Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Epicardial versus parietal pericardial defibrillation.

L Rubin, P Hudson

    The American Journal of Emergency Medicine
    |March 1, 1985
    PubMed
    Summary

    Parietal pericardium defibrillation required high energy (average 46 J) with low success (42%), causing subepicardial damage. Epicardial defibrillation was more effective and safer for ventricular fibrillation treatment.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Abstracts of the 26th International Workshop on Clinical Pharmacology of HIV, Hepatitis and other Antiviral Drugs 2025, 3-4 September 2025, Amsterdam, the Netherlands.

    British journal of clinical pharmacology·2025
    Same author

    A retrospective audit of adult and paediatric anaphylaxis management from two Australian metropolitan mixed emergency departments.

    BMC emergency medicine·2024
    Same author

    The potential for property-level flood adaptation as a flood disaster mental health intervention.

    Public health·2023
    Same author

    Evaluation of an online toolkit for carers of people with a life-limiting illness at the end-of-life: health professionals' perspectives.

    Australian journal of primary health·2021
    Same author

    Design of a Mobile Application for Transfusion Medicine.

    Studies in health technology and informatics·2018
    Same author

    The Australian Biomarkers Lifestyle and Imaging flagship study of ageing.

    Acta neuropsychiatrica·2016

    Area of Science:

    • Cardiovascular research
    • Biomedical engineering
    • Electrophysiology

    Background:

    • Implantable defibrillation systems aim to treat life-threatening arrhythmias.
    • Porous electrodes are being investigated for improved defibrillation efficacy.
    • The pericardial space offers potential anatomical advantages for electrode placement.

    Purpose of the Study:

    • To compare the energy requirements and success rates of porous electrodes implanted on the parietal pericardium versus the epicardial surface for defibrillation.
    • To assess the safety and feasibility of parietal pericardium defibrillation for permanent implantable systems.

    Main Methods:

    • Evaluation of energy requirements for porous electrodes in two distinct anatomical locations: parietal pericardium and epicardial surface.
    • Assessment of defibrillation success rates during induced ventricular fibrillation in a canine model.
    • Histological examination to identify potential tissue damage.

    Main Results:

    • Parietal pericardium defibrillation showed a low success rate (42%) with high energy requirements (average 46 J, range 30-68 J).
    • Epicardial defibrillation demonstrated a higher success rate (approximately 80%) with lower energy requirements (average 21.3 J).
    • Histological evidence of subepicardial damage was observed in the parietal pericardium group, potentially linked to higher energy shocks.

    Conclusions:

    • The high energy demands and low efficacy of parietal pericardium defibrillation render it infeasible for permanent implantable systems.
    • Epicardial defibrillation remains the preferred and more effective method.
    • Despite theoretical advantages, the parietal pericardium route is not viable due to safety and performance concerns.

    Related Experiment Videos