Document Detail

Semi-automatic external defibrillation and implanted cardiac pacemakers: understanding the interactions during resuscitation.
MedLine Citation:
PMID:  8560101     Owner:  NLM     Status:  MEDLINE    
Many emergency medical service (EMS) systems are currently implementing semi-automatic external defibrillation (AED) by emergency medical technicians. Surprisingly little information is available on the possible interactions between AEDs and implanted cardiac pacemakers. Therefore, at present there are no clear guidelines for the use of AEDs on patients having a cardiac pacemaker. During resuscitation, multiple interactions between pacemakers and AEDs are possible. External defibrillation can cause damage to several functions of the pacemaker. On the other hand, the presence of pacemaker spikes during cardiac arrest might prohibit recognition of the ventricular fibrillation by the AED. We report on two resuscitation attempts in which the interaction between the ventricular fibrillation, an implanted dual chamber pacemaker and the AED was decisive for the defibrillation success. A clear understanding of these possible interactions is necessary for the further refining of diagnostic algorithms and clinical strategies of prehospital defibrillation.
K G Monsieurs; V M Conraads; M P Goethals; J P Snoeck; L L Bossaert
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Resuscitation     Volume:  30     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  1995 Oct 
Date Detail:
Created Date:  1996-02-28     Completed Date:  1996-02-28     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  127-31     Citation Subset:  IM    
Department of Intensive Care, University Hospital Antwerp-UIA, Edegem, Belgium.
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MeSH Terms
Cardiac Pacing, Artificial
Electric Countershock*
Emergency Medical Services
Emergency Medical Technicians
Equipment Design
Equipment Failure
Heart Arrest / therapy
Heart Block / therapy
Pacemaker, Artificial*
Pattern Recognition, Automated
Ventricular Fibrillation / diagnosis,  therapy

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

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