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01/03/2025
M.Mayakannan
Biomedical Engineer
03
03
An act or process of
forming fibers or
fibrils.
02
Fibrillations
Defibrillators are devices
that restore a normal
heartbeat by sending an
electric pulse or shock to
the heart.
02
Fibrillation is the rapid,
irregular, and
unsynchronized
contraction of muscle
fibers.
02
They are used to prevent or correct
an arrhythmia, a heartbeat that is
uneven or that is too slow or too
fast.
Defibrillators can also restore the
heart's beating if the heart
suddenly stops.
04
Defibrillators
Principle of
Defibrillators
A defibrillator is a device that delivers a direct
electrical current across the myocardium to cause
synchronous depolarization of the cardiac
muscle, with the aim of converting dysrhythmia
into normal sinus rhythm.
It is used to treat ventricular fibrillation (VF),
which is one of the main causes of sudden death.
V-fib or VF is an
abnormal heart rhythm
in which the
ventricles of the heart quiver
(tremble or shake with a
slight rapid motion.) instead
of pumping normally. It is
due to disorganized
electrical activity.
Ventricular fibrillation
DEFIBRILLATOR basics to advanced concepts in quick review
Causes of Ventricular
fibrillation
Insufficient blood flow to the heart
muscle Damage to the heart muscle
(from a heart attack.
Cardiomyopathy (is a disease of the
heart muscle that makes it harder)
Problems with the
aorta Drug toxicity
Sepsis (severe body
infection)
During atrial fibrillation, the heart's two upper
chambers (the atria) beat chaotically
(Confusion) and irregularly — out of
coordination with the two lower chambers (the
ventricles) of the heart.
Atrial fibrillation symptoms often include heart
palpitations, shortness of breath and
Atrial fibrillation
DEFIBRILLATOR basics to advanced concepts in quick review
06
Automated external defibrillators (AEDs)
TYPE
S
implantable
cardioverter
defibrillators (ICDs)
Wearable
Cardioverter
Defibrillators (WCDs),
07
TYPE
S
Automated external defibrillators (AEDs),
which are in many public spaces, were
developed to
save the lives of people experiencing
sudden cardiac arrest. Even untrained
bystanders can use these devices in an
TYPES
 Other defibrillators can prevent sudden death among people who
have a high risk of a life-threatening arrhythmia.
 They include implantable cardioverter defibrillators (ICDs), which
are surgically placed inside your body, and
 wearable cardioverter defibrillators (WCDs), which rest on the
body.
 It can take time and effort to get used to living with a defibrillator,
and it is important to be aware of possible risks and complications.
08
08
AED
s
An AED is a lightweight, battery-operated, portable device
that checks the heart’s rhythm and sends a shock to the heart
to
restore a normal rhythm.
The device is used to help people having a sudden
cardiac arrest.
Sticky pads with sensors, called electrodes, are attached to
the chest of someone who is having a cardiac arrest. The
electrodes send information about the person's heart rhythm
to a computer in the AED.
The computer analyzes the heart rhythm to find out whether
an electric shock is needed. If needed, the electrodes deliver
the shock.
08
ICDs are placed surgically in the chest or abdomen, where it checks
for arrhythmias. Arrhythmias can interrupt the flow of blood from
your heart to the rest of your body or cause your heart to stop. The
ICD
sends a shock to correct the arrhythmia.
An ICD can give off a low-energy shock to speed up or slow down an
abnormal heart rate or a high-energy shock, which can correct a
fast or irregular heartbeat. If the low-energy shocks do not restore
your normal heart rhythm, the device will switch to high-energy
shocks for defibrillation.
The device also will switch to high-energy shocks if your
ventricles start to quiver rather than contract strongly. ICDs are
similar to
pacemakers, but pacemakers deliver only low-energy
electrical
shocks.
Implantable Cardioverter
Defibrillators
ICDs
 ICDs have a generator connected to wires to detect
your heart’s pulses and deliver a shock when
needed.
