Crozier I G, Ward D E
St George's Hospital, Tooting, London.
Br J Hosp Med. 1988 Aug;40(2):136-9.
The automatic implantable defibrillator was developed in the USA by Mirowski. This device automatically detects ventricular fibrillation or ventricular tachycardia and delivers a low energy (30 J) shock directly to the myocardium via patch electrodes on the epicardial surface or through a combination of a pericardial patch and an endocardial wire. These devices are being implanted in large numbers in the USA and represent a major contribution to the management and refractory ventricular arrhythmias. Unfortunately their high cost has limited their use in this country despite impressive clinical results.
自动植入式除颤器由米罗夫斯基在美国研发。该装置能自动检测心室颤动或室性心动过速，并通过心外膜表面的贴片电极或通过心包贴片和心内膜导线的组合，将低能量（30焦耳）电击直接送达心肌。在美国，这些装置正在大量植入，对难治性室性心律失常的治疗起到了重大作用。不幸的是，尽管临床效果令人印象深刻，但其高昂的成本限制了它们在该国的使用。
