AICD Implantation Cost in India

AICD Implantation Price in India

  • The cost of Single Chamber AICD Implantation in India ranges from USD 8000 (INR 663,400) – 8500 (INR 705,000).
  • The cost of Double Chamber AICD Implantation in India ranges from USD 12000 (INR 995,000) – 13000 (INR 1080,000). 
  • The AICD surgery hospitals in India promise unparalleled health treatments at low-cost packages.
AICD Implantation PriceNo. of TravelersDays in HospitalTotal Days in India
USD 8,000227
The cost of Automatic Implantable Cardioverter Defibrillator (AICD) placement depends upon various factors such as:
  • Type and quality of defibrillator used
  • The type of hospital room preferred
  • Experience of the surgeon
  • Cost of medicines and other consumables
  • Management of post-surgery complications
  • Total duration of hospital stay
  • Rehabilitation and physical therapy costs

The following table indicates the cost of AICD implantation around the world:

AICD Cost includes Device and Surgery Expenses
India Thailand Spain USA
$9000 $15000 $45000 $70000

What is AICD?

AICD is an electronic device implanted near the heart to track the heart rhythm. It is a type of pacemaker device, which helps deliver anti-tachycardia pacing and shocks to the heart. It corrects ventricular fibrillation and ventricular tachycardia.

All major cardiac specialty hospitals, and several multi-specialty hospitals, have the facility for conducting surgery for Automated implantable cardioverter-defibrillator (AICD) Implantation.

One should look for an experienced cardiac surgeon for a major surgery like AICD. The best surgeons work in close association with the hospitals to impart affordable AICD implantation surgery in India. As a patient, it is important to verify the credentials and experience of the surgeon before opting for the procedure.

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What are the components of AICD?

An AICD is an electronic device that consists of the following components:

  • A small box containing a battery and a computer chip. This box is implanted close to the heart and is capable of recording and monitoring heart rhythm.
  • Leads or wires that are connected to the surface of the heart on one end and to the box at the other end. These leads are capable of sensing the heart rhythm and delivering cardiac shocks to regulate the rhythm.
  • The pulse generator is an important part of the ICD box. It is implanted beneath the skin of the chest or abdomen. The pulse generator identifies abnormal rhythm and sends electrical impulses to the heart through the leads for regulation of heart rhythm.

It is important to note that an ICD device is programmed to identify faulty rhythm and correct it. Also, It does not prevent it from happening. 

When is AICD used?

An AICD is used for the treatment of the following disorders:

  • Ventricular fibrillation: This condition is characterized by a much faster and erratic heart rhythm (around 300 beats per minute). The electrical action is severely disrupted. As a result, an insufficient amount of blood is pumped from the heart. An individual with this condition gets unconscious easily and frequently.
  • Ventricular tachycardia: This is a life-threatening condition. The ventricles beat very quickly but the rate is a bit less than that of fibrillation. The fast heart rhythm disrupts the blood flow. Such patients experience dizziness and unconsciousness.

It is indicated for patients who have –

  • Experience an episode (at least) of Ventricular Tachycardia (VT) or Ventricular Fibrillation (Vfib)
  • Prior history of cardiac arrest or abnormal heart rhythm which resulted in fainting or passing out
  • A fast heart rhythm that keeps returning and cannot be treated by surgery; could cause death
  • A fast heart rhythm that cannot be managed using medications or other methods
  • Serious side effects from medications that are used to treat ventricular conditions

The cardiac surgeons may recommend an AICD implantation in case the child or adult patient is at risk of having a life-threatening ventricular arrhythmia due to the following conditions:

  • A ventricular arrhythmia
  • Prior sudden heart attack
  • Post sudden cardiac arrest
  • Long QT syndrome
  • Brugada syndrome
  • Congenital heart disease or other medical conditions that can lead to sudden cardiac arrest

How does an AICD work?

The AICD device constantly monitors the heart rhythm of the patient, identifies when there is an abnormal heart rhythm and determines the appropriate function to make the heartbeat normal again. When there is an abnormal heartbeat, the wires connected to the heart will transmit signals to the pulse generator of the ICD, which then sends tiny electrical pulses to regulate the heartbeat.

The doctor will program the AICD depending on the underlying arrhythmia condition and treatment. It includes the following functions:

When the heartbeat is too slow, ICD with a pacemaker feature is used. It works as a pacemaker device and sends electric signals to the heart.

In cases where the heartbeat gets too fast or chaotic, ICD will provide defibrillation shocks to stop these abnormal rhythms.

The patient may feel nothing at all or a small painless fluttering in the chest when the ICD responds to mild problems of a heartbeat.

A higher-energy shock is delivered by the ICD in case of serious heart rhythm problems. The shock can be painful, like a kick to the chest, but the pain will last only a second. Usually, there is no discomfort after the shock ends.

The device works consistently for 24 hours every day.

The newer devices also have the function for overdrive pacing to electrically convert a sustained ventricular tachycardia (i.e. fast heart rhythm) or backup pacing for bradycardia (i.e. slow heart rhythm). A number of sophisticated functions such as storage of detected arrhythmic events, performing electrophysiologic testing and more, are available for different AICD devices. A device might have one or all of these functions:

  • Anti-tachycardia pacing (ATP) – when the heartbeat is too fast. It delivers a series of small electrical impulses to the heart muscle and restores a normal heart rhythm.
  • Cardioversion – Gives a low energy shock at the same time as the heartbeat in order to restore a normal heart rate.
  • Defibrillation – delivers a high-energy shock to the heart muscle when the rhythm is too fast.
  • Bradycardia pacing –delivers small electrical pulses to stimulate the heart muscle when the heart beats too slow.