 Some models have wires that rest in one or two chambers of
the heart. Others do not have wires threaded into the heart
chambers but rest on the heart to monitor its rhythm.
 The ICD can also record the heart's electrical activity and
heart rhythms.
 The recordings can help your doctor fine-tune the
programming of your device so it works better to correct
irregular heartbeats. Your device will be programmed to
respond to the type of arrhythmia you are most likely to
08
 WCDs have sensors that attach to the skin.
 They are connected by wires to a unit that checks
your heart’s rhythm and delivers shocks when
needed.
 Like an ICD, the WCD can deliver low- and high-
energy
 shocks. The device has a belt attached to a vest
and is worn under your clothes. Your doctor will fit
the device to your size.
 The device is programmed to detect a particular
heart
Wearable Cardioverter Defibrillators
(WCDs),
 The sensors detect when an arrhythmia occurs
and notifies you with an alert.
 You can turn off the alert to prevent a shock if
not needed, but if you do not respond, the
device will administer a shock to correct the
rhythm.
 Typically, this happens within one minute.
 The device can deliver repeated shocks during
an episode. After each episode, the sensors
Wearable Cardioverter Defibrillators
(WCDs),
08
 Defibrillators can be used in children, teens,
and adults.
 AEDs are used to treat sudden cardiac
arrest.
 Your doctor may recommend an ICD or
WCD
 to treat arrhythmia and prevent new or
repeat sudden cardiac arrests.
DEFIBRILLATOR basics to advanced concepts in quick review
11
Monophasic AEDs are
devices that emit a type of
shock. It sends an
electrical current in a
single direction from an
electrode on one
side of the chest to an
electrode on the other
side.
11
Unlike conventional
monophasic defibrillators,
biphasic defibrillators
deliver current in two
directions. In the first
phase, the current
moves from one paddle to
the other as with
monophasic defibrillators.
During the
second phase, the
DEFIBRILLATOR basics to advanced concepts in quick review
01/03/2025
Typically, biphasic defibrillation begins at
120 joules, with the level increased as
needed
Typically when 360 Joules are delivered
for defibrillation in a monophasic
25

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DEFIBRILLATOR basics to advanced concepts in quick review

  • 2. 03
  • 3. 03
  • 4. An act or process of forming fibers or fibrils. 02 Fibrillations
  • 5. Defibrillators are devices that restore a normal heartbeat by sending an electric pulse or shock to the heart. 02
  • 6. Fibrillation is the rapid, irregular, and unsynchronized contraction of muscle fibers. 02
  • 7. They are used to prevent or correct an arrhythmia, a heartbeat that is uneven or that is too slow or too fast. Defibrillators can also restore the heart's beating if the heart suddenly stops. 04 Defibrillators
  • 8. Principle of Defibrillators A defibrillator is a device that delivers a direct electrical current across the myocardium to cause synchronous depolarization of the cardiac muscle, with the aim of converting dysrhythmia into normal sinus rhythm. It is used to treat ventricular fibrillation (VF), which is one of the main causes of sudden death.
  • 9. V-fib or VF is an abnormal heart rhythm in which the ventricles of the heart quiver (tremble or shake with a slight rapid motion.) instead of pumping normally. It is due to disorganized electrical activity. Ventricular fibrillation
  • 11. Causes of Ventricular fibrillation Insufficient blood flow to the heart muscle Damage to the heart muscle (from a heart attack. Cardiomyopathy (is a disease of the heart muscle that makes it harder) Problems with the aorta Drug toxicity Sepsis (severe body infection)
  • 12. During atrial fibrillation, the heart's two upper chambers (the atria) beat chaotically (Confusion) and irregularly — out of coordination with the two lower chambers (the ventricles) of the heart. Atrial fibrillation symptoms often include heart palpitations, shortness of breath and Atrial fibrillation
  • 14. 06 Automated external defibrillators (AEDs) TYPE S implantable cardioverter defibrillators (ICDs) Wearable Cardioverter Defibrillators (WCDs),
  • 15. 07 TYPE S Automated external defibrillators (AEDs), which are in many public spaces, were developed to save the lives of people experiencing sudden cardiac arrest. Even untrained bystanders can use these devices in an
  • 16. TYPES  Other defibrillators can prevent sudden death among people who have a high risk of a life-threatening arrhythmia.  They include implantable cardioverter defibrillators (ICDs), which are surgically placed inside your body, and  wearable cardioverter defibrillators (WCDs), which rest on the body.  It can take time and effort to get used to living with a defibrillator, and it is important to be aware of possible risks and complications.
