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1

Novelli, Elisa. "Dispositivi cardiaci impiantabili: pacemaker e defibrillatori." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2013. http://amslaurea.unibo.it/5158/.

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2

Pasini, Jessica. "Recente evoluzione tecnologica dei Defibrillatori Impiantabili per stimolazione cardiaca." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2016. http://amslaurea.unibo.it/11305/.

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Il cuore è uno dei principali organi vitali dell’organismo umano e la sua fisiologica attività è indispensabile per sostenere uno stile di vita conforme alle esigenze del singolo individuo. Le aritmie cardiache, alterazioni del ritmo, possono compromettere o limitare la vita di un paziente che ne è affetto. Specifiche aritmie cardiache vengono trattate con l’impianto di dispositivi cardiaci impiantabili, i defibrillatori, che generano una stimolazione elettrica nel tessuto cardiaco allo scopo di ripristinare un ritmo cardiaco fisiologico. Il presente elaborato descrive come tali dispositivi siano in grado di correggere le aritmie cardiache, garantendo la sicurezza del paziente e permettendogli di svolgere le normali attività quotidiane . Il primo capitolo andrà ad analizzare il cuore dal punto di vista anatomico e fisiologico per capirne il funzionamento non affetto da patologie. Il secondo capitolo concentrerà l’analisi sui defibrillatori impiantabili per stimolazione cardiaca (ICD), facendo luce sulla storia, sulle funzioni primarie,sui componenti interni,sulle patologie legate all’utilizzo,sulle tipologie presenti in commercio e sul metodo d’impianto. Il terzo capitolo è incentrato sul monitoraggio remoto degli ICD (home-monitoring), attraverso il quale il paziente può trasmettere per via transtelefonica al centro cardiologico di riferimento i dati tecnici e clinici desumibili dall’interrogazione del dispositivo impiantato, senza necessità di ricorrere al controllo ambulatoriale tradizionale. L’home-monitoring nei pazienti portatori di dispositivo impiantabile si è dimostrato efficace per l’individuazione di malfunzionamenti e di instabilità cliniche in misura sovrapponibile rispetto al controllo ambulatoriale tradizionale, offrendo però significativi vantaggi in termini di qualità della vita e di gestione delle risorse sanitarie. Infine saranno presentate le conclusioni di tale elaborato.
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3

Cimatti, Luca. "Evoluzione tecnologica dei Defibrillatori Automatici Esterni: gestione, caratteristiche tecniche, analisi delle prestazioni e utilizzo secondo linee guida aggiornate." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2016. http://amslaurea.unibo.it/10156/.

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Tenendo conto dell'elevato numero di morti provocate da arresto cardiaco e la possibilità di abbassare questo numero intervenendo tempestivamente con un Defibrillatore, mi sono posto l'obiettivo di analizzare dal punto di vista prestazionale e di costi i principali Defibrillatori Automatici Esterni presenti sul mercato in prospettiva di un eventuale acquisto futuro da parte della sede di Ingegneria dell'Università di Bologna.
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4

Paolini, Nicola. "Il ruolo delle nuove tecnologie per il trattamento dei pazienti con dispositivi cardiaci impiantabili." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2021.

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In questo mio elaborato espongo il ruolo delle nuove tecnologie per trattamento dei pazienti con dispositivi cardiaci impiantabili, quali pacemaker, defibrillatori e defibrillatori sottocutanei. Nel primo capitolo viene descritta la fisiologia cardiaca, spiegando come avviene la conduzione dell'impulso elettrico nel cuore e quali sono i problemi che possono presentarsi (aritmie cardiache). Nel secondo capitolo vengono trattati i pacemaker, dal pacemaker tradizionale fino al leadless. Nel terzo capitolo vengono descritti i defibrillatori cardiaci impiantabili sia transvenosi che sottocutanei. Infine, l'ultimo capitolo è riservato alla trattazione del monitoraggio remoto dei dispositivi cardiaci impiantabili. Al giorno d'oggi (in epoca COVID-19) è un argomento di fondamentale importanza, poiché si cerca sempre di più di erogare un'assistenza sanitaria a distanza per ridurre il carico di lavoro nelle strutture ospedaliere. Vengono descritti gli aspetti medico-legali relativi ad esso e sono spiegate le modalità di monitoraggio remoto dei dispositivi trattati nei capitoli precedenti.
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5

Ricci, Monia. "Disfunzioni cardiache e supporti biomedicali." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2017.

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Nella mia Tesi ho approfondito lo studio di pacemaker e defibrillatori cardiaci impiantabili, soffermandomi su: le componenti che li costituiscono, le loro funzioni, la loro catalogazione, il loro impianto e quali patologie ne richiedono l'utilizzo. Lo scenario in cui tali dispositivi si inseriscono è legato al sistema cardiocircolatorio, la cui conoscenza anatomica e fisiologica è imprescindibile per comprendere appieno l'elaborato. Infine ho voluto dedicare attenzione anche alle innumerevoli scoperte e innovazioni che costellano gli ultimi anni.
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6

Russo, Daniele. "I dispositivi impiantabili di elettrostimolazione cardiaca e le interferenze elettromagnetiche." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2019. http://amslaurea.unibo.it/19729/.

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The number of patients with cardiovascular implantable electronic devices (CIEDs), such as pacemakers and implantable cardioverter-defibrillators, is dramatically rising due to an aging population. Coupled with the benefits of CIEDs for people who have cardiac disease are an undefined number of risks that jeopardise the same patient health. There are many causes for this, one in particular is the electromagnetic interference (EMI) phenomena, i.e. an interaction between the CIED and the electric and magnetic fields of an external source that generate noises. The aim of this thesis is to know the mechanisms behind the EMI phenomena with CIEDs thank to different literature studies. After an introduction of CIEDs technology and a brief mention of electromagnetism notions, the EMI with Cardiac devices in medical and non-medical environmental are discussed.
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7

Elrod, JoAnn Broeckel, Raina Merchant, Mohamud Daya, Scott Youngquist, David Salcido, Terence Valenzuela, and Graham Nichol. "Public health surveillance of automated external defibrillators in the USA: protocol for the dynamic automated external defibrillator registry study." BMJ PUBLISHING GROUP, 2017. http://hdl.handle.net/10150/623946.

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Introduction: Lay use of automated external defibrillators (AEDs) before the arrival of emergency medical services (EMS) providers on scene increases survival after out-of-hospital cardiac arrest (OHCA). AEDs have been placed in public locations may be not ready for use when needed. We describe a protocol for AED surveillance that tracks these devices through time and space to improve public health, and survival as well as facilitate research. Methods and analysis: Included AEDs are installed in public locations for use by laypersons to treat patients with OHCA before the arrival of EMS providers on scene. Included cases of OHCA are patients evaluated by organised EMS personnel and treated for OHCA. Enrolment of 10 000 AEDs annually will yield precision of 0.4% in the estimate of readiness for use. Enrolment of 2500 patients annually will yield precision of 1.9% in the estimate of survival to hospital discharge. Recruitment began on 21 Mar 2014 and is ongoing. AEDs are found by using multiple methods. Each AED is then tagged with a label which is a unique two-dimensional (2D) matrix code; the 2D matrix code is recorded and the location and status of the AED tracked using a smartphone; these elements are automatically passed via the internet to a secure and confidential database in real time. Whenever the 2D matrix code is rescanned for any non-clinical or clinical use of an AED, the user is queried to answer a finite set of questions about the device status. The primary outcome of any clinical use of an AED is survival to hospital discharge. Results are summarised descriptively. Ethics and dissemination: These activities are conducted under a grant of authority for public health surveillance from the Food and Drug Administration. Results are provided periodically to participating sites and sponsors to improve public health and quality of care.
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8

Bjerke, Sofia, and Åsa Nordling. "Livskvalitet hos personer som lever med en implanterbar defibrillator (ICD), ur ett köns- och åldersperspektiv : En beskrivande litteraturstudie." Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-20826.

