Large change in voltage at phase reversal improves biphasic defibrillation thresholds: Parallel-series mode switching

Circulation

Volumn 94, Issue 7, 1996, Pages 1768-1773

  Yamanouchi, Yoshio ^a   Mowrey, Kent A ^a   Nadzam, George R ^a   Hills, Donald G ^a   Kroll, Mark W ^b   Brewer, James E ^b   Donohoo, Ann M ^b   Wilkoff, Bruce L ^a   Tchou, Patrick J ^a,b,c  

^a Department of Cardiology ^*  (United States)

^b LERNER RESEARCH INSTITUTE   (United States)

^c Angeion Corporation   (United States)

Author keywords

defibrillation; electrical stimulation; ventricles

Indexed keywords

ANIMAL EXPERIMENT; ANIMAL MODEL; ARTICLE; CATHETER; CONTROLLED STUDY; DEFIBRILLATION; DEVICE; ELECTRODE; ELECTROSTIMULATION; HEART MUSCLE POTENTIAL; HEART VENTRICLE FIBRILLATION; IMPEDANCE; NONHUMAN; PRIORITY JOURNAL; SWINE; WAVEFORM;

EID: 0029760653     PISSN: 00097322     EISSN: None     Source Type: Journal    
DOI: 10.1161/01.CIR.94.7.1768     Document Type: Article

References (38)

