Our implantable cardiac electrical devices (ICED) program provides a variety of cardiac device related procedures.
What it is the implantable cardiac electrical devices program?
Our implantable cardiac electrical devices (ICED) program provides a variety of cardiac device related procedures. It is based out of Royal Columbian Hospital. Depending on the type of procedure, they are done at either the Jim Pattison Outpatient Care and Surgery Centre or Royal Columbian Hospital.
- Implantable loop recorders: Heart-monitoring device that records your heart rhythm continuously for up to three years.
- Permanent pacemaker insertion (PPM): Implanted in patients who have slow heart rhythms.
- Implantable cardioverter defibrillator (ICD): Implanted in patients who are at an increased risk of developing ventricular arrhythmias and patients who have been resuscitated after ventricular tachycardia or ventricular fibrillation or sudden cardiac death.
- Cardiac resynchronization therapy (CRT): Implanted in patients who have heart failure, where their heart’s pumping ability is less than it should be.
How do I get referred to the implantable cardiac electrical devices program?
Once you and your heart specialist or cardiologist agree to proceed with a heart device implant, your specialist will fax a referral package to the ICED program central intake and booking office.
Where do I go for my implantable cardiac electrical devices procedure?
Your procedure could be done either at the Jim Pattison Outpatient Care and Surgery Centre or Royal Columbian Hospital depending on the type of procedure requested:
- Loop recorders and permanent pacemakers can be implanted at either facility
- Implantable cardioverter defibrillators and cardiac resynchronization therapy can only be implanted at Royal Columbian Hospital
- Complex cases for permanent pacemaker implants are done at Royal Columbian Hospital
How do I prepare for my appointment?
One week before your procedure
Do the following at least one week before your procedure:
- Organize a ride to and from Royal Columbian Hospital or the Jim Pattison Outpatient Care and Surgery Centre, depending on where your procedure is booked. You cannot drive right after the procedure. We will tell you after the procedure when you can drive again.
- Arrange to have someone with you if you would like someone to help you keep track of the information we give you, or if you need help reading or speaking English.
- Have someone stay with you for a day or two when you return home.
- Purchase the skin cleaning product Aloe Med Wet Washcloth Wipes or Comfort Shield Dimethicone Washcloths or equivalent from your local pharmacy or pharmacist.
Bring to the hospital
- BC CareCard (personal health card)
- Photo identification, such as a driver’s license or passport
- List of all your medication (prescription and non-prescription medications, vitamins, supplements, herbals, natural remedies, other drugs)
- All medications in their original containers (prescription and medicines without prescription)
- Dentures and case
- Hearing aids with a spare battery and case
- Glasses and case
- Walking aids (such as cane or walker)
- Leave valuables such as jewellery, money, and credit cards at home
Eating and drinking
Unless your doctor has told you otherwise:
- Eat a snack the evening before your procedure.
- Do not eat any food after midnight (12:00 a.m.).
- If you are thirsty during the night, drink as much clear liquids as you like (such as water, clear juice, or clear tea).
- At 5:00 a.m. the morning of your procedure, drink one or two glasses of clear apple juice or cranberry juice.
- Do not drink any liquids after 5:00 a.m.
Cleaning your skin the evening before your procedure
- Remove any make up, nail polish, and jewellery.
- Clean the skin of the front of your upper body to your waist, your neck, and both under arms with a skin cleansing product (Aloe Med Wet Washcloth Wipes or Comfort Shield Dimethicone Washcloths or equivalent).
- For the pre-packaged wipe: Use the wipe to clean your skin as described above. Do not rinse your skin. Let the product dry on your skin.
- For the liquid, soap, or brush: Wash, rinse, and dry your skin.
- Do not shave any part of your upper body. We will remove any hair if needed.
- Do not put on body products after the skin cleaning, such as perfume, lotion, deodorant, or powder.
- Put on freshly washed clothes.
Taking medication the morning of your procedure
- Take all medications you normally take in the morning with a small sip of water, unless your doctor has told you something different.
- If you have diabetes, do not take your diabetic medication before coming into hospital, unless your doctor has told you to. Bring your diabetic pills or insulin with you to the hospital.
- If you are taking blood thinners, ask your doctor when to stop taking the medication before the procedure.
The following resources provide more information on implantable cardiac electrical devices:
- Fraser Health Patient Education: Preparing for the insertion of a heart device
- Fraser Health Patient Education: Preparing for the insertion of a heart device (Jim Pattison Outpatient and Surgery Centre)
- Fraser Health Patient Education: Care after the insertion of a heart device
- Cardiac Services BC: Implantable cardioverter defibrillator: A guide for patients and families
This document is also available in French, Traditional Chinese, Simplified Chinese, and Punjabi.
- Cardiac Services BC: When you have a heart device, consider remote monitoring
- Cardiac Services BC: Remote monitoring of a cardiac device
- HealthLink BC: Implantable cardioverter defibrillators
- Heart and Stroke Foundation: Implantable cardioverter defibrillators
- University of Ottawa: Implantable cardioverter defibrillators: A guide for patients and families