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Background: The ICD controls the heart rhythm and reacts to serious heart rhythm abnormalities and trigger, if necessary, a defibrillation to restore the heart to normal rhythm. Living with an ICD can provide major changes in everyday life. Nurse´s important role regards to provide relevant patient education to include promoting the health and quality of life (QOL) for these individuals. Purpose: To describe QOL for people living with an ICD, from a gender and age perspective, and to examine the included articles selection strategy and research group. Method: The result of this descriptive literature review compiled from eleven quantitative scientific articles, sought in PubMed and Scopus. Main Results: Women reported lower QOL then men linked to impaired mental, physical and social function. Also a greater concern and anxiety were found in women. Mental illness affected mainly young people, who also experienced a lower acceptance to the device than older ICD- receivers. Older people reported less concern that the ICD would deliver a shock. However, a reduced QOL related to higher incidence of physical impairment, were noticed in the elderly ICD- receivers compared to the younger. Four articles specified their selection strategy. All reported the number of participants and how many were men and women. The age range of participants was specified in five articles. Conclusion: Impacts on QOL could be discerned to different gender and ages. These findings confirmed the need for health professionals to access more holistic patient- education programs that focus not only on the technical aspects of living with an ICD but more on the individual impact.
Bakgrund: En ICD kontrollerar hjärtrytmen, reagerar på allvarliga hjärtrytmrubbningar och utlöser vid behov en defibrillering för att återställa normal hjärtrytm. Att leva med en ICD kan innebära stora omställningar i det vardagliga livet. Sjuksköterskan har en betydande roll i omvårdnaden kring dessa personer där bland annat relevant patientutbildning är viktig för att främja personers hälsa och livskvalitet. Syfte: Syftet med denna litteraturstudie var att beskriva livskvaliteten hos personer som lever med en implanterbar defibrillator (ICD), ur ett köns- och åldersperspektiv, samt att granska de inkluderade artiklarnas urvalsstrategi och undersökningsgrupp. Metod: Denna beskrivande litteraturstudies resultat sammanställdes utifrån elva granskade artiklar av kvantitativ ansats, eftersökta i databaserna PubMed och Scopus. Huvudresultat: Kvinnor rapporterade lägre livskvalitet än männen kopplat till nedsatt mental, fysisk och social funktion. Även en ökad oro och ångest förekom hos kvinnor. Psykisk ohälsa utvecklades främst hos yngre, vilka också upplevde lägre acceptans till enheten än äldre ICD- bärare vilket påverkade livskvaliteten. Äldre personer rapporterade mindre oro över att ICD:n skulle defibrillera. Dock sågs en nedsatt livskvalitet relaterat till högre förekomst av fysisk nedsättning i större grad hos äldre än yngre ICD- bärare. Fyra av resultatartiklarna angav använd urvalsstrategi. Samtliga redogjorde för antalet deltagare och hur många som var män respektive kvinnor. Åldersspannet mellan deltagarna angavs i fem artiklar. Slutsats: Olika inverkan på livskvaliteten kunde skönjas både mellan kön och olika åldrar. Dessa fynd bekräftade behovet av att sjukvårdspersonal behöver få tillgång till mer holistiska patientutbildningsprogram som inte enbart fokuserar på de tekniska aspekterna av att leva med en ICD.
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9

Nedd, Steven. "Self-diagnostics digitally controlled pacemaker/defibrillators : a design plan for incorporating diagnostics and digital control in the schema of a pacemaker/defibrillator design /." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2005. http://library.nps.navy.mil/uhtbin/hyperion/05Sep%5FNedd.pdf.

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Thesis (M.S. in Software Engineering)--Naval Postgraduate School, September 2005.
Thesis Advisor(s): William Ray, Man-Tak Shing. Includes bibliographical references (p. 57-58). Also available online.
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10

Leverström, Ida, and Eva Måård. "En andra chans : En litteraturöversikt om patienters upplevelser av att leva med implanterbar defibrillator." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-11730.

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Bakgrund: Implanterbar defibrillator (ICD) är en medicinsk teknisk dosa som bryter livshotande arytmier med en defibrillering. För personer med en förhöjd risk att få ett plötsligt hjärtstopp kan ICD:n vara en direkt livräddande behandling. I dag finns närmare 7800 personer i Sverige som har ICD, vilket är en grupp som stadigt ökar i antal. Syfte: Att beskriva patienters upplevelser av att leva med implanterbar defibrillator. Metod: Litteraturöversikt som baseras på elva vetenskapliga artiklar som analyserats utifrån Fribergs mall för kvalitativ ansats. Resultat: Ur analysen framkom tre huvudteman, Att tappa kontrollen över livet, Ett förändrat liv med begränsningar och en andra chans med sju subteman. Resultatet visar på att patienter med ICD upplever en förändrad livssituation som påverkar dem på ett fysiskt, psykiskt och socialt plan. Reaktioner som osäkerhet, rädsla och oro är vanliga känslor som patienterna upplever. Flera av patienterna utvecklar även ett undvikande beteende på grund av rädsla för tillslag från ICD;n vilket leder till att livskvalité påverkas negativt. Allteftersom som tiden fortskrider så minskas de negativa följderna av behandlingen och de flesta av patienterna känner en djup tacksamhet till att ha fått en andra chans till livet. Diskussion: Sjuksköterskan behöver kunskap om de förändringar och begränsningar som det innebär att leva med en ICD. Samlivet, den fysiska förmågan och arbetslivet påverkas och sjuksköterskan behöver informera om dessa områden för att kunna stötta patienten att anpassa sig till det nya livet. Slutsats: Majoriteten av ICD-bärarna upplever en rädsla för inadekvata tillslag, ovisshet och osäkerhet när ett tillslag kommer att uppstå ligger till grund för de begränsningar patienterna upplever. Sjuksköterskor kommer allt oftare möta denna kategori av patienter vilket gör att det är viktigt med kunskap om deras upplevelser för att kunna möta dem och ge en korrekt vård.
Background: Implantable cardioverter defibrillator is a technological medical controller that interrupts life-threatening arrhythmias with an electrical shock. The ICD could have a direct life-saving impact for persons that have an increased risk to suffer a sudden cardiac arrest. About 7800 people have ICD in Sweden currently, however the group is steadily increasing in numbers. Aim: The aim of this study was to describe the patients' experiences of living with implantable cardioverter defibrillator. Method: Literature overview that is based on eleven scientific articles analyzed based on Friberg’s template for qualitative approach. Findings: Three main topics arose from the analysis after working to the results, To lose control over life, A change life with limitations and A second chance with seven sub-themes. The results points at the patients with ICD goes through a change in their life situation, which affects them at a physical, psychical and social level. Reactions such as insecurity, fear and anxiety are common emotions the patients will feel. Many of the patients will also develop an avoidance behavior because of fear for an electrical shock from the ICD, that will lead to an adverse effect on their quality of life. The negative effects of the treatment will be reduced as time goes on and most of the patients will feel a deeper gratitude to having a second chance to life. Discussion: The nurse needs to know about the changes and limitations that are involved living with an ICD. The co-habitation, the physical ability and the ability to work are all affected and the nurse need to inform the patients about these changes in order to support them to adjust to this new way of life. Conclusion: The majority of ICD-carriers are experiencing a fear of inadequate electrical shock, uncertainty and insecurity when a electrical shock will occur is the basis for the restrictions that patients experiences. Nurses in Swedish healthcare system will encounter this group of patients more often and that makes it crucial that nurses have knowledge about their experiences in order to meet them and give proper care.
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Hellkvist, Karin, and Terhi Wallebom. "Leva med livvakt : personers upplevelser av att leva med implanterbar defibrillator." Thesis, Sophiahemmet Högskola, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3731.

