4,199
edits
ICD: Difference between revisions
m
no edit summary
mNo edit summary |
mNo edit summary |
||
| Line 2: | Line 2: | ||
[[Image:ICD_wound.jpg|thumb|An ICD is usually implanted subcutaneously]] | [[Image:ICD_wound.jpg|thumb|An ICD is usually implanted subcutaneously]] | ||
[[Image:ICD_readout.jpg|thumb|The information stored in the ICD's memory can be read out using a coil that is put on the patients clothing near the ICD. Stored information includes battery life remaining and ICD shocks]] | [[Image:ICD_readout.jpg|thumb|The information stored in the ICD's memory can be read out using a coil that is put on the patients clothing near the ICD. Stored information includes battery life remaining and ICD shocks]] | ||
ICD (Implantable Cardioverter Defibrillator ): this device can detect and treat [[Ventricular Tachycardia]] and [[Ventricular Fibrillation]]. Usually the first treatment is anti-tachy pacing (pacing at a rate +- 10% above the ventricular rate in ventricular tachycardia, which can convert the rhythm to sinus rhythm). If this is not effective an defibrillator shock is delivered, usually with 16-36 Joules of energy. ICDs can save lives in patients who have a high risk of ventricular arrhythmias. All ICDs have optional pacemaker activity to treat bradycardias. New biventricular ICDs have 3 leads: an atrial lead, a left ventricular lead and a right ventricular lead.<cite>Passman</cite> | ICD (Implantable Cardioverter Defibrillator ): this device can detect and treat [[Ventricular Tachycardia]] and [[Ventricular Fibrillation]]. Usually the first treatment is anti-tachy pacing (pacing at a rate +- 10% above the ventricular rate in ventricular tachycardia, which can convert the rhythm to sinus rhythm). If this is not effective an defibrillator shock is delivered, usually with 16-36 Joules of energy. ICDs can save lives in patients who have a high risk of ventricular arrhythmias. All ICDs have optional pacemaker activity to treat bradycardias. New biventricular ICDs have 3 leads: an atrial lead, a left ventricular lead and a right ventricular lead.<cite>Passman</cite><cite>DiMarco</cite> | ||
==A short history of ICD therapy== | ==A short history of ICD therapy== | ||
| Line 18: | Line 18: | ||
#Mirowski1 pmid=4490731 | #Mirowski1 pmid=4490731 | ||
#Passman Passman, Kadish. Circulation. 2007;116:561-571. | #Passman Passman, Kadish. Circulation. 2007;116:561-571. | ||
#DiMarco pmid=14602883 | |||
</biblio> | </biblio> | ||