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Defibrillator
(redirected from Implantable cardioverter-defibrillator)

   Also found in: Dictionary/thesaurus, Medical, Wikipedia 0.01 sec.
defibrillator, device that delivers an electrical shock to the heart in order to stop certain forms of rapid heart rhythm disturbances (arrhythmias arrhythmia , disturbance in the rate or rhythm of the heartbeat. Various arrhythmias can be symptoms of serious heart disorders; however, they are usually of no medical significance except in the presence of additional symptoms.
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). The shock changes a fibrillation to an organized rhythm or changes a very rapid and ineffective cardiac rhythm to a slower, more effective one. In a typical hospital defibrillator, voltage stored by the defibrillator pushes electrical current through the chest to deliver a muscle-contracting jolt to the heart; the current is transmitted by means of electrodes or paddles placed on the chest. Automated external defibrillators are now available for use by persons with minimal medical training in emergencies when medical professionals are unavailable, and miniaturization has led to the development of the implanted internal defibrillator (also called an internal cardioverter). In the latter a microcomputer uses an electrode to monitor the heartbeat. Upon detecting a minor arrhythmia, it activates a built-in conventional pacemaker pacemaker, artificial, device used to stimulate a rhythmic heartbeat by means of electrical impulses. Implanted in the body when the heart's own electrical conduction system (natural pacemaker) does not function normally, the battery-powered device emits impulses
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 to restabilize the heart's rhythm. If that fails, it delivers a small defibrillating electrical shock to the heart. In an extreme case, it resorts to a far stronger shock to reset the heart rate.
defibrillator [dē′fib·rə‚lād·ər]
(medicine)
An electronic instrument used for stopping fibrillation during a heart attack by applying controlled electric pulses to the heart muscles.

Defibrillator 

an apparatus designed to eliminate the major impairment of cardiac activity manifested in separate contractions at different times of individual muscle fibers of the cardiac muscle (fibrillation).

In this condition the heart cannot work efficiently. Cardiac activity is not restored spontaneously during fibrillation. The most effective means to stop fibrillation is to feed a single shortterm (0.01 second) electrical impulse created by discharge of the condenser in the defibrillator to the heart muscle (open or through the thorax). Various models of defibrillators (the ID-VEI-1 and ID-66T) have been built in the USSR. The impulses generated by these defibrillators have a less damaging effect on the heart than the apparatus of other systems. A voltage of 1.5-2.5 kilowatts is used for defibrillation on an open heart (during operations), and a voltage of 4-7 kilowatts is used with an unopened thorax.

L. E. MANEVICH



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Defibrillation threshold testing: Is it really necessary at the time of implantable cardioverter-defibrillator insertion?
Despite a "no action indicated" (NAI) inspection in April 1996, FDA was back at Medtronic's Fridley, MN, plant in February 1997 when the firm notified the Minneapolis District Office of a coming safety alert on various models of its Thera implantable bradycardia pacemakers and Jewel implantable cardioverter-defibrillators, according to recently released inspection records.
This trial will identify ways physicians can improve the quality of care for patients through optimal application of device-based tools designed to reduce unnecessary shocks in patients with implantable cardioverter-defibrillator (ICD) and cardiac resynchronization therapy-defibrillator (CRT-D) devices.
 
 
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Implant-Assisted Fixed Partial Dentures
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Implant-Fixed Partial Denture
Implant/Transmucosal Abutment Interface
implantable
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Implantable cardioverter defibrillator
Implantable cardioverter defibrillator
Implantable Cardioverter Defibrillator Abstraction
Implantable Cardioverter Device
Implantable cardioverter-defibrillator
Implantable cardioverter-defibrillators
Implantable Centrifugal Blood Pump
Implantable Cochlear Stimulator
Implantable Collamer Lens
Implantable Contact Lens
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Implantable Device Cardiac Observation
Implantable Gas Exchange Device
implantable hearing aid
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Implantable ID chip
Implantable Joint Angle Transducer
Implantable Loop Recorder
Implantable Middle Ear Hearing Device
Implantable Miniature Telescope
Implantable Nicotine Reservoir for Rats
implantable pacemaker
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Implantable Pain Control Devices
Implantable port
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Implantable Stimulation Device
Implantable Telemetric Unit for Biomedical Research
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