Implantable Defibrillator Therapy: A Clinical Guide PDF Download
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Author: Antonio Pacifico
Publisher: Springer Science & Business Media
ISBN: 1461510554
Category : Medical
Languages : en
Pages : 412
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Book Description
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.
Author: Antonio Pacifico
Publisher: Springer Science & Business Media
ISBN: 1461510554
Category : Medical
Languages : en
Pages : 412
Get Book
Book Description
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.
Author: Mark W. Kroll
Publisher: Springer Science & Business Media
ISBN: 1461563453
Category : Medical
Languages : en
Pages : 585
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Book Description
HE IMPLANTABLE CARDIOVERTER DEFIBRILLATOR, or T"lCD," is arguably the most technologically challenging type of therapy that physicians utilize today. At the same time, engineers who design ICDs are being called upon by clinicians to extend even further the technological envelope in quest of building the "ideal" device. To the extent, however, that physicians who utilize ICDs are not sufficiently comfortable with or familiar with the engineering principles that guide ICD function, the full clinical potential of even an ideal device will not be realized. In comple mentary fashion, engineers require as full an appreciation as possi ble of the real world "boundary conditions" and clinical impact of various ICD features, if the latter are truly to be perfected. This book is intended to serve as an educational tool to foster mutual understanding and communication among physicians, engineers, and other professionals involved in ICD therapy, with the ultimate purpose of enhancing patient care. The highly varied backgrounds of such a diverse audience posed obvious challenges in the preparation of this volume. Given the overwhelmingly greater involvement of clinicians in the day-to day management and follow-up of ICD recipients, we gave high priority to the presentation of oftentimes complex yet relevant engi neering concepts in a manner that could be understandable to most clinicians.
Author: Roland X. Stroobandt
Publisher: John Wiley & Sons
ISBN: 1444359061
Category : Medical
Languages : en
Pages : 362
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Book Description
Implantable Cardioverter-Defibrillators Step by Step Implantable Cardioverter-Defibrillators Step by Step AN ILLUSTRATED GUIDE Health care professionals now have a clear and concise overview of all relevant aspects of implantable cardioverter-defibrillators. In the successful fomat established by Cardiac Pacemakers Step by Step, this handy paperback demystifies the devices that have revolutionized cardiac care. Authored – not edited – for a smooth, easy-to-read presentation, the book uses: full-page illustrations in full color accompanying text representative ICD tracings to explain important aspects of ICD therapy. Progressing from basic to more sophisticated topics, the authors concentrate on clinically useful material. All members of the patient care team will welcome this timely guide. COMPANION WEBSITE With this book you are given free access to a companion resources site. www.wiley.com/go/icdstepbystep The website includes over 150 images taken from this book You are free to download these images and use them in your own presentations; details inside BY THE SAME AUTHORS Cardiac Pacemakers Step by Step: An Illustrated Guide
Author: Kenneth A. Ellenbogen
Publisher: Elsevier Health Sciences
ISBN: 1437737900
Category : Medical
Languages : en
Pages : 1106
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Book Description
Clinical Cardiac Pacing, Defibrillation and Resynchronization Therapy, 4th Edition, by Drs. Kenneth A. Ellenbogen, Bruce L. Wilkoff, G. Neal Kay, and Chu-Pak Lau, helps you deliver superior clinical outcomes using the latest, most successful cardiac electrophysiology techniques. Expertly and practically incorporate today’s technical developments in device and ablation therapies into your practice, and stay on the edge of this rapidly advancing field. Strengthen your skills in challenging new areas like ICD therapy in hereditary arrhythmias, interventional techniques for device implantation, implantable cardiovascular monitors, leadless pacing, and the biologic pacemaker. Watch experts perform these cutting-edge procedures online at www.expertconsult.com to help maximize your efficiency and solve a broader range of heart rhythm challenges than ever before. Manage more patients and handle a broader range of conditions by following the newest standards in pacing, defibrillation, and resynchronization technologies. Apply the latest procedures with guidance from world authorities who contribute fresh perspectives on the challenging clinical area of cardiac electrophysiology. Confidently treat your patients with the newest, state-of-the-art techniques for atrial and ventricular pacing modes; ICD therapy in hereditary arrhythmias; interventional techniques for device implantation; guidelines for managing device and lead advisories; implantable cardiovascular monitors; leadless pacing and ICDs; and the biologic pacemaker. Mirror the performance of the experts as they perform step-by-step procedures in intervention, implantation, and ablation therapies in the online videos. Search the complete contents online, link to PubMed, download the image gallery, review practice guidelines, and view all of the videos at www.expertconsult.com.
Author: Luc J. Jordaens
Publisher: Springer Science & Business Media
ISBN: 1846286808
Category : Medical
Languages : en
Pages : 200
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Book Description
This brilliant and highly practical book provides a case-based introduction and primer to the practice of ICD therapy. It contains a huge number of images and includes real-world patient histories. The reader is able to gain extensive practical knowledge of the practice of ICD therapy with the use of these case reports. These concentrate on the skills necessary to increase specialist knowledge of defibrillator therapy practice.
