Understanding the Heart Defibrillator Machine

Introduction

A heart defibrillator is a medical device used to restore a normal heartbeat by delivering an electric shock to the heart. It is used in cases of life-threatening cardiac arrhythmias, particularly ventricular fibrillation (VF) and pulseless ventricular tachycardia (VT).

How Does a Defibrillator Work?

When the heart experiences an abnormal rhythm that could be fatal, the defibrillator: 1. Detects the irregular heartbeat using electrode pads. 2. Delivers an electric shock to reset the heart’s electrical activity, allowing it to resume a normal rhythm.

Types of Defibrillators

  1. Automated External Defibrillators (AEDs) : These are portable devices designed for public use, where even non-medical personnel can operate them. They provide audio or visual prompts to guide the user.
  2. Implantable Cardioverter Defibrillators (ICDs) : Surgically implanted in patients at high risk of sudden cardiac arrest, these devices continuously monitor heart rhythm and deliver shocks when needed.
  3. Wearable Cardioverter Defibrillators (WCDs) : Used by patients at temporary risk before a permanent solution like an ICD is required.

When is a Defibrillator Used?

A defibrillator is used mainly in emergencies such as: - Sudden cardiac arrest (SCA) - Ventricular fibrillation (VF) - Severe ventricular tachycardia (VT) without a pulse

Role of Defibrillation in Cardiac Arrest Survival

Defibrillation is a crucial step in the Chain of Survival for cardiac arrests. A rapid response (within minutes) significantly improves survival chances. For every minute that defibrillation is delayed, survival chances decrease by approximately 7-10%.

Important Considerations & Risks

  • Timely use is critical – Delayed defibrillation reduces survival rates.
  • Not useful in all cases – It does not work for asystole (flatline) or a normal heartbeat.
  • Potential risks – Skin burns, muscle spasms, and discomfort for ICD patients.

Summary

Defibrillators save lives by correcting dangerous arrhythmias through electrical shocks. Whether in public (AED), in medical settings, or through implanted (ICD) and wearable devices (WCD), their timely use can be life-saving.


Source recommendations

1. American Heart Association Guidelines on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

  1. https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines
  2. https://professional.heart.org/en/science-news/2020-aha-guidelines-for-cpr-and-ecc
  3. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001194
  4. https://pubmed.ncbi.nlm.nih.gov/33081530/
  5. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000918

2. European Resuscitation Council Guidelines

  1. https://cprguidelines.eu/guidelines-2021
  2. https://www.erc.edu/
  3. https://cprguidelines.eu/
  4. https://www.sciencedirect.com/science/article/pii/S0300957221000551
  5. https://www.resuscitationjournal.com/article/S0300-9572(21)00064-2/fulltext

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