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Personer som överlevt hjärtstopp, eller som löper stor risk att drabbas av allvarlig ventrikulär arytmi, kan skyddas mot framtida livshotande arytmier med en implanterbar defibrillator (ICD). För att bryta kammartakykardier kan ICD:n avge högvoltschocker från en elektrod i höger kammare. Chockerna upplevs av många som smärtsamma. Många personer som fått en ICD implanterad beskriver ökad oro och ångest. Syftet var att belysa personers upplevelser och erfarenheter av att leva med ICD. Som metod valdes litteraturöversikt. Efter sökning i databaserna PubMed och CINAHL inkluderades 15 kvalitativa intervjustudier publicerade 2009-2018. Dessa analyserades utifrån kvalitativ innehållsanalys och resulterade i fyra kategorier; Ett oförutsägbart liv, Ett förändrat liv, Vägen framåt och Trygg trots allt. Dessa kan beskrivas som steg i en trappa. Resultatet i denna litteraturöversikt visade att många beskrev den första tiden efter ICDimplantationen som svår, med smärtor, oro och depression. Livet beskrevs ha blivit förändrat och rädsla för ICD-chocker upplevdes ha stor påverkan i det dagliga livet. Genom självpåtagna begränsningar försökte personerna kontrollera sin situation för att förebygga chocker. De flesta kunde efter en tid acceptera ICD-behandlingen som en del av livet och anpassade sig till situationen. Kategorin Trygg trots allt var inte ett konstant tillstånd, då en upplevd ICD-chock kunde rasera tryggheten och föra processen bakåt. Slutsatsen var att det mesta som berättades berörde chocken, hur den kändes, rädsla för chock, vad som kan utlösa en chock och hur den kan undvikas. ICD-chocken blev något som berörde varje aspekt av livet. Ändå fann många en ny balans där ICD:n blev en del av livet och accepterades som en livvakt. Stöd från vårdpersonal var viktigt för att uppleva trygghet, men ett personcentrerat stöd behöver utvecklas.
Persons who survived sudden cardiac arrest or who are at risk for severe ventricular arrythmias, can be protected from future life-threatening arrythmias by an implantable cardioverter defibrillator (ICD). To terminate ventricular arrythmias, the ICD can deliver high-voltage shocks from an electrode placed in the right ventricle. The shocks are by most people felt to be painful. Many persons who have an ICD implanted, experience increased anxiety and distress. The aim if the study was to illustrate persons’ experiences of living with an ICD The chosen method was a literature review. After searching the databases PubMed and CINAHL, 15 qualitative interview studies, published between 2009 and 2019, were included. These were analyzed with qualitative content analysis and resulted in four categories; An unpredictable life, A changed life, The road ahead and Safe anyway. These categories can be described as four steps. The result of this literature review showed that many described the first period after ICD implantation as difficult, including pain, anxiety and depression. Life was experienced to have changed and fear of ICD-shocks was considered to have great impact on daily life. Through self-imposed restrictions the persons tried to control their situation to prevent shocks. Most persons could by time accept the ICD-treatment as a part of life and adjusted to the situation. The level Safe anyway was not a constant condition as an experience of shock diminished safety and brought the process backward. The conclusion was that most what was narrated concerned the shock, what it felt like, fear of shock, what might trigger a shock and how to avoid it. The ICD shock was something that affected every aspect of life. Still many found a new balance in life where the ICD became an important part of life and was accepted as a body guard. Support from health professionals was important to experience safety but a person-centered support needs to be developed.
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Scholze, Stefan Alexander. "Automatische Implantierbare Kardioverter/Defibrillatoren." Diss., lmu, 2007. http://nbn-resolving.de/urn:nbn:de:bvb:19-76171.

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13

Lindström, Liselott, and Kajsa Vildvik. "Att leva med ICD -implanterbar defibrillator." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-20457.

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En implanterbar defibrillator kan vara en livräddande behandling för personer med ökad risk för plötslig död. Behandlingen syftar till identifiera och behandla livshotande rytmrubbningar. Behandlingen kan ges i sekundär eller primärprofylaktiskt syfte. Det finns etiska aspekter vid ställningstagande till behandlingen. Den innebär fysiska, psykiska och sociala anpassningar. Existentiella frågor om liv och död uppstår vid ställningstagande till behandlingen. Antalet personer som behandlas med implanterbar defibrillator (ICD) ökar. För att kunna ge bra stöd är det viktigt med kunskap om upplevelsen av att leva med ICD. Syftet är att beskriva upplevelsen av att leva med en ICD.Resultatet har framkommit genom analys av 8 kvalitativa studier och presenteras i fyra teman: Att förlora kontrollen, Att anpassa sin livssituation, Att uppnå trygghet och säkerhet och Att få ny syn på livet. Inom varje tema ingår subtema som är förstäkta med citat. Upplevelsen av att leva med ICD kan jämföras med ett krisförlopp. Genom att vårdpersonal har kunskap om att upplevelsen kan liknas vid ett krisförlopp kan bättre vägledning och stöd ges till patienten.
Program: Fristående kurs
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Myers, Gina. "The impact of participation in a support group on perception of social support and level of anxiety in patients with an implantable cardioverter defibrillator." Diss., Online access via UMI:, 2005. http://wwwlib.umi.com/dissertations/fullcit/3165054.

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15

Pari, Sonia. "Il monitor/defibrillatore semi-automatico per le emergenze sanitarie." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2018.

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L’elaborato si occupa di analizzare caratteristiche e funzionamento del dispositivo monitor\defibrillatore semi-automatico in uso sui mezzi per i servizi di emergenza sanitaria. In una prima fase introduce l’argomento con cenni di anatomia e fisiologia cardiaca, meccanismi di conduzione elettrica e meccanica del cuore e successivamente si concentra sull’analisi dell’evoluzione tecnologica dei defibrillatori portatili, le patologie indicate per il suo utilizzo e le funzioni principali del monitor/defibrillatore semi-automatico. A questo proposito d si osservano la possibilità di rilevare il tracciato elettrocardiografico nelle diverse derivazioni e visionarlo in tempo reale direttamente sullo schermo di cui è provvisto il dispositivo, e la tecnologia di elaborazione automatica del tracciato per il riconoscimento dei ritmi cardiaci defibrillabili e non defibrillabili, monitoraggio dei parametri vitali e il sistema di defibrillazione. Vengono anche approfondite le funzioni accessorie annesse al dispositivo come il sistema di assistenza alla rianimazione cardiopolmonare e la gestione dei dati rilevati dal paziente. Inoltre, si allega un’intervista ad un utente utilizzatore che contribuisce a sottolineare l’importanza di questa tecnologia nell’uso quotidiano dei soccorritori.
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Dahlberg, Thorbjörn, and Martin Persson. "Defibrillatorer och Syrgas i Polisbilar." Thesis, Umeå University, Basic training programme for Police Officers, 2003. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-27248.

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Detta arbete är inriktat på hur man inom polisen skulle kunna förebygga och lösa vissa akutsjukvårdssituationer på ett bättre sätt med hjälp av syrgas och defibrillator. Det har redan beaktats av både räddningstjänst och polis i olika län. Räddningstjänsten i Umeå har många års erfarenhet av syrgasbehandling, och detta arbete har lett till att bl.a. samarbetet mellan räddningstjänsten och ambulanssjukvården har blivit mycket bättre. Dessutom finns möjligheten att räddningstjänsten i glesbygden förebygger skador under den tiden det tar för ambulansen att komma fram. I Karlstad och Arvika har polisen sedan 1999 haft ett försök med defibrillator i polisfordon. Detta har lett till en ökad möjlighet att förebygga dödsfall hos personer som drabbats av ett plötsligt hjärtstopp. Under dessa år har polisen i Karlstad och Arvika fått en ökad erfarenhet och kunskap om dessa händelser. De som jobbar vid polisen är väldigt positiva till defibrillering då de kan handla i situationer där akutsjukvård behövs. Både hos räddningstjänsten och polisen har försöken med syrgas respektive defibrillator varit lyckade i både resultat, erfarenhet och kunskap. Givetvis är all utbildning och utrustning en kostnad, som tyvärr talar emot denna utveckling och förnyande inom polisen.

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Lindner, Lili, and Alexandra Eliasson. "Att leva med implanterad defibrillator : En intervjustudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-174736.

