Multistage electrotherapy delivered through chronically-implanted leads terminates atrial fibrillation with lower energy than a single biphasic shock.

@article{Janardhan2014MultistageED,
  title={Multistage electrotherapy delivered through chronically-implanted leads terminates atrial fibrillation with lower energy than a single biphasic shock.},
  author={Ajit H. Janardhan and Sarah R. Gutbrod and Wenwen Li and Di Lang and Richard B. Schuessler and Igor R. Efimov},
  journal={Journal of the American College of Cardiology},
  year={2014},
  volume={63 1},
  pages={
          40-8
        }
}
OBJECTIVES The goal of this study was to develop a low-energy, implantable device-based multistage electrotherapy (MSE) to terminate atrial fibrillation (AF). BACKGROUND Previous attempts to perform cardioversion of AF by using an implantable device were limited by the pain caused by use of a high-energy single biphasic shock (BPS). METHODS Transvenous leads were implanted into the right atrium (RA), coronary sinus, and left pulmonary artery of 14 dogs. Self-sustaining AF was induced by 6… CONTINUE READING

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Internal atrial defibrillation revisited: how low can we go?

  • Journal of the American College of Cardiology
  • 2014
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