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Defibrillators and ICD Systems

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Abstract

Defibrillation is the definitive treatment for the life-threatening cardiac arrhythmias, 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. Defibrillators can be external, transvenous, or implanted, depending on the type of device used or needed. Some external units, known as automated external defibrillators (AEDs), automate the diagnosis of treatable rhythms, meaning that lay responders or bystanders are able to use them successfully with little, or in some cases no, training at all except safety precautions also covered in this chapter (Sects. 28.1–28.5). An implantable cardioverter-defibrillator (ICD), described in Sect. 28.6, is a small, battery-powered electrical impulse generator which is implanted in patients who are at risk of sudden cardiac death due to ventricular fibrillation and ventricular tachycardia. The device is programmed to detect cardiac arrhythmia and correct it by delivering a jolt of electricity.

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Further Reading

  1. American Heart Association (AHA): Guidelines for cardiopulmonary resuscitation and emergency cardiovascular care, Circulation 112(Suppl. I),IV–1–IV–5 (2005)

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  3. CoSTR: International consensus on cardiopulmonary resuscitation (CPR) and emergency cardiovascular care (ECC) science with treatment recommendations, Circulation 112(Suppl. I), b2–b5 (2005)

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  4. ISO: ISO 11318:2002, Cardiac Defibrillators (ISO, Geneva 2002)

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  5. ISO: ISO 14708-6:2010, Implants for Surgery — Active Implantable Medical Devices (ISO, Geneva 2010)

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  6. ERC European Resuscitation Council: Guidelines for resuscitation, Resuscitation 67(Suppl. 1), S1–S190 (2005)

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  7. A.W.C. Chow, A.E. Buxton (Eds.): Implantable Cardiac Pacemakers and Defibrillators (Blackwell, Oxford 2006)

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  11. The International Liaison Committee on Resuscitation (ILCOR): Guidelines for resuscitation, Resuscitation 67(2/3), 157–342 (2005)

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  13. D. Wietholt, L.J. Ulbricht, H. Gülker (Eds.): Implantierbare Kardioverter-Defibrillatoren (Thieme, Stuttgart 1997)

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Authors
  1. Rüdiger Kramme
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Editor information

Editors and Affiliations

  1. Titisee, Germany

    Rüdiger Kramme

  2. Medical Engineering and Neuroprosthetics, Fraunhofer Institute for Biomedical Engineering, St. Ingbert, Germany

    Klaus-Peter Hoffmann

  3. Department of Biology, San Diego State University, San Diego, CA, USA

    Robert S. Pozos

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© 2011 Springer-Verlag Berlin Heidelberg

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Kramme, R. (2011). Defibrillators and ICD Systems. In: Kramme, R., Hoffmann, KP., Pozos, R.S. (eds) Springer Handbook of Medical Technology. Springer Handbooks. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-74658-4_28

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  • DOI: https://doi.org/10.1007/978-3-540-74658-4_28

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-74657-7

  • Online ISBN: 978-3-540-74658-4

  • eBook Packages: EngineeringEngineering (R0)

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