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The study aimed to explore how patients with ICDs experience their quality of life with a focus on everyday life, electric shocks, and how support from the health service is perceived. The studydesign is descriptive with a qualitative approach. Semi-structured interviews were conducted with seven patients. Data collection lasted for three weeks and interviews were conducted in the participant´s homes, at the participants’ workplaces or over the phone. The study shows that most participants have learned to live with the ICD. Most participants felt that they had not made any major changes in their everyday life’s and a majority of the participants felt confidence and security regarding their ICD. Electric shocks gave feelings of stress, uncomfortability and safety. During increased physical exertion patients could be concerned about the possibility of getting an electric shock.. The support of the health care was perceived satisfactory and information about the ICD was considered good for several patients. Some participants felt that they had not received sufficient information. Conclusion: Most participants live fulfilling lives and have a positive attitude towards their ICD. Reported stress and anxiety related to the underlying heart disease more than the ICD. The ICD therapy was considered to provide security, although there were concerns about unexpected electric shocks from some of the participants. The support from the healthcare was mostly good. There is a lack of information about the treatment and psychosocial follow-up. Nurses should be sensitive and provide counseling to this group of patients.
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Reid, Suzanne Shirley. "Friend or intruder? : Living with an implantable defibrillator : patients' and partners' experiences /." Electronic version, 2001. http://adt.lib.uts.edu.au/public/adt-NTSM20041104.172632/index.html.

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19

Wong, Ka-man, and 黃嘉文. "The effectiveness of automatic external defibrillator (AED) for improving cardiac arrest survival in out-of-hospital setting: a literature review." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B42997938.

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20

Wong, Ka-man. "The effectiveness of automatic external defibrillator (AED) for improving cardiac arrest survival in out-of-hospital setting a literature review /." Click to view the E-thesis via HKUTO, 2009. http://sunzi.lib.hku.hk/hkuto/record/B42997938.

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21

Louw, Pauline. "Effective use of defibrillators in the Emergency Centre." Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/2865.

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22

Dumky-Boström, Mikael, and Pettersson Viktor Lekaregård. "Livskvalitet hos patienter med Implanterbar defibrillator : En litteraturöversikt." Thesis, Mittuniversitetet, Institutionen för omvårdnad, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-37703.

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23

Martn, David Tobias. "The implantable cardioverter-defibrillator : evaluation of evolving technologies." Thesis, University College London (University of London), 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.420140.

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24

Mattsson, Andreas, and Kristofer Erling. "Manuell arytmitolkning och defibrillering prehospitalt för att minska avbrott i bröstkompressioner." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-241256.

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Abstract Background Todays guidelines for advanced CPR emphasize chest compressions with good quality and early defibrillation. Prehospital CPR performed by ambulance crew, an automated external defibrillator (AED) is used. The AED analyzes the heart rhythm and the performer is following the advice to chock the heart or not, given by the AED. During on-going CPR there are sequences when no chest compression is performed known as hands-off time. Hands-off time includes the time for the AED to analyze the heart rhythm and the time when advice is given to the crew. Studies show that prolonged hands-off time has a negative impact on survival after a sudden cardiac arrest. Purpose The purpose with this study was to look into if the hands-off time could decrease with use of manual mode on the defibrillator by the ambulance crew. The crew had to analyze, make a decision to chock or not, charge the defibrillator and give the chock if appropriate. Furthermore, the crews’ knowledge in analyzing heart rhythms that can be defibrillate was investigated.  Method A quasi-experimental method was used. 38 participants, all ambulance crew, were included in the study. The participants were randomized into two groups. One group performed CPR with an AED, the second group used the manual mode on the defibrillator. The study data were processed in SPSS. Results The time preceding the first defibrillation was significant shorter in the group using manual mode. There was no difference in total hands-off time between the two groups. All heart rhythms were interpreted right and all defibrillation were done correctly. Conclusions Time from establish cardiac arrest to first defibrillation was significant shorter in manual mode. Furthermore, all heart rhythms were interpreted right and all defibrillation were done correctly. Time from first defibrillation to start of chest compressions was equal in the two groups. There were no significant differences in hands-off time between the two groups.   Keyword: ambulance, cardiac arrest, automatic external defibrillator, manual defibrillator, manual rhythm analyze, hands-off time
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25

Lauck, Sandra Béatrice. "Change in patient-reported outcomes after cardioverter-defibrillator implantation." Thesis, University of British Columbia, 2013. http://hdl.handle.net/2429/43914.

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Some people, because they have a genetic predisposition or heart disease, are at high risk for cardiac arrhythmias that could cause their hearts to stop. The implantable cardioverter-defibrillator (ICD) is an effective therapy that recognises abnormal heart beats, can administer an electrical shock to stop a potentially lethal heart rhythm, and affords protection from the devastating consequences of sudden cardiac arrest. Patient-reported outcomes (PROs) are assessments provided directly by patients about various aspects of their health and quality of life. We sought to study the change in PROs after ICD implantation to identify people’s patterns of change, explore individual trajectories of change, and identify predictors of differences in individuals’ trajectories. The study was grounded in the Wilson and Cleary (1995) conceptual framework of quality of life and informed by the Patient-Reported Outcomes Measurement Information System domain framework. Using a prospective, longitudinal study design, data were obtained from 171 people undergoing ICD implantation at quaternary centres in British Columbia, Canada (55.5% response rate). PRO assessments were obtained immediately before implantation and at one, two, and six months following implantation. We employed individual growth modelling to analyse change within and between people. The participants had different physical, mental, and social health status PROs at baseline and, on average, demonstrated improvement. At most of the measurement occasions, the participants’ PROs remained poorer than those of average adult, urban-dwelling Canadians. There was significant individual variability in most of the trajectories, especially in the social functioning domains. Relative to men, women reported worse PROs initially (the relative mean difference in men’s and women’s scores ranged from 4.5% to 24.7% for 6 of the 12 indicators). Yet, the women’s rates of improvement were significantly faster than those of men. Women equalled or exceeded the men’s PROs at the six-month assessment (the relative mean difference ranged from 4.5% to 10.4%, depending on the PRO). Further research is needed to explore the individual change trajectories identified in this study, especially for those patients who did not improve over time, fully test the conceptual model that framed the research, and evaluate interventions aimed at improving PROs after ICD implantation.
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26

Cervantes, Arturo. "Strategies to Expand the U.S. Automated External Defibrillator Market." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3756.

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Despite defibrillation as the only effective treatment for sudden cardiac arrest (SCA), less than 15% of homes and public facilities have access to an automated external defibrillator (AED). In the United States, ineffective response to SCA cases occurring each year classifies it as a business problem for medical device manufacturing leaders, emergency responders, and bystanders. The purpose of this multicase study was to explore the marketing strategies AED manufacturing leaders use to expand their consumer customer base. Data were collected via in-depth interviews with a purposive sample of participants from 2 U.S. AED manufacturers on the east coast, 2 AED distributors, and 2 healthcare corporations in Texas, as well as a review of company materials. The framework for this study was product life cycle theory. Initial findings for expanding the U.S. AED market indicated that the market was not led by its manufacturers but by its distributors. This finding became an important theme noted from AED manufacturers in considering the consumer segment, an aftermarket from commercial marketing strategies. A common concern for the security of strategic marketing was evident across the AED manufacturer participants with reluctance to discuss business models and marketing plans. A congruent theme was the curtailment of open discussions regarding AED marketing strategies because of security and confidentiality risk. Also, limited number of approved AED manufacturers by the Federal Drug Administration minimizes AED access. Residual outcomes include improving the quality of life for the aging population while reducing the loss of the lives and costs of healthcare. Social implications include preventing sudden cardiac death by providing more accessibility of AEDs to baby boomers.
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27

Kaup, Hans-Joachim. "Evaluation von Detektionsalgorithmen für automatische implantierbare Defibrillatoren." [S.l.] : [s.n.], 2004. http://deposit.ddb.de/cgi-bin/dokserv?idn=975169629.

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28

Gustafsson, Julia, and Emelie Jansson. "Elstöten som räddar liv : Patientens upplevelse att leva med en implanterbar defibrillator." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-41301.

