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. 1977 Nov 26;2(6099):1379–1381. doi: 10.1136/bmj.2.6099.1379

Transthoracic ventricular defibrillation in adults.

N P Campbell, S W Webb, A A Adgey, J F Pantridge
PMCID: PMC1632384  PMID: 589223

Abstract

A prospective study of the energy required for transthoracic ventricular defibrillation in adults showed that in 42 (81%) out of 52 episodes of ventricular fibrillation shocks of 100 watt-seconds (Ws) of stored energy were successful. Out of 233 episodes, 222 (95%) were converted by 200 W s shocks. Among patients in whom primary ventricular fibrillation occurred within one hour of the onset of acute myocardial infarction, 200 W s shocks were successful in 40 (98%) out of 41 episodes. When low-energy shocks failed, a stored energy of 400 W s invariably succeeded. The need for large and expensive defibrillators that store more than 400 W s and are less readily available is therefore questioned.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BERGLUND E., MONROE R. G., SCHREINER G. L. Myocardial oxygen consumption and coronary blood flow during potassium-induced cardiac arrest and during ventricular fibrillation. Acta Physiol Scand. 1957 Dec 7;41(2-3):261–268. doi: 10.1111/j.1748-1716.1957.tb01525.x. [DOI] [PubMed] [Google Scholar]
  2. Curry J. J., Quintana F. J. Myocardial infarction with ventricular fibrillation during pregnancy treated by direct current defibrillation with fetal survival. Chest. 1970 Jul;58(1):82–84. doi: 10.1378/chest.58.1.82. [DOI] [PubMed] [Google Scholar]
  3. Ewy G. A., Tacker W. A., Jr Letter: Transchest electrical ventricular defibrillation. Am Heart J. 1976 Mar;91(3):403–404. doi: 10.1016/s0002-8703(76)80232-3. [DOI] [PubMed] [Google Scholar]
  4. Green H. L., Hieb G. E., Schatz I. J. Report of Inter-Society Commission for Heart Disease Resources. II. Cardiovascular Disease--acute care. Part I. Electronic equipment in critical care areas: status of devices currently in use. Circulation. 1971 Jan;43(1):A101–A122. [PubMed] [Google Scholar]
  5. KOUWENHOVEN W. B., JUDE J. R., KNICKERBOCKER G. G. Closed-chest cardiac massage. JAMA. 1960 Jul 9;173:1064–1067. doi: 10.1001/jama.1960.03020280004002. [DOI] [PubMed] [Google Scholar]
  6. Lappin H. A. Letter: Ventricular defibrillators in heavy patients. N Engl J Med. 1974 Jul 18;291(3):153–153. doi: 10.1056/NEJM197407182910311. [DOI] [PubMed] [Google Scholar]
  7. MACKAY R. S., LEEDS S. E. Physiological effects of condenser discharges with application to tissue stimulation and ventricular defibrillation. J Appl Physiol. 1953 Jul;6(1):67–75. doi: 10.1152/jappl.1953.6.1.67. [DOI] [PubMed] [Google Scholar]
  8. McKEEVER W. P., GREGG D. E., CANNEY P. C. Oxygen uptake of the nonworking left ventricle. Circ Res. 1958 Sep;6(5):612–623. doi: 10.1161/01.res.6.5.612. [DOI] [PubMed] [Google Scholar]
  9. Pantridge J. F., Adgey A. A., Webb S. W., Anderson J. Electrical requirements for ventricular defibrillation. Br Med J. 1975 May 10;2(5966):313–315. doi: 10.1136/bmj.2.5966.313. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Tacker W. A., Jr, Galioto F. M., Jr, Giuliani E., Geddes L. A., McNamara D. G. Energy dosage for human trans-chest electrical ventricular defibrillation. N Engl J Med. 1974 Jan 24;290(4):214–215. doi: 10.1056/NEJM197401242900408. [DOI] [PubMed] [Google Scholar]

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