The Automatic External Cardioverter-Defibrillator

Martínez-Rubio, Antoni and Barón-Esquivias, Gonzalo (2004) The Automatic External Cardioverter-Defibrillator. [Journal (Paginated)]

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In-hospital cardiac arrest remains a major problem but new technologies allowing fully automatic external defibrillation are available. These technologies allow the concept of “external therapeutic monitoring” of lethal arrhythmias. Since early defibrillation improves outcome by decreasing morbidity and mortality, the use of this device should improve the outcome of in-hospital cardiac arrest victims. Furthermore, the use of these devices could allow safe monitoring and treatment of patients at risk of cardiac arrest who not necessarily must be in conventional monitoring units (Intensive or Coronary Care Units) saving costs with a more meaningful use of resources. The capability to provide early defibrillation within any patient-care areas should be considered as an obligation (“standard of care”) of the modern hospital.

Item Type:Journal (Paginated)
Keywords:cardiac arrest, cost-effective, defibrillation, ventricular arrhythmias, ventricular fibrillation and ventricular tachycardia.
Subjects:JOURNALS > Indian Pacing and Electrophysiology Journal
ID Code:4192
Deposited By: Indian Pacing and Electrophysiology, Journal
Deposited On:13 Apr 2005
Last Modified:11 Mar 2011 08:55

References in Article

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1. Murray CJL, López AD. Alternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study. Lancet 1997; 349: 1498-1504.

2. Achutti A, Balaguer-Vintró, Bayés de Luna A, Chalmers J, Chockalingam, Farinaro E, Lauzon RRJ, Martin I, Papp JG, Postiglione A, Reddy KS. Profile and magnitude of the problem. In: Chockalingam A, Balaguer-Vintró I eds. Impending global pandemic of cardiovascular disease. Prous Science (Barcelona) and World Heart Federation (Geneva) 1999:11-49.

3. Bayés de Luna A, Coumel P, Leclercq JF et al. Ambulatory sudden death: mechanisms of production of fatal arrhythmia on the basis of data from 157 cases. Am Heart J 1989;117: 151-59.

4. Zipes DP, Wellens HJ. Sudden Cardiac Death. Circulation 1998; 98: 2334-51.

5. Winkle RA, Mead RH, Ruder MA, et al. Effect of duration of ventricular fibrillation on defibrillation efficacy in humans. Circulation 1990; 81: 1477-81.

6. Cummins RO, Eisenberg MS, Bergner L, Hallstrom A, Hearne T, Murray JA. Automatic external defibrillation: evaluations of its role in the home and in emergency medical services. Ann Emerg Med 1984;13:798–801.

7. Cummins RO, Eisenberg MS, Moore JE, Hearne TR, Andresen E, Wendt R, Litwin PE, Graves JR, Hallstrom AP, Pierce J. Automatic external defibrillators: clinical, training, psychological, and public health issues. Ann Emerg Med 1985;14:755–760.

8. Atkins JM. Emergency medical service systems in acute cardiac care: state of the art. Circulation 1986;74(suppl IV):IV-4–IV-8.

9. Cummins RO, Eisenberg MS, Stults KR. Automatic external defibrillators: clinical issues for cardiology. Circulation 1986;73:381–38

10. Eisenberg MS, Cummins RO. Defibrillation performed by the emergency medical technician. Circulation 1986;74(suppl IV):IV-9–IV-12.

11. Jacobs L. Medical, legal, and social implications of automatic external defibrillators. Ann Emerg Med 1986;15:863–864.

12. Cummins RO. EMT-defibrillation: national guidelines for implementation. Am J Emerg Med 1987;5:254–257.

13. Newman MM. The survival advantage: early defibrillation programs in the fire service. J Emerg Med Serv 1987;12:40–46.

14. Ruskin JN. Automatic external defibrillators and sudden cardiac death. N Engl J Med 1988;319:713–715.

15. Sedgwick ML, Watson J, Dalziel K, Carrington DJ, Cobbe SM. Efficacy of out of hospital defibrillation by ambulance technicians using automated external defibrillators: the Heartstart Scotland Project. Resuscitation 1992;24:73–87.

