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• W1488951640 abstract "Epidemiological studies indicate that in Europe, sudden cardiac death (SCD) is the cause of from 20 to 159 deaths per 100 thousand inhabitants / year. In the United States, therefore, die each year from 300 to 400 thousand people. Unfortunately, as shown by the results of clinical trials, the use of antiarrhythmic drugs doesn’t protect the majority of patients before the onset of malignant ventricular arrhythmias which are the main cause of SCD. Other methods of treatment aimed at eliminating the causes of arrhythmia, such as antiarrhythmic cardiosurgery or transvenous ablation of arrhythmias can be effectively used only in a narrow group of patients. Thus, the treatment of choice in treating people at risk of SCD became the implantation of cardioverter-defibrillator (ICD). The creator of the idea of this method of treatment was Mieczyslaw (Michel) Mirowski (1924-1990). In the sixties of the last century, he started work on the design of devices capable of cardiac rhythm track, and in case of serious ventricular arrhythmias automatically restore sinus rhythm. The first implantation of automatic defibrillators (without cardioversion) occurred in the Johns Hopkins Hospital in Baltimore in 1980. Evaluation of the effectiveness of the ICD in SCD preventing has been the subject of many studies. Based on the results, the indications for ICD implantation can be divided into secondary prevention, for patients after cardiac arrest with ventricular fibrillation (VF) or a previous episode settled ventricular tachycardia (VT) and the primary prevention, including patients without malignant arrhythmias. Immediately after ICD implantation, and after 3-7 days you need to confirm the correct positioning of defibrillation electrodes. This allows you to confirm the correct location and accuracy of programming. While the study conducted a few days after ICD implantation should confirm the effectiveness of the algorithm of therapy chosen by the proper detection of induced control ventricular fibrillation. There are two methods to identify and then a safety margin between defibrillation pulse energy of the programmed and actual energy" @default.
• W1488951640 created "2016-06-24" @default.
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• W1488951640 date "2011-11-14" @default.
• W1488951640 modified "2023-10-01" @default.
• W1488951640 title "Application of the Bispectral Index (BIS) During Deep Sedation for Patients with ICD Testing" @default.
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• W1488951640 doi "https://doi.org/10.5772/24187" @default.
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