Coumel P, Leclercq J F, Slama R
Pacing Clin Electrophysiol. 1984 Nov;7(6 Pt 2):1137-9. doi: 10.1111/j.1540-8159.1984.tb05673.x.
A malignant arrhythmia is one which threatens life and is difficult to predict, prevent or treat. Any arrhythmia which falls into this category is an indication for the implantable defibrillator. The simplicity of this statement is of course deceiving. Transthoracic defibrillation, which for 20 years has been the therapeutic standard, has provided us with the greatest insight and understanding of cardiac arrhythmias. In the long run, the same information will be acquired with the implanted defibrillator. However, technical, medical and economic factors are more complex and will not be resolved in the near future.
恶性心律失常是一种危及生命且难以预测、预防或治疗的心律失常。任何属于这一类别的心律失常都是植入式除颤器的适应症。当然，这种说法的简单性具有欺骗性。经胸除颤作为20年来的治疗标准，为我们提供了对心律失常的最深入见解和理解。从长远来看，植入式除颤器也将获得同样的信息。然而，技术、医学和经济因素更为复杂，在不久的将来无法得到解决。
