| Implantable cardioverter defibrillator therapy. | |
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MedLine Citation:
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PMID: 16000917 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Sudden cardiac death (SCD) is a major healthcare problem worldwide. The majority of SCD events occur in patients with clinically recognized heart disease and most episodes result from ventricular tachyarrhythmias. Implantable cardioverter defibrillator (ICD) therapy prevents SCD in specific patient populations. Significant progress in the design and technology has been made since the Food and Drug Administration first approved the ICD in 1985. First-generation ICDs were large, were implanted in the abdomen, required a thoracotomy for placing epicardial defibrillation patches, and were nonprogrammable. Contemporary ICDs have been substantially downsized, are implanted via a transvenous approach, and are multiprogrammable. Device implantation has been simplified to be similar to that of a permanent pacemaker. In addition to treating life-threatening ventricular arrhythmias, ICDs now treat bradyarrhythmias, atrial arrhythmias, and congestive heart failure. The purpose of this article is to describe the evidence supporting the use of ICD therapy and to explain the current devices used in clinical practice. |
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Authors:
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Melanie T Gura |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The Journal of cardiovascular nursing Volume: 20 ISSN: 0889-4655 ISO Abbreviation: J Cardiovasc Nurs Publication Date: 2005 Jul-Aug |
Date Detail:
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Created Date: 2005-07-07 Completed Date: 2005-09-22 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8703516 Medline TA: J Cardiovasc Nurs Country: United States |
Other Details:
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Languages: eng Pagination: 276-87 Citation Subset: IM; N |
Affiliation:
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Pacemaker & Arrhythmia Services, The Heart Group, Inc, Akron, Ohio 44236, USA. Meltg@aol.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Arrhythmias, Cardiac
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diagnosis,
nursing,
therapy* Death, Sudden, Cardiac / prevention & control* Defibrillators, Implantable* Electrocardiography Equipment Design Heart Failure / nursing, therapy* Humans Perioperative Care / nursing |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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