Which rhythms merit defibrillation




















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Throat and Voice Care. Emergency Services. ER Service Pledge. ER Wait Time. Senior Friendly ER. Stroke Warning Signs. Geriatric Services. Senior Care. Heart Care. Heart Attack Warning Signs. Heart Failure Care. Heart Rhythm Disorders. Vascular Medicine. Infectious Disease Care. Therefore, deactivation of an implanted cardioverter-defibrillator is most safely accomplished in a setting where it is possible to treat new tachyarrhythmias with external cardioversion-defibrillation.

Additional therapy, commonly intravenously administered antiarrhythmic drugs, is indicated in patients who are having ongoing discharges when electrocardiographic monitoring is consistent with appropriate therapy for repetitive ventricular tachycardia or fibrillation. Temporary suspension of tachyarrhythmia therapy may be appropriate in some patients if the arrhythmia is tolerated hemodynamically.

Patients with recurrent discharges for either appropriate or inappropriate reasons should be evaluated by a cardiac electrophysiologist. Already a member or subscriber? Log in. Interested in AAFP membership? Learn more. GROH, m. She received her nursing degree from Indiana University.

ZIPES, m. Address correspondence to William J. Groh, M. Reprints are not available from the authors. Groh and Dr. In addition, Dr. Zipes is a consultant for Medtronic, Inc. Figures 4 and 5 used with permission from Medtronic, Inc. Termination of malignant ventricular arrhythmias with an implanted automatic defibrillator in human beings.

N Engl J Med. Reduction in defibrillator shocks with an implantable device combining anti-tachycardia pacing and shock therapy.

J Am Coll Cardiol. Technological advances in implantable cardioverter-defibrillators before the year and beyond. Am J Cardiol. A simplified, single-lead unipolar transvenous cardioversion-defibrillation system. Zipes DP, Roberts D. Results of the international study of the implantable pacemaker-cardioverter-defibrillator. A comparison of epicardial and endocardial lead systems.

The Pacemaker-Cardioverter-Defibrillator Investigators. Long-term outcome with the automatic implantable cardioverter-defibrillator. Long-term multicenter experience with a second-generation implantable pacemaker-defibrillator in patients with malignant ventricular tachyarrhythmias. The Guardian Multicenter Investigators Group. Automatic implantable cardioverter defibrillators and survival of patients with left ventricular dysfunction and malignant ventricular arrhythmias.

Ann Intern Med. Recurrent ventricular fibrillation and modes of death in survivors of out-of-hospital ventricular fibrillation. Characteristics of the resuscitated out-of-hospital cardiac arrest victim with coronary heart disease. Mason JW. A comparison of seven antiarrhythmic drugs in patients with ventricular tachyarrhythmias.

Electrophysiologic Study versus Electrocardiographic Monitoring Investigators. A comparison of antiarrhythmic drug therapy with implantable defibrillators in patients resuscitated from near-fatal ventricular arrhythmias. Improved survival with an implanted defibrillator in patients with coronary disease at high risk for ventricular arrhythmia. Transvenous cardioverter defibrillators: cost implications of a less invasive approach. Pacing Clin Electrophysiol. Cost-effectiveness of implantable cardioverter defibrillators relative to amiodarone for prevention of sudden cardiac death.

Erroneous discharge of an implantable cardioverter defibrillator caused by an electric razor. Interference from a hand held radiofrequency remote control causing discharge of an implantable defibrillator. Can your pacemaker patient safely use a digital mobile telephone? Cardiol Rev. Testing of work environments for electromagnetic interference. Effects of nuclear magnetic resonance imaging on cardiac pacemakers. Effect of extra-corporeal shock wave lithotripsy on implantable cardioverter defibrillator.

Interaction between permanent cardiac pacing and electro-cautery: the significance of electrode position. Inadvertent suppression of a fixed rate ventricular pacemaker using a peripheral nerve stimulator. Do patients with an implantable defibrillator live longer? Block M, Breithardt G. Long-term follow-up and clinical results of implantable cardioverter-defibrillators. Cardiac electrophysiology: from cell to bedside.

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Clinical Pathways University. All Rights Reserved. Tags: Defibrillation, Computer Informatics, , Defibrillation View of defibrillator electrode position and placement, Defibrillation is a common treatment for life threatening cardiac dysrhythmias ventricular fibrillation and pulseless ventricular tachycardia, Defibrillation consists of delivering a therapeutic dose of electrical energy to the affected heart with a device called a defibrillator, This depolarizes a critical mass of the heart, Defibrillation, English, Instruction Examples, Tutorials, Reference, Books, Guide p2k, unkris.

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