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Related Experiment Videos

[Implantable defibrillators].

H Klein1, H J Trappe

  • 1Abteilung Kardiologie, Medizinischen Hochschule, Hannover.

Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
|May 1, 1992
PubMed
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Clinical research in cardiology : official journal of the German Cardiac Society·2010

Automatic implantable defibrillator therapy significantly reduces sudden cardiac death risk in high-risk patients. Despite proven efficacy, underutilization of this life-saving technology persists, particularly in Germany.

Area of Science:

  • Cardiology
  • Medical Devices
  • Electrophysiology

Context:

  • Sudden cardiac death (SCD) remains a significant cause of mortality.
  • Traditional therapies for life-threatening ventricular tachycardia have limitations.
  • Automatic implantable defibrillator (AID) therapy offers a crucial intervention.

Purpose:

  • To highlight the impact of AID therapy on survival after aborted SCD.
  • To address the underutilization of AID therapy in specific regions like Germany.
  • To compare AID therapy with alternative treatments for ventricular arrhythmias.

Summary:

  • AID therapy has dramatically improved survival rates for patients experiencing aborted sudden cardiac death.
  • In patients with poor ventricular function, AID therapy is often superior to antiarrhythmic drugs or surgery.

Related Experiment Videos

  • Recent advancements include improved programmability, endocardial leads, and antitachycardia pacing integration.

    • Impact:

    • AID implantation reduces the annual mortality rate from SCD to approximately 2% in the first year and 5% by the third year.
    • Operative mortality for AID implantation is low, typically 2-3% in experienced centers.
    • Long-term outcomes are influenced by underlying conditions like coronary artery disease, with a 3-year total mortality around 15% in large cohorts.