- Echo
- ECG
- Holter monitor
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In-clinic Echo, ECG & Holter monitor
Echocardiography, ECG and Holter monitoring are done right at the clinic, so your tests and your consultation happen in one place.
Cardiac rhythm management
Implantable Cardioverter-Defibrillator (ICD) Implantation
Continuous protection against dangerous, potentially fatal heart rhythms
You don't have to face this decision alone. At your consultation, Dr. Mansour explains every image and every option to you and your family in plain words — and stays with you until you're back to your life.
- Consultation 1,000 EGP · pay at the clinic
- Free follow-up visit within 14 days
- Your reports stay private
ICD ImplantationMinimally invasive — no open-heart surgery
Dr. Mansour Farouk El-BehwashyConsultant Cardiologist & Cardiovascular SpecialistMScFEBFEBICFSCAIProcedure time60–90 min
- Procedure time60–90 min
- AnesthesiaLocal anesthesia + sedation
- Hospital stayOvernight observation, typically
- Activity precautions~4 weeks arm guidance
What the procedure is
Understand ICD Implantation — calmly, clearly, honestly
Certain heart conditions — a prior major heart attack, a weakened heart muscle (low ejection fraction), or an inherited rhythm disorder — carry an elevated risk of a sudden, life-threatening arrhythmia (ventricular tachycardia or fibrillation). Medication alone cannot guarantee protection against these episodes.
An ICD is implanted under the skin near the collarbone, with a lead placed in the heart, similarly to a pacemaker — and in fact, most ICDs also provide standard pacemaker function for slow rhythms. Its defining role is different: it continuously watches for the specific dangerous rhythm pattern, and if one occurs, it can pace the heart out of it, or deliver a shock to restore a normal rhythm within seconds — far faster than any external response could.
Why it may be recommended
What it can mean for you — and your peace of mind
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The fastest, most reliable protection against a sudden dangerous arrhythmia — far faster than waiting for emergency response
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Continuous, automatic monitoring — no action needed from you for it to work
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Most devices also provide backup pacemaker function for slow rhythms
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Remote monitoring flags concerning trends to your care team between visits
Who may need evaluation for it
Does any of this sound like you?
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Step by step
Your journey, with no surprises
Knowing what comes next takes away most of the fear. Here is what to expect before, during and after — explained to you again, in person, before anything is done.
Something here worrying you?
Ask the clinic — the team replies on WhatsApp.
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Before
General preparation
- Bring your ECGs, Holter recordings, echo reports and any previous heart tests.
- Share a full list of your medications, especially blood thinners, and any allergy you have.
- You will usually be asked not to eat for a few hours before the procedure — follow the exact instructions you are given.
- Loose, comfortable clothing that opens at the front is easiest afterwards, as the device sits just below the collarbone.
- Plan for someone to accompany you and take you home.
- Never stop or change a medication on your own — any adjustment is decided by your doctor.
Your care team gives you instructions specific to your case — always follow those first.
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On the day
What happens during the procedure
- Local anesthesia numbs the area just below the collarbone.
- A small incision is made, and the lead is guided through a vein into the heart under live X-ray guidance.
- The lead is tested to confirm it senses the heart's rhythm accurately.
- The device is connected and placed in a small pocket under the skin, and the incision is closed.
- The ICD is programmed with your specific detection thresholds and therapy settings before you leave.
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After
Recovery & follow-up
- Overnight observation is typical to confirm correct sensing and device function
- The implanted arm is kept below shoulder height for about 4 weeks to let the lead settle securely
- Most patients resume desk work and light daily activity within a few days
- Driving restrictions may apply for a defined period after implantation — this is reviewed with you individually
Clinic features
Care that continues after your visit
14days
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FREE consultation within 14 days
After your examination, your follow-up consultation within 14 days is free of charge.
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Continuous follow-up & answers
Questions after your visit or procedure? We keep following up with you and answering them along the way.
Honest about safety
Risks & considerations
Every medical procedure carries some risk, and you deserve the full picture. Dr. Mansour reviews your personal risk with you before you agree to anything.
- Bruising, swelling, or infection at the implant site
- A small risk of a lead shifting position, occasionally requiring a minor repeat procedure
- An occasional inappropriate shock (delivered when not truly needed) — device programming is fine-tuned at follow-up to minimize this
- Dr. Mansour Farouk El-Behwashy explains the specific risk/benefit balance based on the exact condition driving your ICD recommendation
This page is general information and does not replace a medical examination. Whether this — or any — procedure is appropriate for you is decided only after evaluation by the doctor.
Already advised?
Told you need this procedure? Get clarity before you decide.
Send your reports from your phone in a few minutes. Dr. Mansour's team reviews them before your visit, so your consultation at the Fifth Settlement clinic starts with answers — not from zero.
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Private consultation · 1,000 EGP · Fifth Settlement, New Cairo
- 1Upload your reports
- 2The team reviews your case
- 3Your consultation, fully prepared
Your questions
Frequently asked questions
Still have a question on your mind?
Ask the clinic directly — no need to call. The team replies to you on WhatsApp.
What does it actually feel like if the ICD delivers a shock?
Most patients describe it as a sudden, brief jolt — startling but over in an instant. Many ICD therapies are actually painless pacing that corrects the rhythm without ever reaching the shock stage. Either way, it means the device did exactly what it's there to do.
Is an ICD the same as a pacemaker?
They're implanted similarly and most ICDs include standard pacemaker function for slow rhythms, but their main purpose differs: a pacemaker corrects a heart that beats too slowly, while an ICD's primary role is detecting and stopping a dangerously fast, chaotic rhythm before it becomes life-threatening.
Will I need this device for the rest of my life?
For most patients, yes, since it's addressing an ongoing underlying risk — but this is reassessed at every follow-up as your heart function is re-evaluated. The generator itself is replaced roughly every 6–10 years as the battery depletes, through a shorter procedure than the original implant.
Related procedures
Pacemaker Implantation
A pacemaker is a small, battery-powered device implanted just under the skin near the collarbone, with one to three leads placed in the heart to sense and correct a heartbeat that's too slow or irregular — restoring the energy and stamina that slow rhythms take away.
May be considered
When a slow heart rhythm or heart block, confirmed on ECG or Holter, causes fatigue, dizziness or fainting.
TAVI
TAVI replaces a narrowed (stenotic) aortic valve with a new, catheter-delivered valve that expands and takes over inside the old one — the modern, minimally invasive alternative to open-heart aortic valve replacement surgery.
May be considered
When an echocardiogram confirms severe narrowing of the aortic valve and valve replacement is being discussed.
Peace of mind starts with one step
Don't carry this worry alone. Let's look after your heart together.
Consultation 1,000 EGP at the Fifth Settlement clinic, New Cairo — paid at the clinic, with a free follow-up visit within 14 days.
Chest pain right now, fainting or sudden breathlessness? Don't wait — go to the nearest emergency department or call 123.