Implantable Defibrillator Therapy: A Clinical Guide

Language: English

Published by Humana, 2002

1402071434 / 9781402071430

Series: Book 179 of 253 - Developments in Cardiovascular Medicine

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Seller: AHA-BUCH GmbH, Einbeck, GermanyAHA-BUCH GmbH

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nach der Bestellung gedruckt Neuware - Printed after ordering - Implantable defibrillators as originally conceived by Michel Mirowski were limited to the detection and automatic termination of ventricular fibrillation. In the original 'AID' device, the detection algoritlun sought to distinguish sinus rhytlun from ventricular fibrillation by identifying the 'more sinusoidal waveform of ventricular fibrillation. ' The therapeutic intervention was elicited only once deadly polymorphic rhythms had developed. It was rapidly learned, however, that ventricular fibrillation is usually preceded by ventricular tachycardia. Mirowski recognized the pivotal importance of developing algoritllms based on heart rate. Ventricular tachycardia detection allowed the successful development of interventions for the termination of ventricular tachyarrhythmias before they degenerated into ventricular fibrillation. Current device therapy no longer confines itself to tlle termination of chaotic rhythms but seeks to prevent them. Diagnostic algorithms moved upward along the chain of events leading to catastrophic rhytlulls. Rate smoothing algorithms were developed to prevent postextrasystolic pauses from triggering ventricular and atrial tachyarrhytlmlias. Beyond the renaissance of ectopy-centered strategies, long-term prevention received increasing attention. Multisite pacing therapies provided by 'Arrhythmia Management Devices' were designed to reduce the 'arrhytlunia burden' and optimize the synergy of cardiac contraction and relaxation. Clinical evidence now suggests that atrial fibrillation prevention by pacing is feasible and tllat biventricular pacing may be of benefit in selected patients with heart failure. However, these applications of device therapy that generally require ventricular defibrillation backup remain investigational and were not considered in this book.…

Seller Inventory # 9781402071430

Title
Implantable Defibrillator Therapy: A Clinical Guide
Author
Gust H. Bardy
Publisher
Humana
Publication year
2002
Condition
Neu
Binding
Buch
Language
English
ISBN 10
1402071434
ISBN 13
9781402071430
Item weight
811 grams
Dimensions
241x160x28 mm
Series
Book 179 of 253: Developments in Cardiovascular Medicine

AHA-BUCH GmbH

Einbeck, Germany

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AbeBooks seller since August 14, 2006

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