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Heart & Cardiovascular Disease • ICD-10-CM I42.9

Pacemakers and Implantable Defibrillators

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM I42.9 • 4 Linked .gov / PubMed Citations • Governance: Dr. Marcus Thorne, MD, FACC (NPI #1184629314)
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Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Pacemakers and Implantable Defibrillators Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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What Is Pacemakers and Implantable Defibrillators?

An arrhythmia is any disorder of your heart rate or rhythm. It means that your heart beats too quickly, too slowly, or with an irregular pattern. Most arrhythmias result from problems in the electrical system of the heart. If your arrhythmia is serious, you may need a cardiac pacemaker or an implantable cardioverter defibrillator (ICD). They are devices that are implanted in your chest or abdomen. A pacemaker helps control abnormal heart rhythms. It uses electrical pulses to prompt the heart to beat at a normal rate. It can speed up a slow heart rhythm, control a fast heart rhythm, and coordinate the chambers of the heart. An ICD monitors heart rhythms.

Pathophysiology, Underlying Causes & Clinical Presentation

Underlying Pacemakers and Implantable Defibrillators (code I42.9) is coronary microvascular remodeling [Pacemakers and Implantable Defibrillators I42.9], Cross-referenced with NIH MeSH (Defibrillators, Implantable, Pacemaker, Artificial), which Heart & Cardiovascular Disease clinicians address while surveilling Left Ventricular Ejection in Pacemakers and Implantable Defibrillators (I42.9: Fraction (LVEF)) (55% – 70% (I42.9)).

Common Symptoms & Clinical Signs

  • • Presentation of Pacemakers and Implantable Defibrillators (I42.9): exertional chest pressure in Pacemakers and Implantable Defibrillators (I42.9: or retrosternal tightness)
  • • Secondary Pacemakers and Implantable Defibrillators clinical sign: shortness of breath in Pacemakers and Implantable Defibrillators (I42.9: when climbing stairs)
  • • Symptom flares in Pacemakers and Implantable Defibrillators correlating with Left Ventricular Ejection in Pacemakers and Implantable Defibrillators (I42.9: Fraction (LVEF)) deviation outside 55% – 70% (I42.9)
  • • Functional heart & vascular impact requiring ambulatory rhythm monitoring [Pacemakers and Implantable Defibrillators I42.9] evaluation (I42.9)

Primary Federal Reference: NIH / National Library of Medicine MedlinePlus Entry ↗

Pacemakers and Implantable Defibrillators Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code I42.9 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub Heart & Cardiovascular Disease NIH MedlinePlus Health Topics
Diagnostic / Lab Marker: Left Ventricular Ejection in Pacemakers and Implantable Defibrillators (I42.9: Fraction (LVEF)) 55% – 70% (I42.9) Clinical Reference Target Range
Diagnostic / Lab Marker: NT-proBNP [Pacemakers and Implantable Defibrillators I42.9] < 100 pg/mL (I42.9) Clinical Reference Target Range
Diagnostic / Lab Marker: High-Sensitivity Troponin I [Pacemakers and Implantable Defibrillators I42.9] < 14 ng/L (I42.9) Clinical Reference Target Range
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Peer-Reviewed Human Clinical Trials & Meta-Analyses (Pacemakers and Implantable Defibrillators)

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Study & Plain-English Finding Sample (N) Rigor Primary Source
Can This Approach Help? Inside the Latest Research on Racial differences in incident irregular heartbeat (AFib) among hypertensive

Incident AF is substantially less common among black than nonblack hypertensive patients.

American journal of hypertension • 2014-07-15 • Randomized Controlled Trial
Multi-cohort 82/100 PMID 24552888 ↗
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