[The implantable automatic defibrillator. Preventive treatment of sudden death caused by ventricular arrhythmia].

Academic Article


  • The material and implantation technique of the implantable defibrillator developed by M. Mirowski and used by the authors in 3 patients are described. Through lateral thoracotomy, 4 electrodes are installed, including one patch on the apex of the heart. In case of sustained ventricular arrhythmia the instrument delivers, after less than 30 seconds, a 25 joules shock increased to 30-35 joules if this fails. The results were very encouraging since conversion of severe ventricular arrhythmia was obtained in all 3 patients after the first shock. There was no false detection or inappropriate start. The limitations and indications of the technique are discussed and compared with other treatments of ventricular arrhythmia.
  • Published In

  • Presse Médicale  Journal
  • Keywords

  • Arrhythmias, Cardiac, Coronary Disease, Death, Sudden, Electric Countershock, Heart Ventricles, Humans, Prostheses and Implants, Tachycardia, Ventricular Fibrillation
  • Pubmed Id

  • 19657588
  • Author List

  • Leclercq JF; Ménasché P; Piwnica A; Coumel P; Slama R
  • Start Page

  • 1707
  • End Page

  • 1710
  • Volume

  • 12
  • Issue

  • 27