Observational StudySame Day Discharge

Inclusion Criteria:

1. Scheduled for clinically indicated implant of cardiac pacemaker or defibrillator
2. Willing and able to provide informed consent
3. Appropriate clinical indication for the purpose of this study

1. Primary prevention implantable cardioverter-defibrillator implant indicated for sudden cardiac death with ejection fraction more than 20%
2. Sick sinus syndrome, non-high degree heart block as indication for pacemaker implant.
3. No history of syncope
4. No documented sudden cardiac death or ventricular arrhythmias requiring shock
4. Adequate social support to be able to comply with protocol.
5. Ability to complete remote monitor transmission

Exclusion Criteria:

1. Determined to be at risk for bleeding or on oral anticoagulation 2. Planned to be implanted with non-Biotronik device 3. Complete heart block as indication for permanent pacemaker 4. Secondary ICD indication 5. Immediate procedural complication requiring prolonged admission such as: pneumothorax, large hematoma, tamponade) determined during the procedure or immediately before discharge.

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