Titlebook: Implantable Defibrillator Therapy: A Clinical Guide; Antonio Pacifico,Gust H. Bardy,Bruce I. Wilkoff Book 2002 Springer Science+Business M

Corral

Device Proarrhythmia, of the detection and treatment algorithms or, more often, programming that is not optimally tailored to the patient. Here, we discuss pacing malfunction, spurious shocks, multiple appropriate and inappropriate activation, failure to deliver therapy, ineffective therapy, and device-induced proarrhythmia.

不满分子

projectile

savage

Overview of Instrumentation,nd size of ICD generators have decreased severalfold. Advances in the technology of batteries and capacitors, components that account for more than 50% of the generator volume, importantly contributed to this remarkable miniaturization. Lithium/silver vanadium oxide cells increased device longevity

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Defibrillator Leads,(1963) (.). In the Swedish series of 40 patients, the transvenous leads consisted of twinned stainless steel conductors surrounded by polyethelene tubing (.). Polyethylene, in addition to being too stiff, was soon found to degenerate in vivo. It was rapidly replaced by silicone rubber, which initiat

Ethics

Atrial Defibrillators,y common in industrialized countries (.–.) with prevalence estimates in general clinic populations as high as 14% (.). Although atrial fibrillation is associated with common cardiovascular risk factors that have been declining over recent decades in the US (.–.), there is evidence from the Framingha

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共同时代

Device Testing and Programming at Implantation,tation. The principal devices available for use in the United States will be discussed along with our professional medical opinion regarding device testing and programming based on patient presentation. It goes without saying that our preferences do not define the only appropriate strategies.

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Testing at Discharge,cedure, one has to question the value of practices such as pre-discharge testing and routine follow-up chest X-ray that were established in the era of epicardial systems. These issues and the question of outpatient implantation are discussed in this chapter.

Banquet

Postoperative Follow-Up and Complications,red in the previous chapter and general complications of ICD therapy are addressed in the chapters entitled “ICD Lead System Dysfunction, Diagnosis and Therapy” and “Rhythm-related Complications and Adverse Events in Patients with Implantable Cardioverter-Defibrillators”.