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Heart Failure pp 129-153 | Cite as

Device Therapy in the Heart Failure

  • Troy Rhodes
  • Raul WeissEmail author
Chapter
Part of the Cardiovascular Medicine book series (CVM)

Abstract

In patients with heart failure (HF), the two main causes of death are sudden cardiac death (SCD) and progressive pump failure. In the Framingham Heart Study, HF increased overall and SCD mortality fivefold [1]. In patients with Class II or III HF, the mode of death is more likely be to “sudden” while in patients with Class IV HF, it is more likely to be due to pump failure [2]. The most common cause of SCD is the degeneration of ventricular tachycardia (VT) to ventricular fibrillation (VF), although pulseless electrical activity (PEA) and bradyarrhythmias account for up to one-third of cases [3]. Electrical defibrillation is the only effective approach for terminating VF. Following success with external defibrillation, an implantable defibrillator was developed in the mid-1960s and the first automatic internal defibrillator was implanted in humans in 1980 [4, 5].

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Division of Cardiovascular MedicineUniversity of Iowa Hospitals and ClinicsIowa CityUSA
  2. 2.David Heart and Lung Research InstituteOhio State University Medical CenterColumbusUSA

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