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Varje år insjuknar 10 000 personer i Sverige i ett plötsligt hjärtstopp. Ett plötsligt hjärtstopp orsakas oftast av ventrikelflimmer eller ventrikeltakykardi. En behandlingsform för allvarliga arytmier är en implantable cardioverter defibrillator (ICD). Den första ICD:n implanterades år 1980. Att vara hjärtsjuk innebär att patienten kan uppleva flera olika känslor, upplevelser samt erfarenheter och därför är sjuksköterskans kärnkompetens informatik särskilt viktig genom att vara informativ. Att sjuksköterskan är informativ är en viktig del av patientens vårdprocess. Syftet med litteraturstudien var att belysa patientens upplevelse av att leva med en ICD. Den allmänna litteraturstudien grundar sig på sex kvalitativa och två kvantitativa artiklar. Fem kategorier framkom i resultatet Oro, ökad trygghet, rädsla för elstöten, förändringar i vardagen och bristande kommunikation med sjukvårdspersonal. Resultatet visade på att patienter med en ICD kände en tacksamhet för livet men upplevde även en rädsla och oro. Elstöten beskrevs som att vara mycket kraftig, bland annat som att få en hästspark i bröstet eller att bli påkörd av en lastbil. I studien framkom även att den bristande kommunikationen mellan vårdtagare och vårdgivare påverkade det vardagliga livet. Både de fysiska och psykiska konsekvenserna av behandlingen med ICD är oförutsägbara men är viktig kunskap vid vårdandet av denna patientgrupp.
Every year there are 10 000 cases of sudden cardiac arrest in Sweden. Sudden cardiac arrest is usually caused by ventricular fibrillation or ventricular tachycardia. A form of treatment for serious arrhytmias is an implantable cardioverter defibrillator (ICD). The first ICD device was implanted in 1980. To have a heart disease includes that the patient can experience several different emotions and experiences and therefore, to be informative as a nurse is an important part of the patients care. The aim of the litterature study was to highlight the patient’s experience to live with an ICD. The general literature study is based on six qualitative and two quantitative articles. Five categories emereged in the result Concern, increased safety, fear for the chock, changes in daily life and lack of communication with health care personal. The result showed that patients with an ICD device felt a gratitude for life but also experienced a fear and worry. The shock describes being very powerful. It describes like feeling to get a horse kick in the chest or to be hit by a truck. The study emerged in that a lack of communication between health care providers and recipents effected the daily life. The physical and psychological consequenses caused by the treatment is an unpredictable but is an important knowledge in the nursing about the patient group.
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29

Altis, Lotta. "Att acceptera en tvetydig livlina : Erfarenheter av att vara bärare av en implanterbar defibrillator utifrån ett fenomenologiskt livsvärldsperspektiv." Thesis, Mälardalen University, School of Health, Care and Social Welfare, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-1558.

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Sammanfattning

Implanterbar defibrillator (ICD) har visat sig förlänga överlevanden hos patienter med livshotande hjärtklappningar. Andelen bärare av implanterbara defibrillatorer förväntas att öka. Flera studier har redan beskrivit de drabbades livssituation och livskvalitet. Trots detta behövs det flera kvalitativa studier angående ICD-bärares erfarenheter i vardagen. Fenomenet att vara bärare av en implanterbar defibrillator beskrivs i föreliggande examensarbete utifrån en fenomenologisk forskningsansats och dess reflekterande livsvärldsperspektiv. Datainsamlingen utgjordes av nio djupintervjuer. Syftet var att beskriva innebörden av att vara bärare av en implanterbar defibrillator. Resultatet, fenomenets generella struktur, beskriver ett tvetydigt accepterande av en trygghet och otrygghet i livssituationen. Den aktiva och oförutsägbara kroppen är utsatt för något unikt, en tvetydig livlina. Fenomenets generella struktur belyses via fem konstituenter; det goda och onda tillslaget, känslan av stöd i omgivning, kunskap - en säkerhet i vardagen, den aktiva och oförutsägbara kroppen samt en utsatt kropp. Slutsatsen ses som ett accepterande av en tvetydig livlina. Att acceptera livlinan framkom i resultatet som ett självklart val.

 


Abstract

Implantable Cardioverter Defibrillator (ICD) has shown to prolong survival in patients with life threatening tachyarrythmias. The number of implantable cardioverter defibrillators is expected to increase. Several studies have already described ICD-recipents life-situation and quality of life. However, additional qualitative studies concerning ICD-recipients everyday experiences are required. The phenomenon of living with an implantable cardioverter defibrillator is described in this paper from a phenomenological approach and its reflecting lifeworld perspective. The data collection was made out of nine in depth interviews. The purpose was to describe the meaning of living with an implantable cardioverter defibrillator. The result, the phenomenon’s general structure, describes an ambiguous acceptance of a security and insecurity in the life-situation. The active and unpredictable body is exposed to something unique, an ambiguous lifeline. The phenomenon’s general structure is highlighted through five constituents; the good and bad shock, the experience of support in those around, knowledge - a safety in the every day life, the active and unpredictable body and the exposed body. The conclusion is seen as an acceptance of an ambiguous lifeline. To accept the lifeline appeared from the result as the obvious choice.

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30

Hebb, Gillian Stephanie. "Meta-Worry and Control in Patients with Internal Cardiac Defibrillators." Thesis, University of Leeds, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.508999.

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31

McCrory, Mark L. "The Availability of Automated External Defibrillators in Senior Residential Areas." The University of Arizona, 2008. http://hdl.handle.net/10150/624274.

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Class of 2008
Objectives: To determine the number of senior communities within the Tucson area that have access to automated external defibrillators (AED). Methods: Publicly available internet search engines were used to identify a number of various senior communities within the Tucson area. The various communities included senior apartment communities, recreational vehicle parks, and manufactured home parks. A representative employee of the community was interviewed to determine if an AED was accessible to the residents of the community. Results: Thirty senior apartments, eight manufactured home, and twelve RV communities were identified. The communities ranged in size from 22 to 1576 units, with the average being 222 units per community and the mean 232 units per community. IF the 50 senior communities identified only 2 of them had an AED on the premises. Both of the communities that had an AED on premise were RV parks that had a paid security crew that was trained in the use of the AED. Conclusions: In the Tucson senior communities there is a gross under availability of access to life saving equipment in a population that has a higher risk heart attacks and could benefit from having access to an AED.
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32

Fränkle, Andrea Elisabeth. "Untersuchungen zur kardiopulmonalen Leistungsfähigkeit bei Patienten mit implantierbarem Kardioverter-Defibrillator." [S.l.] : [s.n.], 2004. http://deposit.ddb.de/cgi-bin/dokserv?idn=973139927.

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33

Eriksson, Helena, and Anna Hammarberg. "Faktorer som påverkar hälsorelaterad livskvalitet hos patienter med implanterbar defibrillator." Thesis, Halmstad University, School of Social and Health Sciences (HOS), 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-1453.

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Då behandling med implanterbar defibrillator (ICD) enligt forskning

förlänger överlevnaden för hjärtsjuka har socialstyrelsen i sina nationella

riktlinjer rekommenderat att behandling av arytmier och hjärtsvikt med

ICD ska prioriteras. Detta kommer att leda till att antalet patienter med

ICD ökar i framtiden. Syftet med denna litteraturstudie var att beskriva

faktorer som påverkar ICD patienternas hälsorelaterade livskvalitet.

Studierna påvisade generellt sett att ICD patienter som grupp inte hade

lägre hälsorelaterad livskvalitet, men på individ nivå framkom det

påverkande faktorer. Dessa faktorer indelades i tre kategorier:

psykologiska faktorer, att uppleva defibrilleringchocker samt tid för

anpassning och betydelsen av patientens ålder.

Sjuksköterskan har en viktig roll i en omvårdnadssituation att inge

trygghet, stödja patienten och bidra till att patientens kunskap ökar. Det

ger patienten möjligheten att påverka sin hälsorelaterade livskvalitet

eftersom den är avgörande för patientens välmående och upplevelse av

ICD behandlingen.

Informanterna i resultatstudierna var övervägande män och ur ett

genusperspektiv begrundas att resultatet i litteraturstudien inte

representerar befolkningen i stort.

