Abstract
Sudden cardiac death is the leading cause of cardiac mortality in patients with heart disease. Approximately 400000 such deaths occur in the United States alone each year [1], It has been established that the vast majority of sudden cardiac deaths are due to ventricular tachyarrhythmias, with only approximately 20% of such cases due to identifiable etiology such as acute myocardial infarction [2, 3]. Tragically, when out-of-hospital cardiac arrest occurs, only one of five individuals will survive to hospital discharge. Those patients at high risk for sudden cardiac death are survivors of out-of-hospital cardiac arrest without identifiable causes and patients with recurrent ventricular tachycardia with underlying heart disease, particularly those with remote myocardial infarction with associated poor left ventricular function and those with cardiomyopathy. In such patients, the automatic implantable cardioverter defibrillator (AICD) has been the landmark breakthrough in therapy [4].
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References
Kuller L (1969) Sudden death in arteriosclerotic heart disease: the case for preventive medicine. Am J Cardiol 24: 617–642
Liberthson RR, Nagel EL, Hirshman JC (1975) Prehospital ventricular defibrillation. Prognosis and follow-up course. N Engl J Med 29: 317
Shaffer WA, Cobb LA (1974) Recurrent ventricular fibrillation and modes of death in survivors of out-of-hospital ventricular fibrillation. N Engl J Med 293: 259
Mirowski M (1985) The automatic implantable cardioverter-defibrillator: an overview. J Am Coll Cardiol 6: 461–466
Mirowski M, Mower MM, Staewen WS et al. (1970) Standby automatic im¬plantable defibrillator: an approach to prevention of sudden coronary death. Arch Intern Med 126: 158–161
Mirowski M, Mower MM, Langer A et al. (1978) A chronically implanted system for automatic defibrillation in active to conscious dogs: experimental model for treatment of sudden death from ventricular fibrillation. Circulation 58: 90–94
Mirowski M, Reid P, Mower MM et al. (1980) Termination of malignant ven¬tricular arrhythmias with an implanted automatic defibrillator in human beings. N Engl J Med 303: 322–324
Echt DS, Armstrong K, Schmidt P et al. (1985) Clinical experience, com-plications, and survival in 70 patients with the automatic implantable car¬dioverter-defibrillator. Circulation 71: 289–296
Department of Health and Human Services (1986) Health Care Financing Administration. Section 35-85. Implantation of automatic defibrillators, January, 1986
Veltri EP, Mower MM, Mirowski M et al. (1989) Followup of patients with ventricular tachyarrhythmia treated with the automatic implantable cardioverter-defibrillator: programmed electrical stimulation results do not predict clinical outcome. J Electrophysiol 3: 467–476
Watkins L, Guarnieri T, Griffith LSC et al. (1986) Implantation of the auto¬matic defibrillator: current surgical techniques. Clin Prog Electrophysiol Pacing 4: 286–291
Lampert S, Lown B, Graboys TB et al. (1988) Determinants of survival in patients with malignant arrhythmia associated with coronary artery disease. Am J Cardiol 71: 791–797
Wilber DJ, Garan H, Finklestein D Et Al. (1988) Out-of-hospital cardiac ar¬rest: use of electrophysiologic testing in the prediction of long-term out¬come. N Engl J Med 318: 19–24
Borggrefe M, Podczeck A, Ostermeyer J Et Al. (1987) Long-term results of electrophysiologically guided antitachycardia surgery in ventricular tachyarrhythmias: a collaborative report on 665 patients. In: Breithardt G, Borggrefe M (eds) Nonpharmacological therapy of tachyarrhythmias. Futura, Mount Kisco, chap 7, pp 109–125
Winkle RA, Mead RH, Ruder MA et al. (1989) Long-term outcome with the automatic implantable cardioverter-defibrillator. J Am Coll Cardiol 13: 1353–1361
Lehman MH, Steinman RT, Schuger CD et al. (1988) The automatic implantable cardioverter defibrillator as antiarrhythmic treatment modality of choice for survivors of cardiac arrest unrelated to acute myocardial infarction. Am J Cardiol 62: 803–805
Kuppermann M, Luce B, McGovern B et al. (1990) An analysis of the cost effectiveness of the implantable defibrillator. Circulation 81: 91–100
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© 1992 Springer-Verlag Berlin Heidelberg
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Veltri, E. et al. (1992). Long-Term Clinical Results with the Implantable Defibrillator. In: Alt, E., Klein, H., Griffin, J.C. (eds) The Implantable Cardioverter/Defibrillator. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76575-9_10
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DOI: https://doi.org/10.1007/978-3-642-76575-9_10
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