Automatic Internal Cardiac Defibrillator


4.5 out of 5 (17 Reviews)



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Expiration Date

31 Dec 2023

Last Reviewed

1 Jan 2021

Estimated Time To Finish

60 Minutes

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Activity Description

The automated internal cardiac defibrillator or shock box is the common name given to the Implantable Cardioverter Defibrillator (ICD). ICD is a state-of-the-art device that treats arrhythmias specifically those of ventricular origin like ventricular tachycardia and fibrillation. It has become the first line of defense in patients who are at high risk for sudden cardiac death (SCD) and has shown consistent survival benefit in cardiac arrest survivors (SCA), in patients with Heart failure and severe systolic dysfunction (left ventricular ejection fraction-LVEF less than or equal to 35%) as well as in patients with hypertrophic cardiomyopathy (HCM). This activity reviews the indications for an AICD and highlights the role of the interprofessional team in the management of patients with ventricular arrhythmias.

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Target Audience

This activity has been designed to meet the educational needs of physicians.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify the indications for an AICD.
  • Describe the contraindications for an ACID.
  • Recall the clinical benefits of an AICD.
  • Discuss interprofessional team strategies for improving care coordination and communication to advance the insertion of an AICD and improve outcomes.


Each author, editor, faculty and planning committee member have completed a disclosure form indicating that neither they nor their spouse/partner has a financial interest/arrangement or affiliation that could be perceived as a real or apparent conflict of interest related to the content of this activity.

COMMERCIAL SUPPORT: This activity has received NO commercial support.

Continuing Education Accreditation Information

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Quillen College of Medicine, East Tennessee State University, and StatPearls, LLC. The Quillen College of Medicine, East Tennessee State University is accredited by the ACCME to provide continuing medical education for physicians.

Quillen College of Medicine, East Tennessee State University designates this activity for a maximum of 1.00 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This activity is reported to the following Maintenance of Certification (MOC) boards:
American Board of Anesthesiology
  • Cardiac Anesthesia
  • Critical Care Medicine
  • General Operative Anesthesia
  • Hospice and Palliative Medicine
  • Neuro Anesthesia
  • Obstetric Anesthesia
  • Pediatric Anesthesia
  • Trauma
American Board of Internal Medicine
  • Adolescent Medicine
  • Advanced Heart Failure and Transplant Cardiology
  • Cardiovascular Disease
  • Clinical Cardiac Electrophysiology
  • Critical Care Medicine
  • Internal Medicine
American Board of Pathology
  • Cardiovascular
American Board of Pediatrics
  • Adolescent Medicine
  • General Pediatrics
  • Pediatric Cardiology
  • Pediatric Critical Care Medicine
  • Pediatric Emergency Medicine
American Board of Surgery
  • General Surgery
  • Surgical Critical Care
  • Hospice & Palliative Medicine
  • Vascular Surgery
  • Pediatric Surgery

Cancellation Policy: Cancellations must be received in writing and a money-back guarantee is provided if not completely satisfied.

  • StatPearls and ETSU reserve the right to cancel any course due to unforeseen circumstances. StatPearls and ETSU will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Equal Opportunity

  • StatPearls and ETSU are Equal Opportunity / Affirmative Action / Equal Access Institutions. 

Medium or Media Used:

  • Computer Requirements:  Internet Access
  • E-mail Address

Instructions for Credit

  1. Register for the activity and create a StatPearls login.     
  2. Review the required accreditation information:  Target audience, learning objectives, and disclosure information.
  3. Complete the entire self-study activity.
  4. Complete the post-test assessments.
  5. Successfully pass the post-test with a minimum score of 100%.
  6. Complete the evaluation survey. 
  7. Obtain a certificate.

StatPearls and ETSU adhere to ACCME Standards regarding commercial support of continuing medical education. It is the policy of StatPearls and ETSU that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved, and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

  • If you need help with the system or have a question about content, please contact
  • If you have a question about the ETSU CME providership, please contact


Media Usage Rights

The contributors and editors of StatPearls have attested that all associated media (images and video) have been legally cleared for use with this activity.  All copyrights are reserved.


    Kelly V. on 4/9/2021

    his was a slipshold job to be sure. in your discussion of class 1 indications for icd, you made serious errors. specifically the "OR" occurring just before the phrase - 40 days post mi, shoudl ceraainly have been "AND" ,. how could this mistake be made, unless no one is proffreading, that actually knows the subject. You could just copy the indications from HRS and hey would be correct. This is serious. I would hope you could let me know when you have fixed this. I will be calling the head of the company if don't soon hear otherwise.

    Kevin R. on 8/15/2021

    Faisal A. on 10/1/2021

    Valerie H. on 10/25/2021

    Teresa c. on 12/24/2021

    Deborah Z. on 1/27/2022

    James M. on 1/30/2022

    Very informative and end user friendly, engaging, simple, practical. Thank you

    Saraswathy B. on 2/1/2022

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