Implantable Cardioverter Defibrillator

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ISBN-13: 9780879935931
ISBN-10: 0879935936
Publisher: FUTURA PUBLISHING CO, INC
Format: Cloth, 777 pages
Pub Date: 1994
Edition Number: 1

Synopsis

This text deals with fundamental concepts of ventricular fibrillation and defibrillation theories. Engineering and technical issues are described in detail as well as the current clinical approaches for selection, thoracotomy and nonthoractomy implantation of ICDs, follow-up and troubleshooting of diagnostic problems, and the current clinical experience with ICD therapy. Clinical trials are discussed along with the economic issues involved in ICD therapy. The more than 400 illustrations are an excellent aid to understanding complicated topics that cannot be adequately defined with words alone. It also examines future technologies. This comprehensive text, which includes the most current information on the use of ICDs today and the technologies of the future, will serve as a valuable tool for practicing electrophysiologists, cardiac surgeons, cardiologists, engineers, and technical personnel involved with ICD patients.

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TABLE OF CONTENTS
Contributors vii
Preface xi
PART 1. BASIC CONCEPTS
Chapter 1. Clinical and Historical Perspective
Morton M. Mower 3
Chapter 2. Ventricular Tachycardia
Igor Singer 13
Chapter 3. Ventricular Fibrillation
Janice L. Jones 43
PART 2. ENGINEERING ASPECTS
Chapter 4. Tachyarrhythmia Sensing and Detection
Walter H. Olson 71
Chapter 5. Tachyarrhythmia Termination: Lead Systems and
Hardware Design
Rahul Mehra and Zach Cybulski 109
Chapter 6. Defibrillation Theory and its Clinical Impact
Werner Irnich 135
Chapter 7. Defibrillation Waveforms
Susan M. Blanchard, Stephen B. Knisley, Gregory P. Walcott,
and Raymond E. Ideker 153
Chapter 8. Leads Technology
Peter R. Accorti, Jr 179
Chapter 9. A Logical Approach to Tiered-Therapy Implantable
Cardioverter-Defibrillator Design
Eliot L. Ostrow 207
Chapter 10. Implant Support Devices
Douglas J. Lang and Bruce H. KenKnight 223
Chapter 11. Device Telemetry
Igor Singer 253
Chapter 12. Antitachycardia Pacing
Berndt Luderitz, Werner Jung, and Matthias Manz 271
PART 3. CLINICAL ASPECTS OF IMPLANTABLE
CARDIOVERTER-DEFIBRILLATOR THERAPY
Chapter 13. Indications for Implantable Cardioverter-
Defibrillator Therapy
Theofilos M. Kolettis and Sanjeev Saksena 303
Chapter 14. Evaluation of a Prospective Patient for Implantable
Cardioverter-Defibrillator Therapy
Michael Block and Gunter Breithardt 315
Chapter 15. Operative Techniques for Implantation and Testing
of Implantable Cardioverter-Defibrillators
Erle Austin and Igor Singer 327
Chapter 16. Implantation of Cardioverter-Defibrillators in the
Electrophysiology Laboratory
Andrew E. Epstein and G. Neal Kay 357
Chapter 17. Unipolar Defibrillation Systems
Gust H. Bardy, Merritt H. Raitt, and Greg K. Jones 365
Chapter 18. Interactions of Implantable Cardioverter-
Defibrillators With Antiarrhythmic Drugs and
Pacemakers
Igor Singer and David A. Slater 377
Chapter 19. Postoperative Care and Follow-up of Implantable
Cardioverter-Defibrillator Patients
Igor Singer and Lesa Adams 389
Chapter 20. Complications of Implantable Cardioverter-
Defibrillator Surgery: Diagnosis and Management
Igor Singer 415
Chapter 21. Troubleshooting of Patients With Implantable
Cardioverter-Defibrillators
Seah Nisam and Richard N. Fogoros 433
Chapter 22. Programming of Implantable Cardioverter-
Defibrillators
Seah Nisam and Richard N. Fogoros 457
Chapter 23. Clinical Results With Implantable Cardioverter-
Defibrillator Therapy: An Overview
Igor Singer 471
Chapter 24. Clinical Results With Implantable Cardioverter-
Defibrillator Therapy
Hans-Joachim Trappe and Helmut Klein 487
Chapter 25. Clinical Results With Nonthoracotomy Lead Systems
and Implications for Implantable Cardioverter-
Defibrillator Practice: The European Experience
Samuel Levy, Philippe Ricard, and Eric Dolla 507
Chapter 26. Primary Prevention of Sudden Cardiac Death Using
Implantable Cardioverter-Defibrillators
J. Thomas Bigger, Jr 515
Chapter 27. The Implantable Cardioverter-Defibrillator:
Economic Issues
Mark H. Anderson and A. John Camm 547
PART 4. ALTERNATIVE APPROACHES TO IMPLANTABLE
CARDIOVERTER-DEFIBRILLATOR THERAPY
Chapter 28. Pharmacological Therapy
L. Brent Mitchell 577
Chapter 29. Surgical Treatment of Ventricular Tachycardia
Associated With Coronary Artery Disease
Gerard M. Guiraudon, George J. Klein, Raymond Yee, and
R. K. Thakur 615
Chapter 30. Catheter Ablation for Ventricular Tachycardia
William M. Miles and Lawrence S. Klein 633
PART 5. FUTURE PERSPECTIVES
Chapter 31. Antitachycardia Pacing and Implantable Cardioverter-
Defibrillators for Treatment of Supraventricular
Tachyarrhythmias
David G. Benditt, Stuart W. Adler, Stephen C. Remole,
Scott Sakaguchi, and Keith G. Lurie 651
Chapter 32. Rationale for an implantable Atrial Defibrillator
Jerry C. Griffin, Gena Sears, Gregory M. Ayers, John Adams,
Clif A. Alferness, Ross Infinger, and Kurt Wheeler 675
Chapter 33. Automated Rhythm Systems
Mark H. Anderson and A. John Camm 687
Chapter 34. Dual Chamber Defibrillator: From Theoretical
Concepts to Implementation
Tibor Nappholz 711
Chapter 35. Combination of Drug Delivery Systems and Implantable
Cardioverter-Defibrillators: Is There a Possible
Future Marriage?
Tibor Nappholz 731
Chapter 36. Implantable Cardioverter-Defibrillators: An
Overview and Future Directions
Edwin G. Duffin and S. Serge Barold 751
Index 769