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Internal cardiac defibrillator malfunction treatment

Barry J Maron, Paolo Spirito, Michael J Ackerman, Susan A Casey, Christopher Semsarian, N A Mark Estes, Kevin M Shannon, Euan A Ashley, Sharlene M Day, Giuseppe Pacileo, Francesco Formisano, Emmanuela Devoto, Aristidis Anastasakis, J Martijn Bos, Anna Woo, Camillo Autore, Robert H Pass, Giuseppe Boriani, Ross F Garberich, Adrian K Almquist, Mark W Russell, Luca Boni, Stuart Berger, Martin S Maron, Mark S Link
OBJECTIVES: The aim of this study was to determine the efficacy of implantable cardioverter-defibrillators (ICDs) in children and adolescents with hypertrophic cardiomyopathy (HCM). BACKGROUND: HCM is the most common cause of sudden death in the young. The availability of ICDs over the past decade for HCM has demonstrated the potential for sudden death prevention, predominantly in adult patients. METHODS: A multicenter international registry of ICDs implanted (1987 to 2011) in 224 unrelated children and adolescents with HCM judged at high risk for sudden death was assembled...
April 9, 2013: Journal of the American College of Cardiology
M J Cleland, J P Maloney, B H Rowe
To examine performance failures of automatic external defibrillator (AED) self-adhesive electrodes, a retrospective analysis of patient reports and electrodes was conducted in a suburban emergency medical service (EMS) system. In all cases, only records from out-of-hospital cardiac arrests (OHCA) were used if the EMS was activated and an AED was used. Electrode failures were assessed as follows: 1) EMS staff returned defibrillation electrodes when they were unable to resolve repeated "Check Electrode" messages, and 2) an audit of selected records was used to determine the frequency of electrode problems during calls...
March 1998: Journal of Emergency Medicine
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