title: [The implantable automatic defibrillator. Preventive treatment of sudden death caused by ventricular arrhythmia].
abstract: 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.
mesh_terms: D001145:Arrhythmias, Cardiac / Q000150:complications / Q000628:therapy*; D003327:Coronary Disease / Q000150:complications; D003645:Death, Sudden / Q000209:etiology / Q000517:prevention & control*; D004554:Electric Countershock / Q000295:instrumentation*; D006352:Heart Ventricles / Q000503:physiopathology; D006801:Humans; D019736:Prostheses and Implants; D013610:Tachycardia / Q000628:therapy; D014693:Ventricular Fibrillation / Q000628:therapy
vernacular_title: Le défibrillateur automatique implantable. Traitement préventif de la mort subite par troubles du rythme ventriculaire.