Cardiac Implantable Electronic Devices (CIEDs) are revolutionizing how we treat arrhythmias and prevent sudden cardiac death. These devices include pacemakers, implantable cardioverter defibrillators (ICDs), and cardiac resynchronization therapy (CRT) devices — each playing a unique role in improving heart function and saving lives.

What Are CIEDs?
CIEDs are small electronic devices placed inside the body, typically on the chest below the collar bone with leads(wires/electrodes) inside the heart, to monitor and regulate heartbeat. They deliver electrical impulses when irregularities are detected.

– Pacemaker: Helps regulate slow heart rhythms (bradycardia).
– ICD: Detects and corrects life-threatening fast rhythms (ventricular tachycardia/ ventricular fibrillation) by delivering a shock when it is not able to be controlled by rhythm managing protocol also called ATP(anti-tachycardia Pacing)
– CRT Devices: Synchronize heartbeats in patients with heart failure.

Who Needs a CIED?
Patients may need a CIED if they:
– Experience frequent fainting spells due to slow heartbeat
– Survive sudden cardiac arrest
– Have heart failure with poor pumping efficiency
– Live with persistent arrhythmias resistant to medication

How CIEDs Work
These devices continuously monitor heart rhythms and respond in real-time:
– Pacemakers send electrical signals when the heartbeat slows down.
– ICDs shock the heart when a deadly rhythm like ventricular tachycardia is detected.
– CRT devices ensure both sides of the heart beat in unison.

Benefits of CIEDs
– Prevent sudden cardiac death
– Reduce hospitalization
– Improve physical stamina and quality of life
– Lower risk of heart failure complications

Life with a CIED
Patients with CIEDs can lead a full, active life. However, they should:
– Avoid strong magnetic fields (unless device is MRI-compatible)
– Inform airport security
– Attend regular follow-ups for battery and lead checks

How Heartbeat Foundation Helps
CIEDs can be expensive. Heartbeat Foundation works with hospitals and sponsors to provide subsidized or free implantation to underprivileged patients through screening camps and referrals.

Conclusion
CIEDs are not just medical devices — they are lifesaving tools. With the right support, technology, and care, patients with severe heart rhythm issues can live a normal, healthy life.