How can Lyfboat assist you getting AICD implantation Surgery in India?

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Lyfboat is a free advisory platform; we do not charge any fees from patients. In fact, we negotiate the price that Indian hospitals offer. In some cases we are able to reduce the cost by negotiating upto 20% of what Hospitals generally offer. We advise the best treatment from the top hospital/surgeon at best price.

Before AICD Implantation

There are certain instructions, one should follow before the Implantation, including:

  • Avoid eating or drinking anything at least six hours before the procedure.
  • Inform your surgeon about the drugs or medicines that you are currently taking. It helps manage some other health conditions. Follow your surgeon’s advice on which drugs you should take and the ones that you must avoid.
  • Do not take any blood-thinning medications for a few days before the surgery.
  • Only take medicines approved by the doctor with a small amount of water.

What happens during AICD implantation?

During the surgery, the surgeon implants the device in a similar manner as that of a pacemaker. The generator that produces electrical impulses is placed in the upper chest area. The venous access is achieved through the subclavian vein. It helps to place the leads that deliver electric shocks.

AICD implantation is a major, yet simple surgery. The procedure lasts for about two hours. It is performed under the influence of a sedative and a local anesthetic. During the procedure, the surgeon makes a small incision in the targeted areas and inserts a tube into the large vein of the body.

This tube is used to insert a wire into the lower chamber of the right side of the heart. Sometimes, two wires for the upper and lower chamber of the right side of the heart are used.

The other end of the wire is connected to the ICD box that contains a battery. This box is placed in a small pocket created under the skin. The whole arrangement is tested to check for normal functioning. Once the working of the device is checked, the doctors close the incision with the help of stitches and dressing.

The patient is required to stay in the hospital for two to three days after the surgery. During this duration, the overall health of the patient and the working of the device are monitored.

What can be expected after the procedure?

The patient typically needs to stay for 1 or 2 days after the AICD implantation procedure. There will have slight discomfort and some bruising in the area where the pacemaker is implanted. This can persist for a few weeks. The bruising might lead to a bluish discoloration over the upper chest and arm, it will subside in some time.

The sterile dressing over the incision for pacemaker placement is usually kept for 6 days. This dressing is to allow the wound to heal enough and as it is waterproof, the patient can take shower without removing the dressing. It can be carefully removed by the patient on the 6th day after the procedure. 

It is advisable to avoid strenuous activities including lifting or pulling the arm above the head for around 4 weeks after the procedure. Also, sports and activities such as swimming, playing golf, or bowling should also be avoided for 4 weeks. Even after recovery, it is important to protect the AICD device from any trauma or injury while participating in sports.

The doctor will discuss when the patient can start driving based on the underlying heart condition. Patients who have a heart rhythm disturbance are usually disqualified from driving for 6 months. 

Most patients are able to return to work and normal activating within days. But it may vary depending on the nature of the job, overall health, and healing progress during the recovery.

What precautions one should take after AICD Implantation?

Following precautions should be taken after Implantation:

  • You should not skip or change the medications prescribed by the surgeon.
  • Strong magnetic fields around things such as metal detectors, audio speakers, and electrical speakers must be avoided. This may turn off the ICD device.
  • Mobile phones must not be kept too close to the device.
  • Inform the doctor as soon as you realize the wound or skin around the wound becomes red or swollen. Any appearance of fluid from the wound must also be informed.
  • Activities such as cycling, swimming, climbing stairs, horse riding, and other contact sports must be avoided.
  • The site of ICD implantation must never be pressurized.

What are the Risks and Complications of AICD Implantation?

Following are the risks and complications of AICD Implantation:

  • Inappropriate shocks (early or late)
  • Device failure
  • Infection at the surgical site
  • Heart failure
  • Perforation
  • Problems with the lead
  • Pocket hematoma
  • Tricuspid valve regurgitation
  • Pneumothorax

Can the AICD batteries wear out?

Yes, the battery can wear out over time. The battery of an AICD pulse generator provides the energy to monitor the heart rhythm, and adjust the pace of the heart by delivering electrical therapy. The duration of the battery of the AICD pulse generator may last depending on the kind of settings programmed into its system. It is also affected by the frequency of therapy the patient receives.

The surgeon can replace the AICD pulse generator by opening the pocket of the skin where it is placed. After unplugging the leads from the old pulse generator and checking that the leads are working properly, the new AICD pulse generator is connected to the wires. The surgeon will then close the incision after checking that AICD is working properly. It is a minor operation.

Vanshika Rawat

Written By Vanshika Rawat

Vanshika Rawat is an experienced content developer. She is very knowledgeable in the field of science and healthcare and has worked under brilliant scientists during her higher education. Vanshika obtained her degrees in Masters in Science and Bachelors in Science (Microbiology with Hons.) from renowned institutions - Panjab University and University of Delhi.

Best AICD surgery Hospitals in India

The implantation surgery is performed at several top hospitals in the country. It is a complex procedure that requires advanced facilities and monitoring systems in place for successful output. All the necessary technology or equipment is available at the top cardiac hospitals in India. The hospital authorities understand the need for the use of the most advanced technology and believe in getting all the required materials or instruments as soon as they are made available. All these factors along with the affordable cost of AICD in Indian Hospitals, contribute to making India a preferred destination for getting treatment, not only for national but also for international patients.

Best AICD surgeons in India

The Cardiac surgeons performing AICD implantation surgery in India, have carved a name for themselves at a global level through their dedicated efforts, patience, and compassion. These specialists are backed by solid educational qualifications and trained from the renowned and prestigious medical institutions of the world.

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