1. Tchou PJ, Kadri N, Anderson J, Caceres JA, Jazayeri M, Akhtar M. Automatic implantable cardioverter defibrillators and survival of patients with left ventricular dysfunction and malignant ventricular arrhythmias. Ann Intern Med. 1988;109:529-534.
2. Marchlinski FE, Flores B, Miller JM, Gottlieb CD, Hargrove WC III. Relation of the intraoperative defibrillation threshold to successful postoperative defibrillation with an automatic implantable cardioverter defibrillator. Am J Cardiol. 1988;62:393-398.
3. Marchlinski FE. Treatment of sustained ventricular arrhythmias: which therapy to use. Ann Intern Med. 1988;109:522-524.
4. Mirowski M. The automatic implantable cardioverter-defibrillator: an overview. J Am Coll Cardiol 1985;6:461-466.
5. Mower MM, Reid PR, Watkins L Jr, Griffith LS, Platia EV, Bach SM Jr, Imran M, Juanteguy JM, Mirowski M. Automatic implantable cardioverter-defibrillator structural characteristics. PACE Pacing Clin Electrophysiol. 1984;7:1331-1337.
6. Mirowski M, Reid PR, Mower MM, Watkins L Jr, Platia EV, Griffith LS, Juanteguy JM. The automatic implantable cardioverter-defibrillator. PACE Pacing Clin Electrophysiol. 1984;7:534-540.
7. Winkle RA, Stinson EB, Bach SM Jr. Measurement of cardioversion defibrillation thresholds in man by a truncated exponential waveform and an apical patch-superior vena caval spring electrode configuration. Circulation. 1984;69:766-771.
8. Natale A, Sra J, Axtell K, Maglio C, Dhala A, Deshpande S, Jazayer M, Wase A, Akhtar M. Preliminary experience with a hybrid non thoracotomy defibrillating system that includes a biphasic device comparison with a standard monophasic device using the same lead system, J Am Coll Cardiol. 1994;24:406-412.
9. Neuzner J. Clinical experience with a new cardioverter defibrillator capable of biphasic waveform pulse and enhanced data storage: results of prospective multicenter study. PACE Pacing Clin Electrophysiol. 1994;17:1243-1255.
10. Sweeney M, Ruskin JN. Mortality benefits and the implantable cardioverter-defibrillator. Circulation. 1994;89:1851-1858.
11. Chapman PD, Vetter JW, Souza JJ, Troup PJ, Wetherbee JN, Hoffmann RG. Comparative efficacy of monophasic and biphasic truncated exponential shocks for nonthoracotomy internal defibrillation in dogs. J Am Coll Cardiol. 1988;12:739-745.
12. Dixon EG, Tang ASL, Wolf PD, Meador JT, Fine MJ, Calfee RV, Ideker RE. Improved defibrillation thresholds with large contoured epicardial electrodes and biphasic waveforms. Circulation. 1987;76:1176-1184.
13. Tang ASL, Yabe S, Wharton JM, Dolker M, Smith WM, Ideker RE. Ventricular defibrillation using biphasic waveforms: the importance of phasic duration. J Am Coll Cardiol. 1989;13:207-214.
14. Jung W, Manz M, Moosdorf R, Spehl S, Wolpert C, Korte T, Luderitz B. Clinical efficacy of shock waveforms and lead configurations for defibrillation. Am Heart J. 1994;127:985-993.
15. Jones JL, Jones RE, Balasky G. Improved cardiac eell excitation with symmetrical biphasic defibrillator waveforms. Am J Physiol. 1987;253:H1418-H1424.
16. Cheng YN, Mazgalev TN, Mowrey KA, Tchou PJ. Effect of subthreshold electrical field stimulation on the excitability of cardiac cells. Circulation. 1994;90(suppl):I-176. Abstract.
17. Knisley SB, Smith WM, Ideker RE. Effect of intrastimulus polarity reversal on electric field stimulation thresholds in frog and rabbit myocardium. J Cardiovasc Electrophysiol. 1992;3:239-254.
18. Jones JL, Jones RE, Milne KB. Refractory period prolongation by biphasic defibrillator waveforms is associated with enhanced sodium current in a computer model of the ventricular action potential. IEEE Trans Biomed Eng. 1994;41:60-68.
19. Zhou X, Wolf PD, Rollins DL, Afework Y, Smith WM, Ideker RE. Effects of monophasic shocks on action potentials during ventricular fibrillation in dogs. Circ Res. 1993;73:325-334.
20. Swartz JF, Jones JL, Jones RE, Fletcher R. Conditioning prepulse of biphasic defibrillator waveforms enhances refractoriness to fibrillation waveforms. Circ Res. 1991;68:438-449.
21. Li HG, Jones DL, Yee R, Klein GJ. Defibrillation shocks produce different effects on Purkinje fibers and ventricular muscle: implications for successful defibrillation, refibrillation and postshock arrhythmia. J Am Coll Cardiol. 1993;22:607-614.
22. Jones JL, Jones RE. Improved defibrillator waveform safety factor with biphasic waveforms. Am J Physiol. 1983;245:H60-H65.
23. Jones JL, Jones RE. Decreased defibrillator-induced dysfunction with biphasic rectangular waveforms. Am J Physiol. 1984;247:H792-H796.
24. Kroll MK. A minimal model of the single capacitor biphasic defibrillation waveform. PACE Pacing Clin Electrophysiol. 1994;17:1782-1792.
25. Kroll MK. A minimal model of the monophasic defibrillation pulse. PACE Pacing Clin Electrophysiol. 1993;16:769-777.
26. Irnich W. Defibrillation theory and its clinical impact. In: Singer I, ed. The Implantable Cardioverter-Defibrillator. Armonk, NY: Futura Publishing Company Inc; 1994:135-152.
27. Rist K, Tchou PJ, Mowrey K, Kroll MW, Brewer JE. Smaller capacitors improve the biphasic waveform. J Cardiovasc Electrophysiol. 1994;5:771-776.
28. Bardy GH, Poole JE, Kudenchuk PJ, Dolack GL, Mehra R, DeGroot P, Raitt MH, Jones GK, Johnson G. A prospective randomized comparison in humans of biphasic waveform 60-μF and 120-μF capacitance pulses using a unipolar pectoral defibrillation system. Circulation. 1995;91:91-95.
29. Walcott GP, Rollins DL, Smith WM, Ideker RE. Optimal capacitance value for a parallel-series defibrillator. J Am Coll Cardiol. 1993;21:307A. Abstract.
30. Brewer JE, Tvedt MA, Adams TP, Kroll MW. Low voltage shocks have a significantly higher tilt of the internal electric field than do high voltage shocks. PACE Pacing Clin Electrophysiol. 1995;18:214-220.
31. Wallenstein S, Zucker C, Fleiss JL. Some statistical methods useful in circulation research. Circ Res. 1980;47:1-9.
32. Feeser SA, Tang ASL, Kavanagh KM, Rollins DL, Smith WM, Wolf PD, Ideker RE. Strength-duration and probability of success curves for defibrillation with biphasic waveforms. Circulation. 1990;82:2128-2141.
33. Swerdlow CD, Kass RM, Chen PS, Hwang C, Raissi S. Effect of capacitor size and pathway resistance on defibrillation threshold for implantable defibrillators. Circulation. 1994;90:1840-1846.
34. Nelson RS. The pulse generator. In: Kroll MW, Lehmann MH, eds. Implantable Cardioverter Therapy: The Clinical Engineering Interface. Boston, Mass: Kluwer Academic Publishers; chap 12. 1996.
35. Ennis JB, Kroll MW. The high voltage capacitor. In: Kroll MW, Lehmann MH, eds. Implantable Cardioverter Therapy: The Clinical Engineering Interface. Boston, Mass: Kluwer Academic Publishers; chap 11. 1996.
36. Walcott GP, Rollins DL, Smith WM, Ideker RE. Defibrillation efficacy of biphasic waveforms improved by raising phase 2 leading edge voltage. PACE Pacing Clin Electrophysiol. 1992;15:529. Abstract.
37. Walcott GP, Rollins DL, Smith WM, Ideker RE. Effects of changing capacitors between phases of a biphasic shock on defibrillation efficacy. J Am Coll Cardiol. 1992;19:366A. Abstract.
38. Tengvall P, Lundstrom I. Physico-chemical considerations of titanium as a biomaterial. Clin Mater. 1992;9:115-134.