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    • 22. 发明授权
    • Implantable cardioverter-defibrillator having early charging capability
    • 具有早期充电能力的植入式心律转复除颤器
    • US5318591A
    • 1994-06-07
    • US980420
    • 1992-11-23
    • James D. Causey, IIIBrian M. Mann
    • James D. Causey, IIIBrian M. Mann
    • A61N1/362A61N1/39A61N1/00
    • A61N1/3962
    • An implantable cardioverter-defibrillator (ICD) provides a tiered therapy designed to automatically terminate tachyarrhythmias using the least aggressive therapy possible while reducing the "time-to-therapy." The tiered therapy first applies a first tier of therapy (e.g., antitachycardia). If unsuccessful, the tiered therapy next applies a second tier of therapy (e.g., cardioversion pulse with a pulse of moderate energy). If unsuccessful, the tiered therapy finally applies a third tier of therapy (e.g., a high energy pulse). So that more aggressive (higher energy) tiered therapies may be applied as early as possible following the failure of a less aggressive (lower energy) therapy, the ICD begins charging one or more high voltage capacitors of the ICD in parallel with the application of the less aggressive therapy, and/or in parallel with the verification interval immediately following a prior therapy attempt during which the ICD attempts to verify the successful termination of the tachyarrhythmia.
    • 植入式心脏复律除颤器(ICD)提供了一种分层治疗,旨在使用尽可能少的积极治疗方法自动终止快速性心律失常,同时减少“治疗时间”。 分层治疗首先应用第一级治疗(例如抗心律不齐)。 如果不成功,分层治疗接下来应用第二层治疗(例如,具有中等能量脉冲的心脏复律脉冲)。 如果不成功,分层治疗终于应用了第三级治疗(例如高能量脉冲)。 因此,在较不积极(较低能量)治疗的失败之后,尽可能早地应用更具攻击性(更高能量)的分层治疗,ICD开始对ICD的一个或多个高压电容器进行充电,并与应用 和/或与ICD尝试验证快速性心律失常的成功终止的先前治疗尝试之后的验证间隔并行。