Clinical treatment of life-threatening ventricular tachyarrhythmias with the automatic implantable defibrillator.

Clinical treatment of life-threatening ventricular tachyarrhythmias with the automatic implantable defibrillator.
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使用自动植入式除颤器临床治疗危及生命的室性快速心律失常。

DOI:
10.1016/s0002-8703(81)80017-8
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发表时间:
1981
影响因子:
4.8
通讯作者:
Mower,MM
Mower,MM
中科院分区:
医学2区
文献类型:
--
作者:
Mirowski,M;Reid,PR;Watkins,L;Weisfeldt,ML;Mower,MM

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自动心室除颤器的成功临床应用是在去年首次报道的?这种完全植入式设备能够连续监测心律、识别以正弦波形为特征的心室颤动和室性心动过速,并在有指示时提供纠正性除颤放电。自动植入式除颤器的主要目标是为高危患者提供独立的诊断治疗系统,无需医务人员或额外设备即可纠正恶性室性快速性心律失常,从而保护高危患者免遭心源性猝死。~, 3 自首次植入以来,约翰·霍普金斯大学医学中心继续对这种新治疗方式进行 1, 4 项临床评估。这些试点研究的目的如下:(1) 验证临床前测试项目中获得的有关新设备的功能性能、可靠性和安全性的信息 5. 6 (2) 评估有关其在患者中使用的短期和长期有效性的性能数据; (3) 在除颤器广泛使用之前识别并纠正潜在的困难。在本报告中,我们介绍了迄今为止 16 名接受自动除颤器植入治疗的患者的全部临床经验。
Successful clinical application of an automatic ventricular defibrillator was first reported within the past year? This fully implantable device possesses the capability of continuously monitoring cardiac rhythm, recognizing ventricular fibrillation and ventricular tachycardias characterized by sinusoidal waveform, and delivering corrective defibrillatory discharges when indicated. The principal goal of the automatic implanted defibrillator is to protect highrisk patients from sudden cardiac death by providing such individuals with a self-contained diagnostictherapeutic system able to correct malignant ventricular tachyarrhythmias without medical personnel or additional equipment.~, 3 Since the first implants, 1, 4 clinical evaluations of this new therapeutic modality have continued at The Johns Hopkins University Medical Center. These pilot studies have been designed for the following purposes:(1) to validate information obtained during the preclinical testing program in regard to the functional performance, reliability, and safety of the new device 5. 6 (2) to evaluate performance data concerning the short-and longterm effectiveness of its utilization in patients; and (3) to identify and correct potential difficulties prior to the widespread availability of the defibrillator for broader use. In this report, we present the total clinical experience to date of 16 patients treated with implantation of the automatic defibrillator.
DOI: --
发表时间: 1978
期刊: Circulation
影响因子: 37.8
作者:
M. Mirowski;M. Mower;A. Langer;Julian Schreibman;M. Heilman
通讯作者: M. Heilman
DOI: 10.1001/archinte.1970.00310070160014
发表时间: 1970
影响因子: --
作者:
M. Mirowski;M. Mower;W. Staewen;B. Tabatznik;A. Mendeloff
通讯作者: A. Mendeloff
DOI: 10.1007/bf02447420
发表时间: 1987-05-01
影响因子: 3.2
作者:
CHEN, S;THAKOR, NV;MOWER, MM
通讯作者: MOWER, MM