[The current status of implantable automatic defibrillators]

Area of Science:

• Cardiology
• Biomedical Engineering
• Medical Devices

Context:

• Implantable cardioverter defibrillators (ICDs) are crucial for managing sustained or life-threatening ventricular arrhythmias.
• The concept originated in the late 1960s, with the first human implantation in 1980.
• Significant technological advancements have enhanced ICD design, function, and reliability since their inception.

Purpose:

• To review the principal functions of currently available implantable cardioverter defibrillators.
• To highlight the rapid evolution and modifications in ICD technology.
• To inform about upcoming devices with advanced features like atrioventricular pacing and atrial defibrillation.

Summary:

• ICDs have evolved significantly since 1980, with rapid improvements in design, function, and reliability.
• Five companies in Spain offer ICDs with diverse defibrillation, pacing, and sensing capabilities.
• Future devices will incorporate sophisticated options, including atrioventricular pacing and atrial defibrillation.

Impact:

• Provides an overview of current implantable cardioverter defibrillator technology for healthcare professionals.
• Informs about the ongoing advancements in cardiac arrhythmia management.
• Facilitates understanding of the expanding capabilities and future potential of ICDs in clinical practice.