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However, if the patient is hemodynamically unstable or unconscious, the shock is given immediately upon confirmation of the arrhythmia. When synchronized electrical cardioversion is performed as an elective procedure, the shocks can be performed in conjunction with drug therapy until sinus rhythm is attained. After the procedure, the patient is ...
Moreover, defibrillation is different than synchronized cardioversion. In synchronized cardioversion, a similar approach is utilized in that electrical current is applied to correct an arrhythmia, however this is used in cases where a pulse is present but the patient is hemodynamically unstable, such as supraventricular tachycardia .
The Lifepak 1 was released the same year and was marketed as a more basic, but more compact model, lacking a cardiograph for ECG monitoring. In 1974, the Lifepak 4 was released with an integrated ECG recorder, and was followed by the Physio 260 (for home use) and Physio 1440 cardiac care system defibrillators were released to the public. [7]
It is only when bradycardia presents with signs and symptoms of shock that it requires emergency treatment with transcutaneous pacing. False capture with visible phantom beats [ 3 ] Some common causes of hemodynamically significant bradycardia include myocardial infarction , sinus node dysfunction and complete heart block .
In contrast to defibrillation, synchronized electrical cardioversion is an electrical shock delivered in synchrony to the cardiac cycle. [4] Although the person may still be critically ill, cardioversion normally aims to end poorly perfusing cardiac arrhythmias, such as supraventricular tachycardia. [1] [2]
An automated external defibrillator or automatic electronic defibrillator (AED) is a portable electronic device that automatically diagnoses the life-threatening cardiac arrhythmias of ventricular fibrillation (VF) and pulseless ventricular tachycardia, [1] and is able to treat them through defibrillation, the application of electricity which stops the arrhythmia, allowing the heart to re ...
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This should be synchronized to the heartbeat if the waveform is monomorphic if possible, in order to avoid degeneration of the rhythm to ventricular fibrillation. [15] An initial energy of 100J is recommended. [15] If the waveform is polymorphic, then higher energies and an unsynchronized shock should be provided (also known as defibrillation ...