Med hänvisning till att antalet patienter med ICD kommer att öka i

framtiden, behövs mer forskning om kvinnor och deras upplevelse av

hälsorelaterad livskvalitet och ICD behandling.

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34

Andersson, Kristoffer, and Jonatan Green. "Hälsorelaterad livskvalitet hos patienter med implantable cardioverter defibrillator : En litteraturöversikt." Thesis, Jönköping University, HHJ, Dep. of Nursing Science, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-7834.

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Syftet med denna litteraturöversikt var att beskriva den hälsorelaterade livskvaliteten hos patienter med en implantable cardioverter defibrillator (ICD).  Studien genomfördes som en litteraturöversikt, där tolv vetenskapliga artiklar av kvantitativ karaktär analyserades och användes i studiens resultatdel.  Sökorden som användes var Defibrillators, Implantable, Quality of Life och health related. Inklusionskriterier var artiklar skrivna på engelska, peer-reviewed, publicerade från år 2000 och framåt samt deltagarna i dessa studier skulle vara 19 år eller äldre. I studien framkom det att ICD-patienter undvek specifika platser, objekt och fysiska aktiviteter relaterade till ICD:n. Också en oro över bilkörning framkom.  ICD-patienter utsätts för en förändring i livssituation och är i behov av stöd och individuell informationsgivning gällande deras medicintekniska anordning. Idag är största delen av forskning gjord på män, då implantationsfrekvensen är högre hos dessa. Vidare forskning är relevant och bör omfatta kvinnor, för att på så sätt kunna anpassa framtida vårdinsatser på ett individuellt plan. Vårdgivare behöver fördjupad kunskap inom detta område, då implantationsfrekvensen av ICD är ökande. Kunskap hos vårdgivare kan möjligtvis leda till en ökad hälsorelaterad livskvalitet inom denna patientgrupp.


The aim with this literature study was to describe the health related quality of life in patients with an implantable cardioverter defibrillator (ICD). The study was carried out as a literature study and twelve articles, which all were of quantitative character, were analyzed and constituted the result of the study. The search words that were used were Defibrillators, Implantable, Quality of Life and health related. The criteria of inclusion were articles in English, peer-reviewed, published in 2000 to present day and the participants in these studies had to be 19 years or elder. In the study it emerged that ICD-patients avoided specific places, objects and physical activities related to the ICD. Also a concern regarding driving appeared. ICD-patients are subjects of a change in their life situation and are in need of support and individual information regarding their medicine technical device. To this date, the majority of researches are conducted on men, because of the higher implant frequency within this gender. Further researches are of importance and shall enclose the female gender, to be able to adapt the contribution of nursing on an individual level. Health care providers are in need of deepened knowledge within this area, because of the rising frequency of implantation. This knowledge might lead to a increased health related quality of life within this patient group.

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35

Ingmar, Britta. "Patienters upplevelser av att leva med implanterbar defibrillator : -en litteraturstudie." Thesis, Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-31836.

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Introduktion: Idag behandlas cirka 6800 personer i Sverige med en implanterbar defibrillator (ICD) vilket är en avancerad teknisk apparat som kan bryta en livshotande arytmi med elektrisk chock. Patienter med ICD ökar i antal då målgruppen för ICD-behandling är större idag än för några år sedan och sjuksköterskor inom olika vårdmiljöer möter den här patientkategorin allt oftare. Syfte: Syftet var att belysa patienters upplevelser och erfarenheter av att leva med ICD. Metod: Litteraturstudie. Totalt 9 vetenskapliga artiklar med kvalitativ och kvantitativ ansats har granskats. Resultatet bearbetades med kvalitativ innehållsanalys där likheter identifierades och sammanfogades i huvudkategorier och underkategorier. Resultat: Resultatet visade att flertalet patienter med ICD upplevde att livet förändrades i samband med behandlingen. ICD kan rädda liv samtidigt som behandlingen påverkar patienterna emotionellt, fysiskt och socialt. Känslomässiga reaktioner som rädsla, oro och osäkerhet var vanliga samt att patienter med ICD utvecklade undvikande beteenden som en följd av dessa känslor. Patienter upplevde att deras sociala livsmiljö och livskvalitet påverkades negativt. De uttryckte också behov av förståelse och stöd från sin närmaste omgivning samt från professionellt håll.  För många av patienterna minskade de negativa följderna av behandlingen med tiden och majoriteten av patienterna anpassade sig till att leva med ICD. Konklusion och implikation: Vetenskapliga studier visar att ICD-behandling har sidoeffekter för flertalet av patienterna. Patienternas upplevelser och erfarenheter av att leva med ICD är individuella. Det är av stor betydelse för den enskilde patienten att sjuksköterskor ger stöd och information före och under behandlingen med ICD utifrån erfarenhet, förståelse och kunskap om behandlingens inverkan på patientens hälsa och livssituation.
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36

Backe, Christina, Jennie Persson, and Helena Pärna. "En andra chans med Implanterbar Defibrillator : Upplevelser av förändrad livssituation." Thesis, Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-25500.

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Varje år drabbas 10 000 människor av plötsligt hjärtstopp utanför sjukhus. De personer som överlever ett hjärtstopp kan bli aktuella för behandling med en Implanterbar Defibrillator (ICD).  Denna har funnits i bruk sedan 1980. Antalet implantationer ökar och utvecklingen går ständigt framåt. Sjukvården har en viktig roll i att stödja, utbilda och informera patienter och deras anhöriga så att de kan anpassa sig till det nya livet som ICD bärare. Syftet var att belysa ICD-bärares upplevelser av förändrad livssituation. Detta gjordes genom en litteraturstudie. Resultatet bygger på analys av åtta kvalitativa och tio kvantitativa vetenskapliga artiklar. Patienter med ICD upplever psykisk påfrestning, ett beroende av andra människor, att tvingas till levnadsförändringar samt acceptens till det nya livet som ICD-bärare. Implantation av en ICD innebär för många människor att få en ny chans till livet men det innebär också fysiska, psykiska och sociala omställningar i det vardagliga livet. Dessa omställningar påverkar också nära anhöriga. Eftersom antalet ICD implantationer ständigt ökar och det har visat sig att livssituationen på olika sätt förändras är det viktigt att omvårdnaden av denna patientgrupp präglas av individuellt stöd och utbildning i kombination av gott tekniskt kunnande för att underlätta anpassningen till livet som ICD-bärare.
Every year, there are 10 000 cases of sudden cardiac arrest outside of hospitals. Those who survive a cardiac arrest may be considered for treatment with an Implantable Cardioverter Defibrillator (ICD). The ICD has been in use since 1980 and the developments along with the number of implantations are continuously evolving. The health care system has an important role in supporting, educating and informing the patients and their families, to help them adapt to the new life as or with an ICD-bearer. The purpose of this study is to highlight the experiences and life alterations the ICD-bearer faces. The results are based on the analysis of eight qualitative and ten quantitative research articles. Patients with ICDs experience psychological distress; a dependence on other people; being forced to make life alterations and finding acceptance for the new life as an ICD-bearer. For many, an ICD is equivalent to a new chance at life, but it also represents every day physical, psychological and social changes. Changes that also affect close relatives. The care of these patients ought to be characterized by individual support and education, as the number of ICD implantations is constantly increasing and since it has been proven that life situations change. This in combination with good technical expertise facilitates the adaptation to life as an ICD-bearer.
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37

Tas, Ronya, and Venera Magnusson-Flykt. "Personers upplevelser av att leva med en implantable cardioverter defibrillator." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-25902.