  • 17. 08
  • 18. 08 AED s An AED is a lightweight, battery-operated, portable device that checks the heart’s rhythm and sends a shock to the heart to restore a normal rhythm. The device is used to help people having a sudden cardiac arrest. Sticky pads with sensors, called electrodes, are attached to the chest of someone who is having a cardiac arrest. The electrodes send information about the person's heart rhythm to a computer in the AED. The computer analyzes the heart rhythm to find out whether an electric shock is needed. If needed, the electrodes deliver the shock.
  • 19. 08 ICDs are placed surgically in the chest or abdomen, where it checks for arrhythmias. Arrhythmias can interrupt the flow of blood from your heart to the rest of your body or cause your heart to stop. The ICD sends a shock to correct the arrhythmia. An ICD can give off a low-energy shock to speed up or slow down an abnormal heart rate or a high-energy shock, which can correct a fast or irregular heartbeat. If the low-energy shocks do not restore your normal heart rhythm, the device will switch to high-energy shocks for defibrillation. The device also will switch to high-energy shocks if your ventricles start to quiver rather than contract strongly. ICDs are similar to pacemakers, but pacemakers deliver only low-energy electrical shocks. Implantable Cardioverter Defibrillators
  • 20. ICDs  ICDs have a generator connected to wires to detect your heart’s pulses and deliver a shock when needed.  Some models have wires that rest in one or two chambers of the heart. Others do not have wires threaded into the heart chambers but rest on the heart to monitor its rhythm.  The ICD can also record the heart's electrical activity and heart rhythms.  The recordings can help your doctor fine-tune the programming of your device so it works better to correct irregular heartbeats. Your device will be programmed to respond to the type of arrhythmia you are most likely to
  • 21. 08
  • 22.  WCDs have sensors that attach to the skin.  They are connected by wires to a unit that checks your heart’s rhythm and delivers shocks when needed.  Like an ICD, the WCD can deliver low- and high- energy  shocks. The device has a belt attached to a vest and is worn under your clothes. Your doctor will fit the device to your size.  The device is programmed to detect a particular heart Wearable Cardioverter Defibrillators (WCDs),
  • 23.  The sensors detect when an arrhythmia occurs and notifies you with an alert.  You can turn off the alert to prevent a shock if not needed, but if you do not respond, the device will administer a shock to correct the rhythm.  Typically, this happens within one minute.  The device can deliver repeated shocks during an episode. After each episode, the sensors Wearable Cardioverter Defibrillators (WCDs),
  • 24. 08
  • 25.  Defibrillators can be used in children, teens, and adults.  AEDs are used to treat sudden cardiac arrest.  Your doctor may recommend an ICD or WCD  to treat arrhythmia and prevent new or repeat sudden cardiac arrests.
  • 27. 11 Monophasic AEDs are devices that emit a type of shock. It sends an electrical current in a single direction from an electrode on one side of the chest to an electrode on the other side.
  • 28. 11 Unlike conventional monophasic defibrillators, biphasic defibrillators deliver current in two directions. In the first phase, the current moves from one paddle to the other as with monophasic defibrillators. During the second phase, the
  • 31. Typically, biphasic defibrillation begins at 120 joules, with the level increased as needed Typically when 360 Joules are delivered for defibrillation in a monophasic
  • 32. 25