16. Mols P, Beaucarne E, Bruyninx J, Labruyere JP, De Myttenaere L, Naeije N, Watteeuw G, Verset D, Flamand JP. Early defibrillation by EMTs: the Brussels experience. Resuscitation 1994;27:129–136.

17. Stapczynski JS, Svenson JE, Stone CK. Population density, automated external defibrillator use, and survival in rural cardiac arrest. Acad Emerg Med 1997;4:552–558.

18. Weaver WD, Copass MK, Bufi D, Ray R, Hallstrom AP, Cobb LA. Improved neurologic recovery and survival after early defibrillation. Circulation 1984;69:943–948.

19. Bachman JW, McDonald GS, O’Brien PC. A study of out-of-hospital cardiac arrests in northeastern Minnesota. JAMA 1986;256:477–483.

20. Cummins RO. From concept to standard-of-care? Review of the clinical experience with automated external defibrillators. Ann Emerg Med 1989;18:1269–1275.

21. Olson DW, LaRochelle J, Fark D, Aprahamian C, Aufderheide TP, Mateer JR, Hargarten KM, Stueven HA. EMT-defibrillation: the Wisconsin experience. Ann Emerg Med 1989;18:806–811.

22. Eisenberg MS, Horwood BT, Cummins RO, Reynolds-Haertle R, Hearne TR. Cardiac arrest and resuscitation: a tale of 29 cities. Ann Emerg Med 1990;19:179–186.

23. Eisenberg MS, Cummins RO, Damon S, Larsen MP, Hearne TR. Survival rates from out-of-hospital cardiac arrest: recommendations for uniform definitions and data to report. Ann Emerg Med 1990;19:1249–1259.

24. Larsen MP, Eisenberg MS, Cummins RO, Hallstrom AP. Predicting survival from out-of-hospital cardiac arrest: a graphic model. Ann Emerg Med 1993;22:1652–1658. Circulation. 1998;97:987-995.

25. Valenzuela TD, Spaite DW, Meislin HW, Clark LL, Wright AL, Ewy GA. Emergency vehicle intervals versus collapse-to-CPR and collapse-to-defibrillation intervals: monitoring emergency medical services system performance in sudden cardiac arrest. Ann Emerg Med 1993;22:1678–1683.

26. Valenzuela TD, Roe DJ, Cretin S, Spaite DW, Larsen MP. Estimating effectiveness of cardiac arrest interventions: a logistic regression survival model. Circulation 1997;96:3308–3313.

27. Holmberg M, Holmberg S, Herlitz J, Gardelov B. Survival after cardiac arrest outside hospital in Sweden: Swedish Cardiac Arrest Registry. Resuscitation 1998;36:29–36.

28. Herlitz J, Bang A, Aune S, Ekstrom L, Lundstrom G, Holmberg S. Characteristics and outcome among patients suffering in-hospital cardiac arrest in monitored and non-monitored areas. Resuscitation 2001; 48: 125-35.

29. Jorgensen EO, Holm S. The course of circulatory and cerebral recovery after circulatory arrest: influence of prearrest, arrest and post-arrest factors. Resuscitation 1999; 42: 173-82.

30. Rosomoff HL, Kochanek PM, Clark R, DeKosky ST, Ebmeyer U, Grenvik AN, Marion DW, Obrist W, Palmer AM, Safer P, White RJ. Resuscitation from severe brain trauma. Crit Care Med. 1996;24:S48–S56.

31. McDowell R, Krohmer J, Spaite DW, Benson N, Pons P, American College of Emergency Physicians. Guidelines for implementation of early defibrillation/automated external defibrillator programs. Ann Emerg Med 1993;22:740–741.

32. Kloeck W, Cummins RO, Chamberlain D, Bossaert L, Callanan V, Carli P, Christenson J, Connolly B, Ornato JP, Sanders A, Steen P. Early defibrillation: an advisory statement from the Advanced Life Support Working Group of the International Liaison Committee on Resuscitation. Circulation 1997;95:2183–2184.

