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The pads are then attached to a monitor/defibrillator, a heart rate is selected, and current (measured in milliamps) is increased until electrical capture (characterized by a wide QRS complex with tall, broad T wave on the ECG) is obtained, with a corresponding pulse. Pacing artifact on the ECG and severe muscle twitching may make this ...
Defibrillation is often an important step in cardiopulmonary resuscitation (CPR). [6] [7] CPR is an algorithm-based intervention aimed to restore cardiac and pulmonary function. [6] Defibrillation is indicated only in certain types of cardiac dysrhythmias, specifically ventricular fibrillation (VF) and pulseless ventricular tachycardia.
Patients who are relatively older, who need ICD for secondary prevention, or who have concomitant bradycardia requiring pacing, or heart failure requiring cardiac resynchronisation therapy are more suitable for transvenous ICD implantation. An older patient with ischemic cardiomyopathy and documented symptomatic ventricular tachycardia is a ...
Defibrillators can deliver energy as monophasic or biphasic waveforms, although biphasic defibrillators are now the most common. [ 101 ] [ 102 ] Prior studies suggest that biphasic shock is more likely to produce successful defibrillation after a single shock, however rate of survival is comparable between the methods.
An external, wearable cardioverter-defibrillator with defibrillation features similar to an ICD could be a solution to be used as “bridge” to protect these patients from SCD. In 1986, M. Stephen Heilman and Larry Bowling founded LIFECOR and started the development of the first wearable cardioverter defibrillator (WCD). It was named LifeVest®.
Choosing the right pad placement can be an important aspect when measuring the success of electrical cardioversion. For example, the anterior-posterior pad positioning is commonly used when attempting to restore an atrial arrhythmia as the vector between the pads predominately runs through the atria.
An automated external defibrillator or automatic electronic defibrillator (AED) is a portable electronic device that automatically diagnoses the life-threatening cardiac arrhythmias of ventricular fibrillation (VF) and pulseless ventricular tachycardia, [1] and is able to treat them through defibrillation, the application of electricity which stops the arrhythmia, allowing the heart to re ...
The difference between pacemakers and ICDs is that pacemakers are also available as temporary units and are generally designed to correct slow heart rates, i.e. bradycardia, while ICDs are often permanent safeguards against sudden life-threatening arrhythmias. S-ICD lead and generator position Sketch of an already-implanted cardioverter ...