Abstract
Because the treatment of ventricular fibrillation and many hemodynamically unstable ventricular tachycardias with electrical countershock is critically dependent on rapid availability of medical personnel and equipment, its implementation outside the hospital is rarely successful. This situation has prompted the development of a fully implantable automatic device designed for continuous monitoring of the heart rhythm and prompt recognition and treatment of life-threatening ventricular tachyarrhythmias [1]. Since the first implantation of such a device in a human being at The Johns Hopkins Hospital [1], the automatic implantable cardioverter-defibrillator (AICD*) is being used with increased frequency to prevent sudden cardiac death in high-risk patients [2–8]. The growing clinical experience has demonstrated that this therapeutic intervention dramatically lowers the prohibitive arrhythmic mortality of this population [3, 8, 9].
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Mirowski M, Reid PR, Mower MM, Watkins L, Gott VL, Schauble JR, Langer A, Heilman MS, Kolenik SA, Fischell RE, Weisfeldt ML. 1980. Termination of malignant ventricular arrhythmias with an implanted automatic defibrillator in human beings. N Engl J Med 303: 322–324.
Mirowski M, Reid PR, Watkins L, Weisfeldt ML, Mower MM. 1981. Clinical treatment of life-threatening ventricular tachyarrhythmias with the automatic implantable defibrillator. Amer Heart J 102: 265–270.
Mirowski M, Reid PR, Winkle RA, Mower MM, Watkins L, Stinson EB, Griffith LSC, Kallman CH, Weisfeldt ML. 1983. Mortality in patients with implanted automatic defibrillators. Ann Inter Med 98: 585–588.
Mirowski M, Reid PR, Mower MM, Watkins Jr L, Platia EV, Griffith LSC, Juanteguy JM. 1984. The automatic implantable cardioverter-defibrillator. PACE 7: 534–540.
Reid PR, Mirowski M, Mower MM, Platia EV, Griffith LSC, Watkins Jr L. 1983. Clinical evaluation of the internal automatic cardioverter-defibrillator in survivors of sudden cardiac death. Amer J Cardiol 51: 1608–1613.
Reid PR, Mower MM, Mirowski M. 1984. Pathophysiology of ventricular tachyarrhythmias amenable to electric control. PACE 7: 505–513.
Reid PR, Griffith LSC, Mower MM, Platia EV, Watkins Jr L, Juanteguy J, Mirowski M. 1984. Implantable cardioverter-defibrillator: Patient selection and implantation protocol. PACE 7: 1338–1344.
Echt DS, Armstrong K, Schmidt P, Oyer PE, Stinson EB, Winkle RA. 1985. Clinical experience, complications, and survival in 70 patients with the automatic implantable cardioverter/defibrillator. Circulation 71 (No. II): 291–296.
Reid PR, Mower MM, Griffith LSC, Platia EV, Watkins Jr L, Juanteguy J, Guarnieri T, Mirowski M. 1984. Comparative effects on mortality of the first and second generation implantable defibrillators (abstr). Circulation 70:11–401.
Watkins Jr L, Mirowski M, Mower MM, Reid PR, Griffith LSC, Vlay SC, Weisfeldt ML, Gott VL. 1981. Automatic defibrillation in man: The initial surgical experience. J Thorac Cardiovasc Surg 82: 492–500.
Watkins Jr L, Mirowski M, Mower MM, Reid PR, Freund P, Thomas A, Weisfeldt ML, Gott VL.1982. Implantation of the automatic defibrillator: The subxiphoidal approach. Ann Thorac Surg 34: 515–520.
Lawrie GM, Griffin JC, Wyndham CRC. 1984. Epicardial implantation of the automatic implantable defibrillator by left subcostal thoracotomy. PACE 7: 1370–1374.
Brodman R, Fisher JD, Furman S, Johnston DR, Kim SG, Matos JA, Waspe LE. 1984. Implantation of automatic cardioverter-defibrillators via median sternotomy. PACE 7: 1363–1369.
Platia EV, Griffth LSC, Watkins Jr L, Mower MM, Guarnieri T, Mirowski M, Reid PR. 1986. Treatment of malignant ventricular arrhythmias with endocardial resection and implantation of the automatic cardioverter-defibrillator. N Engl J Med 314: 213–216.
Winkle RA, Bach SM, Echt DS, Swerdlow CD, Imran M, Mason JW, Oyer PE, Stinson EB. The automatic implantable defibrillator: Local ventricular bipolar sensing to detect ventricular tachycardia and fibrillation. Am J Cardiol 52: 265–270.
Winkle RA, Stinson EB, Bach Jr SM, Echt DS, Oyer PE, Armstrong K. 1984. Measurement of cardioversion/defibrillation thresholds in man by a truncated exponential waveform and an apical patch-superior vena caval spring electrode configuration. Circulation 69: 766–771.
Winkle RA, Stinson EB, Echt DS, Mead RH, Schmidt P. 1984. Practical aspects of automatic cardioverter/defibrillator implantation. Am Heart J 108:1335–1346.
Mower M, Reid PR, Watkins Jr L, Mirowski M. 1983. Use of alternating current during diagnostic electrophysiologic studies. Circulation 67: 69–72.
Graboys TB, Lown B, Podrid PJ, DeSilva R. 1982. Long-term survival of patients with malignant ventricular arrhythmia treated with antiarrhythmic drugs. Am J Cardiol 50: 437–443.
Schulze RA Jr, Strauss HW, Pitt B. 1977. Sudden death in the year following myocardial infarction: Relation to ventricular premature contractions in the late hospital phase and left ventricular ejection fraction. Am J Med 62:192–199
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1987 Martinus Nijhoff Publishers, Dordrecht
About this chapter
Cite this chapter
Mirowski, M., Mower, M.M., Veltri, E.P., Juanteguy, J.M. (1987). Prevention of arrhythmic death with the automatic implantable cardioverter-defibrillator. In: Aliot, E., Lazzara, R. (eds) Ventricular Tachycardias. Developments in Cardiovascular Medicine, vol 71. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-3323-1_28
Download citation
DOI: https://doi.org/10.1007/978-94-009-3323-1_28
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-7992-1
Online ISBN: 978-94-009-3323-1
eBook Packages: Springer Book Archive