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Item Details
Title:
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IMPLANTABLE DEFIBRILLATOR THERAPY: A CLINICAL GUIDE
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By: |
Antonio Pacifico, Philip D. Henry, Gust H. Bardy |
Format: |
Hardback |
List price:
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£139.99 |
We believe that this item is permanently unavailable, and so we cannot source
it.
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ISBN 10: |
1402071434 |
ISBN 13: |
9781402071430 |
Publisher: |
SPRINGER-VERLAG NEW YORK INC. |
Pub. date: |
31 August, 2002 |
Edition: |
2002 ed. |
Series: |
Developments in Cardiovascular Medicine 244 |
Pages: |
410 |
Description: |
Focusing on implantable cardioverter defibrillators, this textbook is organized in five sections: Indication; Instrumentation; Implantation; Follow-Up; and Complications. It is useful for cardiac electrophysiologists, general cardiologists and physicians in cardiac electrophysiology training. |
Synopsis: |
Implantable defibrillators as originally conceived by Michel Mirowski were limited to the detection and automatic termination of ventricular fibrillation. In the original "AID" device, the detection algoritlun sought to distinguish sinus rhytlun from ventricular fibrillation by identifying the "more sinusoidal waveform of ventricular fibrillation. " The therapeutic intervention was elicited only once deadly polymorphic rhythms had developed. It was rapidly learned, however, that ventricular fibrillation is usually preceded by ventricular tachycardia. Mirowski recognized the pivotal importance of developing algoritllms based on heart rate. Ventricular tachycardia detection allowed the successful development of interventions for the termination of ventricular tachyarrhythmias before they degenerated into ventricular fibrillation. Current device therapy no longer confines itself to tlle termination of chaotic rhythms but seeks to prevent them. Diagnostic algorithms moved upward along the chain of events leading to catastrophic rhytlulls. Rate smoothing algorithms were developed to prevent postextrasystolic pauses from triggering ventricular and atrial tachyarrhytlmlias. Beyond the renaissance of ectopy-centered strategies, long-term prevention received increasing attention. Multisite pacing therapies provided by "Arrhythmia Management Devices" were designed to reduce the "arrhytlunia burden" and optimize the synergy of cardiac contraction and relaxation. Clinical evidence now suggests that atrial fibrillation prevention by pacing is feasible and tllat biventricular pacing may be of benefit in selected patients with heart failure. However, these applications of device therapy that generally require ventricular defibrillation backup remain investigational and were not considered in this book. |
Illustrations: |
X, 410 p. |
Publication: |
US |
Imprint: |
Springer-Verlag New York Inc. |
Returns: |
Returnable |
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Ramadan and Eid al-Fitr
A celebratory, inclusive and educational exploration of Ramadan and Eid al-Fitr for both children that celebrate and children who want to understand and appreciate their peers who do.
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