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Development of the Implantable Cardioverter-Defibrillator: JACC Historical Breakthroughs in Perspective.
Maron, Barry J; Estes, N A Mark; Rowin, Ethan J; Maron, Martin S; Reynolds, Matthew R.
Afiliação
  • Maron BJ; Lahey Hospital and Medical Center, Burlington, Massachusetts, USA. Electronic address: barrymaron1@gmail.com.
  • Estes NAM; Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
  • Rowin EJ; Lahey Hospital and Medical Center, Burlington, Massachusetts, USA.
  • Maron MS; Lahey Hospital and Medical Center, Burlington, Massachusetts, USA.
  • Reynolds MR; Lahey Hospital and Medical Center, Burlington, Massachusetts, USA.
J Am Coll Cardiol ; 82(4): 353-373, 2023 07 25.
Article em En | MEDLINE | ID: mdl-37468191
Implantable cardioverter-defibrillators (ICDs) represent transformational technology, arguably the most significant advance in cardiovascular medicine in 50 years. The vision and determination of pioneers Mirowski and Mower was fundamental to this monumental achievement, working with limited resources and confronted by skepticism/criticism from medical establishment. The inventors were followed >35 years in which a multitude of innovative clinical scientists and engineers introduced technological advances leading to the sophisticated devices in practice today. A pivotal patient experiment with automated termination of ventricular fibrillation (1980) led to U.S. Food and Drug Administration approval. Transvenous lead systems converted ICDs from thoracotomy-based secondary prevention to primary prevention of sudden death devices in countless patients worldwide. ICD acceptance was solidified by prospective randomized controlled trials showing reduced mortality superior to antiarrhythmic drugs. ICDs eventually expanded from coronary disease to inherited arrhythmia conditions (eg, hypertrophic cardiomyopathy). The ICD breakthrough story demonstrates how significant progress is possible in medicine against all odds, given fearless imagination to pursue novel ideas that conflict with accepted wisdom.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Desfibriladores Implantáveis Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Desfibriladores Implantáveis Idioma: En Ano de publicação: 2023 Tipo de documento: Article