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Previous Volume 349:1836-1847 November 6, 2003 Number 19 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Despite advances in emergency medical systems and in techniques of resuscitation, sudden death from cardiac arrest remains a major public health problem. Most persons who have an out-of-hospital cardiac arrest do not survive.^1,2 Those who are resuscitated may have severe, long-term cognitive impairment and motor impairment due to delays before a stable rhythm could be restored. In the 1970s, motivated by the death of a colleague, Drs. Michel Mirowski and Morton Mower, and their colleagues, developed the concept of an implantable device that could automatically monitor and analyze cardiac rhythm and deliver defibrillating shocks when it detected ventricular fibrillation.^3,4 After . . . [Full Text of this Article]

Components and Function

Detection of Arrhythmia

Other Functions of Implantable Defibrillators

Clinical Trials

Secondary-Prevention Trials

Defibrillator Therapy plus Drug Therapy in Secondary Prevention

Primary-Prevention Trials

Cardiac Resynchronization and the Implantable Cardioverter–Defibrillator

Complications

Follow-up

Factors Affecting Use

Summary

Source Information

From the Electrophysiology Laboratory, Cardiovascular Division, Department of Medicine, University of Virginia Health System, Charlottesville.

Address reprint requests to Dr. DiMarco at the Cardiovascular Division, Department of Medicine, University of Virginia Health System, P.O. Box 800158, Charlottesville, VA 22908-0158, or at jdimarco@virginia.edu.

Related Letters:

Implantable Cardioverter–Defibrillators and Complications
Sinclair C. T., Marymount J. H. III, Rozner M. A., DiMarco J. P.
Extract | Full Text | PDF  
N Engl J Med 2004; 350:734-735, Feb 12, 2004. Correspondence

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