Cardiac Defibrillation

186 Pages·2013·6.37 MB·English

by  Damir Erkapic

CARDIAC
DEFIBRILLATION
Edited by
Damir Erkapic, Tamas
Bauernfeind
CARDIAC
DEFIBRILLATION
Edited by Damir Erkapic, Tamas
Bauernfeind
Cardiac Defibrillation
http://dx.doi.org/10.5772/45990
Edited by Damir Erkapic, Tamas Bauernfeind
Contributors
Kevin Michael, Damir Erkapic, Tamas Bauernfeind, Jorge Toquero, Dan Blendea, Craig McPherson, Razvan Dadu,
Marzia Giaccardi, Elisabete Martins, Joern Schmitt, Martin Seifert, Jerome Taieb, Munir Zaqqa
Published by InTech
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Copyright © 2013 InTech
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Publishing Process Manager Iva Simcic
Technical Editor InTech DTP team
Cover InTech Design team
First published January, 2013
Printed in Croatia
A free online edition of this book is available at www.intechopen.com
Additional hard copies can be obtained from [email protected]
Cardiac Defibrillation, Edited by Damir Erkapic, Tamas Bauernfeind
p. cm.
ISBN 978-953-51-0931-0

Contents
Preface VII
Section 1 External Cardiac Defibrillation 1
Chapter 1 Principles of External Defibrillators 3
Hugo Delgado, Jorge Toquero, Cristina Mitroi, Victor Castro and
Ignacio Fernández Lozano
Section 2 Principals of Internal Cardiac Defibrillation 27
Chapter 2 Defibrillation and Cardiac Geometry 29
Dan Blendea, Razvan Dadu and Craig A. McPherson
Section 3 Worth Knowing About Indication, Long-Term Benefit,
Challenges, and Monitoring of ICD Therapy 43
Chapter 3 Sudden Death in Ischemic Heart Disease 45
Elisabete Martins
Chapter 4 Implantable Cardioverter-Defibrillators in Sudden Cardiac
Death Prevention: What Guidelines Don't Tell 59
Marzia Giaccardi, Andrea Colella, Giovanni Maria Santoro, Alfredo
Zuppiroli and Gian Franco Gensini
Chapter 5 Long-Term Benefit and Challenges of Implantable Cardioverter
Defibrillator Therapy 79
Damir Erkapic and Tamas Bauernfeind
Chapter 6 ICD in the Era of Telecardiology 93
J. Taieb, J. Bouet, R. Morice, J. Hourdain, B. Jouve, Y. Rahal, T.
Benchaa, H. Khachab, O. Rica and C. Barnay
VI Contents
Section 4 ICD Implantation Procedure 107
Chapter 7 ICD and PM Implantation Procedure: Relevant
Periprocedural Issues 109
Joern Schmitt
Chapter 8 Defibrillator Threshold Testing 121
Munir Zaqqa
Section 5 Tipps and Tricks in ICD Programming 135
Chapter 9 Tachycardia Discrimination Algorithms in ICDs 137
Martin Seifert
Chapter 10 Current Issues in ICD SVT-VT Discrimination: Pacing for SVT-VT
Discrimination 161
Kevin A Michael, Damian P Redfearn and Mark L Brown
Preface
In highly developed countries, sudden cardiac death (SCD) caused by ventricular fibrillation
or tachycardia (VF/VT) plays a prominent role in mortality since several decades. The
invention of cardiac defibrillation proved to be a decisive step in the therapy and
prophylaxis of SCD. As internal cardioverter defibrillator (ICD) therapy became widely
available, a continuous development followed in the number and type of leads,
programming capabilities and differential algorithms of these devices. Indications for ICD
therapy also underwent consecutive changes and actualizations. However, several
important issues concerning contraindications, possible complications, perioperative
management including anticoagulation and antibiotic therapy, and the programming and
follow-up of ICD devices are much less discussed in the available guidelines. In this book
we tried to round up practical advices and protocols from colleagues working in the USA,
Canada, Jordan, Portugal, Spain, France, Italy and Germany. We hope that you will find this
book helpful for cardiologists and electrophysiologists to keep their knowledge “up-to-
date”.
Editor: Dr. Damir Erkapic, M.D.
University of Giessen and Marburg,
Kerckhoff Heart and Thorax Center,
Bad Nauheim, Germany
Co-editor: Dr. Tamas Bauernfeind, M.D.
SRH Zentralklinikum Suhl gGmbH
Internal Medicine I
Suhl, Germany

Section 1
External Cardiac Defibrillation