TY - JOUR
AU - Mendeloff, Albert I.
AB - Abstract A laboratory model of an automatic standby defibrillator has been designed, developed, and tested successfully on dogs. Approximately 50 seconds after a sensor located in the right ventricle detects ventricular fibrillation, a discharge of the order of 30 to 50 wattseconds is delivered automatically to the heart through two electrodes, one which represents an integral part of the intracardiac sensing catheter, and the other positioned under the skin or on the surface of the anterior chest wall. In the event of successful defibrillation the device reverts to a standby condition. It is suggested that this device, when adapted for clinical use, might be implanted temporarily or permanently in selected patients particularly prone to develop ventricular fibrillation and thus provide them with some degree of protection from sudden coronary death. References 1. Vital Statistics of the United States, vol 2: Mortality , part A, 1966, Government Printing Office, 1968. 2. Kuller L, Lilienfeld A, Fisher R: Epidemiological study of sudden and unexpected deaths due to arteriosclerotic heart disease . Circulation 34:1056-1068, 1966.Crossref 3. Bjerkelund CJ: The effect of long term treatment with dicoumarol in myocardial infarction . Acta Med Scand , (suppl 330) , p 188, 1957. 4. Lawrie DM, Higgins MR, Godman, MJ: Ventricular fibrillation complicating acute myocardial infarction . Lancet 2: 523-528, 1968.Crossref 5. Fulton M, Julian DG, Oliver MF: Sudden death and myocardial infarction . Circulation 40 ( (suppl 4) ):182-191, 1969.Crossref 6. Sidel VW, Acton J, Lown B: Models for the evaluation of pre-hospital coronary care . Amer J Cardiol 24:674-688, 1969.Crossref 7. Bondurant S: Problems of the prehospital phase of acute myocardial infarction . Amer J Cardiol 24:612-616, 1969.Crossref 8. Stephenson HE Jr: Management of ventricular fibrillation , in Stephenson HE Jr (ed): Cardiac Arrest and Resuscitation . St. Louis, CV Mosby Co, 1969, pp 265-269. 9. Hagstrom RM, Billings FT Jr, Ball COT: The Risk of Sudden Death Following Myocardial Infarction . Arch Environ Health 15:450-454, 1967.Crossref 10. Denborough MA, Lovell RRH, Nestel PJ: Arrhythmias and late sudden death after myocardial infarction . Lancet 1:386-388, 1968.Crossref 11. Chiang BN, Perlman LV, Ostrander LD Jr: Relationship of premature systoles to coronary heart disease and sudden death in the Tecumseh epidemiologic study . Ann Intern Med 70:1159-1166, 1969.Crossref 12. Chiang BN, Perlman LV, Fulton M: Predisposing factors in sudden cardiac death in Tecumseh, Michigan . Circulation 41:31-37, 1970.Crossref 13. Seim S: Angina pectoris: A prognostic study . Acta Med Scand 166:255-267, 1960.Crossref 14. Levy H: The natural history of changing patterns of angina pectoris . Ann Intern Med 44:1123-1135, 1956.Crossref 15. Oliver MF: Discussion . Circulation 40( (suppl 4) ):193, 1969.
TI - Standby Automatic Defibrillator: An Approach to Prevention of Sudden Coronary Death
JF - Archives of Internal Medicine
DO - 10.1001/archinte.1970.00310070160014
DA - 1970-07-01
UR - https://www.deepdyve.com/lp/american-medical-association/standby-automatic-defibrillator-an-approach-to-prevention-of-sudden-d122jWa0KC
SP - 158
EP - 161
VL - 126
IS - 1
DP - DeepDyve
ER -