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An ICD lead may sometimes use the high voltage coil to serve as the anode electrode to complete a bipolar circuit. This type of lead is known as an Integrated Bipolar Lead because the anode is integrated into the high voltage coil. This configuration is also used as the sensing circuit. More on sensing in the following section. Here is a visual slide showing how an integrated bipolar differs from a dedicated ring electrode bipolar design. * Note: While this slide shows active (screw-in) fixation in a true bipolar lead and a passive (tined) fixation in an integrated bipolar lead, it
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