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Automatic implantable defibrillators.

I G Crozier¹, D E Ward

¹St George's Hospital, Tooting, London.

British Journal of Hospital Medicine

|August 1, 1988

Summary

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The automatic implantable defibrillator (AID) detects and treats life-threatening heart rhythms. While effective for ventricular arrhythmias, high costs limit its widespread use.

Area of Science:

Cardiology
Biomedical Engineering
Medical Devices

Background:

Refractory ventricular arrhythmias pose a significant clinical challenge.
The development of automatic implantable defibrillators (AIDs) offers a potential solution.

Purpose of the Study:

To describe the development and function of the automatic implantable defibrillator (AID).
To evaluate the clinical impact and limitations of the AID in managing ventricular arrhythmias.

Main Methods:

The AID automatically detects ventricular fibrillation or tachycardia.
It delivers a low-energy shock (30 J) via epicardial patch electrodes or combined pericardial/endocardial approaches.

Main Results:

The AID is being implanted in large numbers in the USA.

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The device represents a major advancement in managing refractory ventricular arrhythmias.

Impressive clinical results have been observed.

Conclusions:

The automatic implantable defibrillator is a significant innovation for treating ventricular arrhythmias.
High device cost remains a barrier to its broader implementation.