Author: Steven Higgins
Publisher: Wiley-Blackwell
ISBN: 9780879936631
Category : Medical
Languages : en
Pages : 104
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Book Description
Finally, a comprehensive yet practical video/text guide on the techniques and clinical considerations related to ICD insertion. Dr. Higgins discusses important related areas too, such as patient selection, O.R. preparation, surgical techniques of lead access, generator implantation and post-operative management, including complications. The 30-minute video presents several different approaches to venous access, proper generator positioning, both subcutaneous and submuscular, as well as pectoral and abdominal sites. As a leading researcher in ICD therapy, Dr. Higgins has participated in over 1,000 such procedures. He was recently one of the principal investigators in the Multicenter Automated Defibrillator Implantation Trial (MADIT), a blind test in which ICD therapy was associated with a 56% reduction in two-year mortality versus those treated with conventional medical therapy. More detailed and case management oriented than any proprietary ICD manufacturer 'in-house' video, The Implantable Cardioverter Defibrillator: A Videotape and Manual is a superb training tool from a world-class expert and ICD pioneer.
Author: Kenneth A. Ellenbogen
Publisher: John Wiley & Sons
ISBN: 1405150076
Category : Medical
Languages : en
Pages : 576
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Book Description
Fully revised and updated, the fourth edition of Cardiac Pacingand ICDs continues to be an accessible and practical clinicalreference for residents, fellows, surgeons, nurses, PAs, andtechnicians. The chapters are organized in the sequence of the evaluation ofan actual patient, making it an effective practical guide. Revisedchapters and updated artwork and tables plus a new chapter oncardiac resynchronization make the new edition an invaluableclinical resource. Features: · New chapter on Cardiac Resynchronization Therapy · Updated and better quality figures and tables · Updated content based on ACC/AHA/NASPE guidelines · Updated indications for ICD placement · Updated information on ICD and pacemakertroubleshooting
Author: Ulrika Birgersdotter-Green
Publisher: Springer Nature
ISBN: 3030700380
Category : Medical
Languages : en
Pages : 336
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Book Description
This book provides a comprehensive practical guide to the plethora of devices that have been developed to support the failing heart. It features easy to follow clinically relevant guidance on mechanical devices used for improving cardiac electrical conduction and cardiac output. Chapters cover indications and implant considerations for the implantable cardioverter defibrillator and cardiac resynchronization therapy devices and hemodynamic monitoring in the intensive care unit. Case-Based Device Therapy for Heart Failure describes how to properly use a range of available devices to treat heart failure. Thanks to its multidisciplinary authorship, it is a valuable resource for practising and trainee heart failure cardiologists, electrophysiologists and cardiac surgeons.
Author: Dirk Böcker
Publisher: John Wiley & Sons
ISBN: 1405146184
Category : Medical
Languages : en
Pages : 104
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Book Description
In this book, well-known physicians, Bocker, Eckardt and Breithardt have put together a succinct and focused book that compliments the CATA Series well. Implantation of defibrillators has evolved dramatically since its introduction by Mirowski in 1980. Technological improvements in devices and leads included a gradual reduction in the size of the device, the introduction of the endocardial approach in 1988, the biphasic waveform and antitachycardia pacing in 1991, pectoral implantation in 1995, inclusion of DDD pacing in 1996 and the delivery of atrial therapies in 1998. Since the first implantation, a huge body of information on the impact of implantable cardioverter defibrillators (ICD) on prognosis has become available, first as observational studies and later as prospective randomized trials. At the present time, there is a large evidence base from the several ICD trials, although it was not always certain that such a large body of ICD evidence would accumulate.
Author: Kenneth A. Ellenbogen
Publisher: John Wiley & Sons
ISBN: 1119578353
Category : Medical
Languages : en
Pages : 464
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Book Description
The consummate guide to cardiac pacing and defibrillator therapy in a clinical setting Designed to provide clinicians and fellows with a complete, up-to-date breakdown of current device therapies for pacing and defibrillation, Cardiac Pacing and ICDs reflects the latest developments in the device treatment of heart rhythm abnormalities. Topics ranging from essential principals to new and innovative techniques are explored in focused chapters, illustrated with full-color images, charts, and diagrams. Addressing every aspect of permanent and temporary pacing and defibrillation therapy, this invaluable resource covers patient indications, pacing mode selection, implantation and removal techniques, troubleshooting, and much more. The seventh edition has been expanded and revised to enable clear and practical understanding of the field as it exists today. Drawing upon real-world experience and cutting-edge research, it offers accessible, systematic guidance with a clinical focus, as well as a wealth of bitesize tips and tricks. Access to a new companion website provides insightful supplementary material, complete with downloadable images and video clips of key techniques. This essential book: Provides an intuitive, easy-to-navigate guide to cardiac pacing techniques and devices Explains pacing hemodynamics in practical, clinically relevant terms Features simple algorithms for mode selection and device programming Offers details of novel pacing systems and techniques, such as leadless pacemaker and His bundle pacing. Covers pacemaker timing cycles, special features, and evaluation and management of pacing system malfunctions Summarizes indications and details implantation techniques of ICDs, including transvenous and subcutaneous systems Includes best practices in MRI safety, patient consultation, and remote patient follow-up Cardiac Pacing and ICDs is an ideal resource for clinicians and fellows in cardiology and electrophysiology, those preparing for the IHRBE Examination in Devices, and any nurses, technicians, and other professionals caring for patients with implantable cardiac devices.
