got my icd I was told that I could never use my bow flex again. That it would bend my leads. Is this true? My arms went to crap! They haven’t had any exercise for 4 years now because I was afraid I’d break it.
Thank you!

]]>
By: Dr Bill Sukala https://drbillsukala.com/implantable-cardioverter-defibrillator-icd-exercise-guidelines/#comment-2486 Thu, 10 Jun 2021 23:46:40 +0000 https://williamsukala.com/?p=562#comment-2486 In reply to Joshua.

Hi Joshua,
Thanks for taking the time to leave a comment. I don’t think this is one of those cut and dry yes or no sorts of situations, but one in which you need to work closely with your cardiologist in order to work out the dos and don’ts specific to your situation. If you were doing highly explosive exercises like Cross-Fit, then that could plausibly affect the leads more so than controlled movements with a stable upper body. There may be wear and tear on the leads so this could be a concern, but it’s about working with your cardiologist and discussing the quality of life issues versus the (obviously) important placement of the ICD. Moving forward, it will be important to know the standard life span of the ICD and wires in order to plan for replacements along the way. Feel free to stop back with any updates or questions so that other readers may benefit.

Kind regards,
Bill

]]>
By: Joshua https://drbillsukala.com/implantable-cardioverter-defibrillator-icd-exercise-guidelines/#comment-2481 Tue, 08 Jun 2021 03:25:47 +0000 https://williamsukala.com/?p=562#comment-2481 Hey I hope you’re still answering comments! I haven’t got a straight answer for this yet. My issue isn’t with the physical strain from the exercise, my worry is what weight lifting exercises will strain or potentially break the leads? Do I stay away from chest exercises? Push-ups? Any lifting over my head like shoulder press? I’ve been told to stay away from repetitive chest movements but no clear defined answer

]]>
By: Dr Bill Sukala https://drbillsukala.com/implantable-cardioverter-defibrillator-icd-exercise-guidelines/#comment-2474 Wed, 12 May 2021 01:24:21 +0000 https://williamsukala.com/?p=562#comment-2474 In reply to marty.

Hi Marty,
It’s hard to say exactly. I would strongly encourage you to discuss this with your cardiologist who will best be able to give you a firm answer.

Kind regards,
Bill

]]>
By: marty https://drbillsukala.com/implantable-cardioverter-defibrillator-icd-exercise-guidelines/#comment-2473 Mon, 10 May 2021 14:37:00 +0000 https://williamsukala.com/?p=562#comment-2473 How soon after an ICD implant is it safe to take a full hard golf swing?

]]>
By: Dr Bill Sukala https://drbillsukala.com/implantable-cardioverter-defibrillator-icd-exercise-guidelines/#comment-2464 Wed, 21 Apr 2021 23:54:09 +0000 https://williamsukala.com/?p=562#comment-2464 In reply to Jackie.

Hi Jackie,
Thanks for taking the time to leave a comment and for your excellent questions.

As with any electrical device, an ICD will experience normal wear and tear over time. Any exercise that causes the wires to repeatedly flex could plausibly lead to greater wear and tear and contribute to it wearing out sooner. I would strongly suggest having this conversation with your cardiologist and discussing your needs regarding exercise. It is definitely a quality of life issue for you so it’s a worthwhile discussion. You might also want to discuss what the usual lifespan is of the device and how often the wires would need replacing under normal circumstances. The more information you have in this regard, the better off you’ll be with keeping up with any potential maintenance.

The other consideration is that aggressive exercise could plausibly affect the lead placement and cause it to dislodge. But again, these are all points worth brining up with your cardiologist (or if unavailable, speak to the practice nurse). Good quality information is going to give you the peace of mind you need to exercise safely. Over time, you’ll get a better indication of what exercises are safer than others with regards to the leads.

Hope this is helpful. Feel free to stop back and leave another comment.

Kind regards,
Bill

]]>
By: Jackie https://drbillsukala.com/implantable-cardioverter-defibrillator-icd-exercise-guidelines/#comment-2459 Tue, 20 Apr 2021 14:41:52 +0000 https://williamsukala.com/?p=562#comment-2459 Hi Dr. Sukala,

I’m 33yrs old and had an ICD placed about 5 months ago. Prior to placement, I was very active and would do around two sets of 10-15 pull-ups and 25 push-ups 4 to 5 days a week.

I’d like to get back to these activities, though I fear breaking a lead from the repetitive movement under stress.

Could you share your perspective on the risk of breaking leads while engaging in the activities? Would narrow vs wide grip/position make any difference? Should I expect the leads to wear out and break eventually regardless of my choice in activity?

Thanks in advance for your time, and for this article!

Jackie

]]>