Medium voltage therapy for preventing and treating asystole and PEA in ICDs
| Autor: | Mark W. Kroll, James E. Brewer, Byron L. Gilman, Kai Kroll |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Resuscitation Defibrillation medicine.medical_treatment Blood Pressure Electric Stimulation Therapy Sudden cardiac death Electrocardiography Internal medicine medicine Humans Cardiopulmonary resuscitation Asystole business.industry Arrhythmias Cardiac Atrial Function Implantable cardioverter-defibrillator medicine.disease Cardiopulmonary Resuscitation Defibrillators Implantable Heart Arrest Death Sudden Cardiac Ventricular fibrillation Pulseless electrical activity Cardiology business |
| Zdroj: | 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society. |
| DOI: | 10.1109/iembs.2009.5332679 |
| Popis: | Introduction: Sudden cardiac death (SCD) takes up to 500,000 lives each year before a victim can even be treated. To address this the implantable cardioverter defibrillator (ICD) was developed to treat those identified at high risk of SCD. Unfortunately, there are a significant number of cases in which the ICD does not successfully return a victim to normal rhythm and effective perfusion of the blood. Methods: The vast majority of cases that are not responsive to the ICD therapy require cardio-pulmonary resuscitation (CPR) according to current resuscitation guidelines. A novel electrical stimulus called medium voltage therapy (MVT) has shown efficacy in producing coronary and carotid blood flow during ventricular fibrillation. This report presents the case that the same stimulus may be effective and feasible for use in ICD patients that do not respond to their ICD therapy, or do not have a rhythm in which, an ICD shock is indicated. Conclusion: The inclusion of MVT technology in implantable devices may be effective in preparing the heart for successful defibrillation or in improving the metabolic condition of the heart to the extent that a pulsatile rhythm may spontaneously develop. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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