Document Detail


Implantable cardioverter defibrillators: current status and future directions.
MedLine Citation:
PMID:  1554977     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sudden cardiac death remains the most common mode of mortality in the United States, accounting for up to 450,000 deaths per year. Survivors of cardiac arrest and patients who have recurrent ventricular tachycardia have a high mortality rate with or without antiarrhythmic therapy. The implantable cardioverter defibrillator (ICD) was introduced in 1980 by Mirowski as a potential treatment for these patients. There are presently over 24,000 implants worldwide and the device has proved to be an effective means of preventing sudden death. The components of an ICD include a generator, defibrillation patches or leads, and pacing/sensing leads. The devices can be implanted with acceptable mortality and morbidity either by median sternotomy, left anterior thoracotomy, subxiphoid, or left subcostal approaches. The long-term results have been excellent with an actuarial incidence of sudden cardiac death of 3% at 5 years. Improvements in battery and capacitor technology, lead design, and tachycardia recognition, combined with the addition of hemodynamic sensors and a better understanding of the science of defibrillation, should lead to further improvements over the next several years in the ICD.
Authors:
R J Damiano
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Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  7     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:  1992 Mar 
Date Detail:
Created Date:  1992-05-07     Completed Date:  1992-05-07     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  36-57     Citation Subset:  IM    
Affiliation:
Medical College of Virginia, Richmond 23298.
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MeSH Terms
Descriptor/Qualifier:
Death, Sudden
Electric Countershock / instrumentation*
Evaluation Studies as Topic
Follow-Up Studies
Heart Arrest / prevention & control
Humans
Miniaturization
Tachycardia / diagnosis,  therapy
Time Factors
Ventricular Fibrillation / diagnosis,  prevention & control,  therapy

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


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