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Bakgrund: Hjärtstopp är ett globalt problem med hög mortalitet. Cirka 80 procent av bakomliggande risker till hjärtstopp är sjukdomar i hjärtats kranskärl. Hjärtsvikt innebär ökad arytmirisk, vilket i sin tur innebär ökad risk för hjärtstopp. För att åtgärda dessa problem och minska risken för plötsligt hjärtstopp kan implantable cardioverter defibrillator (ICD) vara ett behandlingsalternativ. Behandlingen kan ske i primär- och sekundärpreventivt syfte. Vid primärpreventivt syfte är behandlingen till för att minska risken för ett hjärtstopp efter hjärtinfarkt eller om personen lider av hjärtsvikt. När behandlingen sker sekundärpreventivt är det för att förhindra ett återfall efter att ha genomgått ett hjärtstopp. Syfte: Syftet med denna litteraturstudie är belysa personers upplevelser av att leva med en ICD. Metod: En litteraturstudie utfördes med grund från vetenskapliga artiklar från databaserna PubMed och CINAHL. MeSH-termer och Cinahl Headings utnyttjades i databaserna. Resultat: I arbetets resultat identifierades tre huvudtemna: Emotionell upplevelse av att ha en ICD, upplevelser relaterade till fysisk aktivtet och ICD elchock.Konklusion: Att leva med en ICD har inneburit för många att leva med oro och ångest, men det finns dock även positiva upplevelser av att leva med en ICD. Informationsbrist från vårdpersonal kan ha en stor relation till ångesten och oron. Att kunna ge individanpassad information är därför väsentligt.
Background: Cardiac arrest is a global problem with high mortality. About 80 percent of the underlying risks of cardiac arrest are heart coronary artery disease. Heart failure means increased arrhythmic, which in turn means increased risk of cardiac arrest. To address these problems and reduce the risk of sudden cardiac arrest, implantable cardioverter defibrillator (ICD) may be an option. The treatment can be done in both primary- and secondary prevention. For primary preventive the purpose is to reduce the risk of a cardiac arrest after myocardial infarction or for persons’ with heart failure. Secondary prevention is used to prevent a relapse after having undergone a cardiac arrest. Aim: The aim of this literature study is to illustrate persons’ experiences of living with an ICD. Method: A literature study was done on the basis of scientific articles from the databases PubMed and CINAHL. MeSH terms and Cinahl Headings were used in the databases. Result: In the results of the study, three main themes were identified: Emotional experiences of having an ICD, experiences related to physical acitivites and ICD shocks. Conclusion: Living with an ICD has meant for many people to live with fear and anxiety, but there are also positive experiences of living with an ICD. Lack of information from health professionals can have a connection with the fear and anxiety. Being able to provide personalized information is therefore essential.
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38

Svensson, Annica. "Hjärtsäkerhet på svenska hälso- och fitnessanläggningar." Thesis, Linnéuniversitetet, Institutionen för pedagogik, psykologi och idrottsvetenskap, PPI, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-20479.

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In the United States, see recommendations for cardiac safety of sports arenas but also to health and fitness facilities. However, this does not exist in Sweden today. Objective: The purpose of this study is to identify the health- and fitness facilities today are equipped with respect to cardiac safety and specifically relating to preparedness for cardiac arrest. Method: Quantitative data are collected and compiled with the help of a questionnaire. The questionnaire contained 19 questions in total. Random selection of plants and a total of 263 facilities contributed 88 plants in the study. The loss was 67 %. Results: Of the 88 facilities was the 94 % who were trained and certified in cardiac cardiopulmonary resuscitation and 66 % in advanced cardiac cardiopulmonary resuscitation. Just over half of all plants had AED. Half of the establishments, which had more than 10 minutes to the nearest hospitals had no AED and of these, 75 % were privately owned. Conclusion: Preparedness for cardiac arrest on our health and fitness facilities seems to be good, for example, most of the facilities that responded to the questionnaire had AED and practical training of the staff. Most are also trained and certified in cardiac cardiopulmonary resuscitation. But there is room for improvement, for example, only about half of all holdings with > 10 minutes to the hospital had no AED and three facilities lacked both AED and trained staff in CRP. Guidelines are needed on preparedness for acute cardiac events on health and fitness facilities in Sweden, just as there are in the United States today.
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39

Halin, Thomas, and Kristian Selerup. "Patienters livskvalité och erfarenheter av att leva med implanterbar cardioverterdefibrillator (ICD) : En litteraturstudie." Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-20848.

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Bakgrund: Behandling med implanterbar cardioverter defibrillator (ICD) kan ges iprimärt- eller sekundärt syfte. ICD: n har till uppgift att upptäcka och behandlaallvarliga rytmrubbningar och vid behov avge en stöt/stötar. Patienter som lever med enICD kan få svårt att acceptera sina nya liv samt att deras livssituation kan påverkas.Sjuksköterskan har en viktig roll att individanpassa omvårdnaden för dessa patienter.Syfte: Syftet var att beskriva patienters livskvalité och erfarenheter av att leva medimplanterbar cardioverter defibrillator (ICD). Syftet var också att beskriva urval ochundersökningsgrupp i de inkluderade artiklarna.Metod: En deskriptiv litteraturstudie där 11 vetenskapliga artiklar inkluderades varavsex kvalitativa, fyra kvantitativa och en artikel hade mixad metod. Artiklarna har sökts idatabasen Pubmed med begränsning på 6 år.Resultat: Patienter som lever med en ICD beskriver en oro och rädsla för att ICD: n skaavge stötar. Erfarenhet som patienter betonar är att diskussion om avaktivering av ICD ilivets slutskede ansågs vara bristfällig eller helt utesluten. Då livskvalitén påverkas ochpatienterna beskrev sig bli begränsade i vardagen så kan coping vara ett verktyg för attfinna lösningar. Tio av resultatartiklarna angav tydligt urvalsmetoden. Samtligaredogjorde för antalet deltagare och hur många som var män respektive kvinnor.Medelåldern på deltagarna redovisades tydligt i alla artiklarna.Slutsats: Livskvalitén har visats påverkad hos patienter med en ICD, även oro ochrädslor för stötar. Sjuksköterskan bör ha ett holistiskt synsätt för att se hela patientenoch dennes behov.
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40

Anno, Tony. "The Creation of a Pacemaker Clinic at a Federally-Funded Patient-Centered Medical Home: A Quality Improvement Project." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/738.

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It is common for clinicians to implant medical devices, such as permanent pacemakers and implantable defibrillators, for cardiac diseases. These medical devices require follow-up care at regular intervals to ensure proper device function and optimal outcomes. Currently, many individuals without insurance or financial resources lack access to recommended follow-up care after implantation of a cardiac device. The purpose of this project was to determine the number of individuals who have had a medical device implanted without insurance coverage over a 3-year period, and then to establish a clinic that provides this service. The standard of care and operating procedure for the pacemaker clinic was established using evidence-based guidelines from the Heart Rhythm Society and the American Heart Association. Complexity science was the theoretical model used to guide this project's design and implementation. This quality improvement initiative was non-experimental, descriptive, and quantitative. Data were extracted from the ICD Registry and United States Census Bureau to determine the number of residents, insurance status, and number of implants over a 3-year period. These data were used to estimate the number of individuals with devices. The data revealed that 40 individuals with low power cardiac devices and 15 individuals with high power devices lacked access to care. The model developed estimates a growth rate of 7 to 10% annually. The pacemaker clinic will provide access to over 70 individuals lacking care for their pacemakers, thereby resulting in improved healthcare outcomes, fewer preventable complications, and optimal device performance.
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41

Sechena, Benjamin, Jake Stearley, and Evan Williams. "The Availability of Automated External Defibrillators (AEDs) in Tucson Weight Rooms." The University of Arizona, 2011. http://hdl.handle.net/10150/623532.

