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Adjunctive Diode Laser Therapy and Probiotic Lactobacillus Therapy in the Treatment of Periodontitis and Peri-Implant Disease
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[Treatment with implantable defibrillator].

Natasha G Roseva-Nielsen1, Jesper Hastrup Svendsen

  • 1Medicinsk Center, Holbaek Sygehus, DK-4300 Holbaek.

Ugeskrift for Laeger
|July 12, 2003
PubMed
Summary

Implantable cardioverter defibrillators (ICDs) have advanced significantly over 20 years. ICDs improve survival for cardiac arrest survivors and are recommended for select high-risk patients, particularly those with heart failure.

Area of Science:

  • Cardiology
  • Medical Devices
  • Electrophysiology

Context:

  • The first implantable cardioverter defibrillator (ICD) was implanted 20 years ago, marking a significant advancement in cardiac care.
  • ICD implantation numbers have risen dramatically, reflecting their increasing importance in managing life-threatening cardiac arrhythmias.
  • The article reviews the evolution of ICD technology and its clinical applications.

Purpose:

  • To describe the historical development and technological advancements of implantable cardioverter defibrillators.
  • To provide a comprehensive overview of current clinical indications for ICD implantation.
  • To highlight the evolving role of ICDs in secondary prophylaxis and selected primary prophylactic scenarios.

Summary:

  • Implantable cardioverter defibrillators (ICDs) are devices that can terminate ventricular fibrillation and ventricular tachycardia.

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  • Secondary prophylaxis with ICDs has demonstrated improved prognosis in patients who have experienced cardiac arrest.
  • Primary prophylactic ICD use is recommended for specific patient groups, with particular benefit observed in those with impaired left ventricular function.

    • Impact:

    • ICD therapy has become a cornerstone in managing patients at risk of sudden cardiac death.
    • Ongoing research is exploring the benefits of prophylactic ICD treatment in heart failure patients.
    • The continued development of ICDs promises further improvements in patient outcomes and quality of life.