
Automatic Detection and Defibrillation of Lethal Arrhythmias—A New Concept
JAMA. 1970;213(4):615-616.
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Patients fated to have sudden death from coronary artery disease have become the object of intense medical interest. The concept that death in most of these episodes is due to grave disturbances in cardiac electrical activity has resulted in the design and manufacture of an impressive armamentarium of in-hospital hardware to detect and to treat impending arrhythmias; many hospitals maintain physical areas in which such patients can be safely housed, with personnel specially trained to carry out the necessary maneuvers.
Whether such patients die or survive episodes of this type depends not only upon the availability of electrical defibrillators and upon the presence of trained personnel, but also upon the time elapsing between the onset of the arrhythmia and the beginning of treatment. It is estimated that nearly half the deaths from coronary disease are sudden and occur in subjects who never reach the hospital. In an attempt to bridge
. . . [Full Text PDF of this Article]
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