PMID: 7518593May 1, 1994Paper

Impact of pulse characteristics on atrial defibrillation energy requirements

Pacing and Clinical Electrophysiology : PACE
D Keane

Abstract

In summary, many issues pertaining to pulse characteristics and atrial defibrillation remain unsolved. Perhaps the most burning questions are whether a further reduction in atrial defibrillation energy requirements can be achieved by the combination of biphasic waveforms with dual pathway sequential shocks to produce a more homogenous distribution of charge, whether right and left atrial polarity of the first phase of asymmetrical biphasic shocks can reduce energy requirements in individual patients and whether the delivery of very long biphasic shocks (possibly > 20 msec) can reduce the discomfort of shorter shocks by decreasing the peak current density. Only then will the wide-spread acceptance of the implantable atrial defibrillator become closer to reality.

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Citations

Nov 7, 1999·Journal of the American College of Cardiology·R AmmerE Alt
Aug 2, 2003·Journal of Cardiovascular Electrophysiology·Jens JungStephanos Siaplaouras
Mar 25, 1999·The American Journal of Cardiology·A Heisel, J Jung
Apr 3, 1998·The American Journal of Cardiology·D KeaneJ Ruskin
Jun 1, 1997·Journal of Cardiovascular Electrophysiology·A HeiselH Pitschner
Oct 24, 1998·Journal of Cardiovascular Electrophysiology·D KrumJ Sra

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