THE AUTOMATIC IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR - MANAGEMENT ISSUES RELEVANT TO THE EMERGENCY CARE PROVIDER

被引:9
作者
HIGGINS, GL
机构
[1] Department of Emergency Medicine, Maine Medical Center, Portland
关键词
arrhythmia; Electrical countershock; ventricular fibrillation; ventricular tachycardia;
D O I
10.1016/0735-6757(90)90093-F
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The automatic implantable cardioverter-defibrillator (AICD) is being used more frequently in patients with recurrent malignant arrhythmias refractive to sophisticated antiarrhythmic drug therapy. Such patients often present to emergency facllities with cardiac and/or device related complaints. Both "appropriate" and "inappropriate" AICD pulsing can result in patient adversity. For this reason, AICD generator deactivation is indicated in certain clinical conditions once a controlled and properly equipped medical environment is assured. This report discusses a number of relevant emergent management issues concerning this beneficial device. © 1990.
引用
收藏
页码:342 / 347
页数:6
相关论文
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