33. Bossaert L, Handley A, Marsden A, Arntz R, Chamberlain D, Ekstrom L, Evans T, Monsieurs K, Robertson C, Steen P. European Resuscitation Council guidelines for the use of automated external defibrillators by EMS providers and first responders: a statement from the Early Defibrillation Task Force, with contributions from the Working Groups on Basic and Advanced Life Support, and approved by the Executive Committee. Resuscitation 1998;37:91–94.

34. Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. The American Heart Association in Collaboration with the International Liaison Committee on Resuscitation. Part 4: The automated External Defibrillator. Key link in the Chain of Survival. Circulation 2000; 102(suppl 8): I60-76.

35. Bedell SE, Delbanco TL, Cook EF, et al. Survival after cardiopulmonary resucitation in the hospital. N En J Med 1983; 309: 569-76.

36. Kaye W, Mancini ME. Improving outcome from cardiac arrest in the hospital with a reorganized and strengthened chain of survival.: an American view. Resuscitation 1996; 31: 181-6.

37. Thel MC, O'Connor CM. Cardiopulmonary resuscitation: historical perspective to recent investigations. Am Heart J 1999;137(1):39-48.

38. O’Rourke MF, Donaldson E, Geddes JS. An airline cardiac arrest program. Circulation 1997;96:2849–2853.

39. Page RL, Hamdan MH, McKenas DK. Defibrillation aboard a commercial aircraft. Circulation 1998;97:1429–1430.

40. White RD, Asplin BR, Bugliosi TF, Hankins DG. High discharge survival rate after out-of-hospital ventricular fibrillation with rapid defibrillation by police and paramedics. Ann Emerg Med 1996;28:480–485.

41. Karch SB, Graff J, Young S, Ho CH. Response times and outcomes for cardiac arrests in Las Vegas casinos. Am J Emerg Med 1998;16:249–253.

42. Mosesso VN Jr, Davis EA, Auble TE, Paris PM, Yealy DM. Use of automated external defibrillators by police officers for treatment of out-of-hospital cardiac arrest. Ann Emerg Med 1998;32:200–207.

43. Davis EA, McCrorry J, Mosesso VN Jr. Institution of a police automated external defibrillation program: concepts and practice. Prehosp Emerg Care 1999;3:60–65.

44. Destro A, Marzaloni M, Sermasi S, Rossi F. Automatic external defibrillators in the hospital as well? Resuscitation 1996;31:39–43.

45. Hickey RW, Cohen DM, Strausbaugh S, Dietrich AM. Pediatric patients requiring CPR in the prehospital setting. Ann Emerg Med. 1995;25:495–501.

46. Mogayzel C, Quan L, Graves JR, Tiedeman D, Fahrenbruch C, Herndon P. Out-of-hospital ventricular fibrillation in children and adolescents: causes and outcomes. Ann Emerg Med 1995;25:484–491.

47. Losek JD, Hennes H, Glaeser P, Hendley G, Nelson DB. Prehospital care of the pulseless, nonbreathing pediatric patient. Am J Emerg Med 1987;5:370–374.

48. Dumot JA, Burval DJ, Sprung J, Waters JH, Mraovic B, Karafa MT, Mascha EJ, Bourke Dl. Outcome of adult cardiopulmonary resuscitations at a tertiary referral center including results of “limited” resuscitations. Archives of Internal Medicine 2001; 161: 1751-8.

49. Ornato JP, Peberdy MA, Tadler SC, Strobos NC. Factors associated with the occurrence of cardiac arrest during hospitalization for acute myocardial infarction in the Second National Registry of Myocardial Infarction in the U.S.. Resuscitation 2001; 48: 117-23.

50. Martínez-Rubio A, Kanaan N, Borggrefe M, Block M, Mäkijärvi M, Fedele F, Pappone C, Haverkamp W, Merino JL, Barón Esquivias G, Cinca J. Advances for treating in-hospital cardiac arrest: safety and effectiveness of a new automatic external cardioverter-defibrillator. J Am Coll Cardiol 2003; 41: 627-32.

51. Mattioni TA, Nademanee K, Brodsky M, Fisher J, Riggio D, Allen B, Welch S, Ybarra RA, Lin D, Dean E. Initial clinical experience with a fully automatic in-hospital external cardioverter defibrillator. PACE 1999; 22; 1648-55.


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