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After having a heart attack and some time has passed, (4 months) my doctor now tells me I need to have an ICD put in. I wore a heart monitor for two weeks and received a call right away telling me this information. I am on several drugs, including Coumadin. Wouldn't I need to have an echo done to determine my ejection fractureFractures across a growth plate before making this decision? Also, would I be on Coumadin for life after having an ICD? Can I resume my life with two alcoholic drinks a day? What are the pros and cons of an ICD? I am 62 years of age and had a quadruple bypassHeart bypass surgery Heart bypass surgery - series, aeortic valve replacement and mitralMitral regurgitation - chronic Mitral stenosis Mitral valve prolapse valve repair.