Document Detail


Impact of pulse characteristics on atrial defibrillation energy requirements.
MedLine Citation:
PMID:  7518593     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In summary, many issues pertaining to pulse characteristics and atrial defibrillation remain unsolved. Perhaps the most burning questions are whether a further reduction in atrial defibrillation energy requirements can be achieved by the combination of biphasic waveforms with dual pathway sequential shocks to produce a more homogenous distribution of charge, whether right and left atrial polarity of the first phase of asymmetrical biphasic shocks can reduce energy requirements in individual patients and whether the delivery of very long biphasic shocks (possibly > 20 msec) can reduce the discomfort of shorter shocks by decreasing the peak current density. Only then will the wide-spread acceptance of the implantable atrial defibrillator become closer to reality.
Authors:
D Keane
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  17     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  1994 May 
Date Detail:
Created Date:  1994-08-15     Completed Date:  1994-08-15     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1048-57     Citation Subset:  IM    
Affiliation:
Thoraxcenter, Erasmus University, Rotterdam, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Animals
Anti-Arrhythmia Agents / therapeutic use
Atrial Fibrillation / therapy*
Defibrillators, Implantable
Electric Countershock*
Electrocardiography
Electrodes, Implanted
Heart Atria
Heart Block / epidemiology
Humans
Risk Factors
Ventricular Fibrillation / epidemiology
Chemical
Reg. No./Substance:
0/Anti-Arrhythmia Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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