Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2 Pt 1
pubmed:dateCreated
1993-3-4
pubmed:abstractText
It has been demonstrated recently that both biphasic and sequential pulse defibrillation shocks are superior to monophasic defibrillation shocks in animals and humans. There is little information directly comparing these two waveforms when pulse characteristics, subjects, and total electrode surface areas are kept constant. We determined the defibrillation threshold intraoperatively in 12 patients undergoing arrhythmia surgery, with the use of two or three patch electrodes (Medtronic 6891 and 6892), while keeping the electrode surface area constant. Patients were randomized in a crossover design for determinations of defibrillation threshold by means of biphasic and sequential pulse shocks. Leading-edge delivered current and delivered energy were significantly lower with sequential pulse shocks than with biphasic shocks (delivered energy means +/- SEM 3.6 +/- 0.7 joules vs 5.5 +/- 0.9 joules, respectively). We conclude that sequential pulse defibrillation with three defibrillating electrodes provides an important current delivery system not matched by biphasic shocks with two electrodes when subjects, waveform characteristics, and total electrode surface areas are kept constant.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0002-8703
pubmed:author
pubmed:issnType
Print
pubmed:volume
125
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
405-9
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1993
pubmed:articleTitle
Biphasic versus sequential pulse defibrillation: a direct comparison in humans.
pubmed:affiliation
Department of Medicine, University of Western Ontario, London, Canada.
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't