By L. Bing Liem

ICD treatment has turn into the normal kind of therapy for ventricular tachyarrhythmias. With scientific facts exhibiting its efficacy in either secondary and first prevention of untimely surprising dying, its use is probably going to extend dramatically within the subsequent decade. Technological development has been instrumental in simplifying ICD implantation. despite the fact that, technical additions to the machine have additionally made its scope of features extra complicated. as well as supplying quick and powerful treatment for ventricular tachycardia and traumatic inflammation, the ICD is now in a position to offering an entire spectrum dual-chamber pacing in addition to cures for atrial traumatic inflammation. quickly, it's going to even be in a position to supply remedy for congestive middle failure utilizing multi-site ventricular pacing and supply non-stop hemodynamic tracking. This publication serves as an introductory textual content to those that are fairly new to this know-how. In its handbook shape, it outlines the pertinent elements of ICD capabilities and the fundamental adjustments one of the numerous versions. It presents functional issues in ICD implantation, and in its programming and trouble-shooting.

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Additional resources for Implantable Cardioverter-Defibrillator: A Practical Manual

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Kuppermann M, Luee BR, McGovem B, er al. An analysis of tbe eost effeetiveness of the implantable defibrillator. Circulation, 1990;81(1 ):91-100. Larsen G, McAnulty J, Hallstrom A, el al. Hospitalization eharges in the Antiarrbythmics Versus Implantable Defibrillators (A VID) trial: the AVID economic analysis study. Cireulation, 1997;96(8):1-77. Hlatky M, Saynina 0, McDonald K, el al. Utilization and outcomes of the implantable cardioverter dcfibrillator, 1987-1995. (submitted for publieation), 2000.

Am J Cardiol, 1999;84(9A):103R-I08R. Cannom DS. Other Primary Prevention Trials-What Is Clinically And Economically Necessary? J Interv Card Electrophysiol, 2000;4 Suppll: 109-115. Higgins SL. Impact of the Multicenter Automatie Defibrillator Implantation Trial on implantable cardioverter defibrillator indication trends. Am J Cardiol, 1999;83(5B):79D-82D. Higgins SL, Williams SK, Pak JP, el al. Indieations for implantation of a dual-chamber pacemaker combined with an implantable cardioverter-defibrillator.

159J In this review, however, it was noted that hospital re-adrnissions were very frequent and showed little change. Table 2-2. l 541 Newer battery with greater longevity would prolong the time between implantation and therefore would be expected to reduce the overall cost of device therapy. Such sub-analysis was perforrned in two of the studies using devices with longer battery life. Other features, such as automatie capacitor reformation mayaiso contribute in reducing cost by reducing the need for frequent outpatient visits.

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