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Class of 2011 Abstract
OBJECTIVES: To determine the availability of AEDs in Tucson weight rooms and fitness centers. This study also examined the prevalence of use of AEDs in facilities that report having one on site. METHODS: Weight rooms and fitness centers containing weight-bearing equipment in the major metropolitan area of Tucson were telephoned to partake in a questionnaire. The researchers asked for a manager to partake in the questionnaire at the time the call was made. Collected information included the presence of an AED, the use of the AED in the past year, frequency of AED testing to ensure proper function of the device, and the acquisition of gym member health history. RESULTS: A total of 68 weight rooms were called, and 9 numbers had been disconnected or were no longer in service. Thirteen had not responded after 3 attempts therefore, a total of 46 weight rooms were reached. Eighteen weight rooms had AEDs (39%), 22 weight rooms did not have an AED (48%) and 6 weight rooms declined to answer the questionnaire (13%). Exactly half of the 46 weight rooms gathered medical history from their members. Of the 18 weight rooms with AEDs, 14 affirmed that it was tested to make sure it worked. Test frequency ranged from daily to yearly with half (7 weight rooms) testing monthly. Only one weight room reported that their AED had been used before. CONCLUSION: Less than half of the weight rooms had AEDs on site. It was hypothesized that 70% of the weight rooms would have an AED. Therefore, the hypothesis about the prevalence of AEDs in Tucson weight rooms was incorrect. In contrast, the hypothesis about how many weight rooms have used their AED was correct; less than 10% of the weight rooms with AEDs had used one in the past year.
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42

Sadarmin, Praveen P. "Cardiologists' knowledge, attitudes and application of risk towards implantable cardioverter defibrillators." Thesis, University of Leicester, 2016. http://hdl.handle.net/2381/37600.

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Patients with impaired left ventricular systolic function have an increased risk of sudden cardiac death. The implantable cardioverter defibrillator (ICD) is an effective therapy to treat life-threatening arrhythmias and randomized controlled trials have demonstrated statistically significant reductions in all-cause mortality in select patient groups. Despite this wealth of published data, the uptake of ICDs in high risk population remains low and the exact reasons not known. My study focuses on the evidence for ICD therapy from the landmark RCTs that have influenced the current guidelines. Most trials have only published relative risk reduction or hazard ratios. The first part of this thesis analyzes data to reveal absolute risk reduction, the number needed to treat and the findings standardized for length of follow-up. There is considerable variation in the magnitude of benefit between different heart failure aetiologies and other patient characteristics highlighting the difficulty in generalising the results. UK cardiologists’ knowledge of guidelines, estimates of 3-year mortality, management decisions, factors that influence decisions, influence of age, device cost, and overall attitudes to ICDs as a form of therapy was assessed with a questionnaire. There was lack of awareness of UK ICD guidelines amongst non-implanting cardiologists and even when guidelines were known they were often not applied, particularly in primary prevention setting. Most cardiologists are not aware of the magnitude of benefit an ICD offers and overestimate the effect in secondary prevention. In addition, there is also bias against elderly patients. The final part of my thesis focuses on exploring barriers to primary prevention ICD uptake. The aim was to see what action was taken when all the data required for making a referral or assessment was available. Our study suggests more than half of potentially eligible patients do not receive ICD therapy. A low referral rate, lack of screening programmes and age bias seem to be the stumbling blocks for primary prevention ICD in the UK.
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43

Husemann, Benjamin. "Klinische Bedeutung qualitativer Eigenschaften von Verletzungspotentialen bei endokardialen rechtsventrikulären Defibrillator-Schraubsonden." Hannover Bibliothek der Medizinischen Hochschule Hannover, 2010. http://d-nb.info/1001178548/34.

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44

Vigneswaran, Priya. "The experiences of young people living with implantable cardioverter defibrillator treatment." Thesis, University of London, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.529530.

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45

Bromander, Marie, and Susanne Johansson. "Patienters erfarenhet av information i samband med ICD-implantation (implanterbar defibrillator)." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-17616.

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Antalet patienter med ICD-behandling (implanterbar defibrillator) ökar. Antalet patienter som behandlas med ICD beräknas vara omkring 1400-2000 patienter/år. Då behandlingen ges på indikationen risk för livshotande hjärtrytmrubbning, är kunskap om bemötande av patienten i en allvarlig livssituation och skapande av delaktighet avgörande. Patienten behöver stöd till förståelse och kunskap för att uppleva hälsa och livskvalitet. Det mellanmänskliga mötet är centralt för att ge information till patienten. Forskning finns om att leva med ICD, men få riktar in sig på information i samband med ICD-implantationen, dock menar forskare att information är viktig inför beslut av behandling och framförallt hos patienter som erbjuds behandling på primärindikation. Syftet var att belysa patienters erfarenhet av information i samband med ICD-implantation och en kvalitativ, intervjustudie, med induktiv ansats genomfördes.Erfarenheter patienterna belyste tryggheten informationen skapar där vikten av att vara förberedd inför vad som skall ske och vad som kan komma att ske är viktig. Att ha en tillgänglig och förtroendefull relation med en vårdare som har kompetens inom området var mest betydelsefullt. Att stämningen i vårdmiljön är positiv och att alla som vårdar patienten ger samstämmig information belystes som viktigt. Vårdaren bör ha ett professionellt förhållningssätt och ha kunskap kring hur man möter en människa på ett personligt plan och individualiserar informationen. Viktigt är även att informationen är väl avvägd där innehållet bör vara genomtänkt och uppriktigt. Att veta varför behandlingen behövs, vad den syftar till och hur det går till praktiskt. Väsentligt är även informationen kring risker och komplikationer, men även etiska aspekter. Närståendes medverkan var viktig för flera patienter. Viktigt är att se de belysta erfarenheterna som en helhet, då alla delar behövs för att skapa livskvalitet. Alla delar påverkar varandra och tillsammans skapas det goda resultatet.
Program: Fristående kurs
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46

Duh, Shin-Ning 1979. "An automated web-based searchable archive for implantable cardioverter defibrillator data." Thesis, Massachusetts Institute of Technology, 2003. http://hdl.handle.net/1721.1/28471.

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Thesis (M. Eng.)--Massachusetts Institute of Technology, Dept. of Electrical Engineering and Computer Science, 2003.
Includes bibliographical references (leaf 95).
This paper details the research, design, and implementation of a computer system built to archive electrograms and related patient data from implantable cardioverter defibrillators (ICDs) produced by Medtronic in particular. The archive will provide a central and stable repository for researchers looking for data originally stored in the ICDs. The Web interface to the system provides an easy means of searching for patients or episodes of interest. The database will also provide the functionality for appending comments onto a particular episode. Furthermore, the system allows the physicians to directly upload data from the ICDs into the database. Automatic detection and expansion functions will also allow data from new models and current models that have been modified to be inserted properly into the database.
by Shin-Ning Duh.
M.Eng.
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47

Michael, Kevin Anthony. "A study of defibrillator waveforms, vectors, and therapies Kevin Anthony Michael." Doctoral thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/3431.

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Includes abstract.
Includes bibliographical references.
The defibrillation studies were performed in a porcine model given its resemblance to the human heart and its resilience to repeated ventricular fibrillation inductions (VF) and defibrillations. A novel sequential preshock waveform was assessed in a prototype serial capacitance device. Single and multi-electrode defibrillation vectors were evaluated in intra-cardiac, subcutaneous (SQ), and intra-pericardial configurations. The burden of ITS and the factors improving detection were assessed. Anti-tachycardia pacing was used to evaluate therapies in this patient cohort. The diagnostic utility of the post pacing interval (PPI) after failed ATP episodes was then investigated to help discriminate between atrial fibrillation/tachycardia (AF/AT) and VT.
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48

Hedström, Cassandra. "Sena potentialer och arytmitendens i en grupp patienter med implanterbar defibrillator." Thesis, Umeå universitet, Biomedicinsk laboratorievetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-135601.

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49

Hilding, Fredrik, and Rebecca Ilehag. "Visualization and Analysis of Historical OHCA Occurrences and Other Risk Factors for Improved Placement of AEDs." Thesis, KTH, Geodesi och geoinformatik, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-147186.

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When an out of hospital cardiac arrest (OHCA) occurs, time is of the utmost importance. For every minute that the arrest goes untreated, the chance of survival decreases rapidly. The most common treatment, that is also the most known, is Cardiopulmonary Resuscitation (CPR). Thanks to new technology, the defibrillator is no longer a tool only available to hospital personnel but to anyone who knows where they are located. The objective of this thesis is partly to visualize OHCA occurrences as well as visualize the differences in OHCA occurrences between locations and years. The thesis will analyze where the optimal locations of AEDs are based on a number of variables such as location and year, which is referred to as risk analysis. The analysis was performed by using daytime and nighttime population data from Statistics Sweden (SCB) in combination with heart disease statistics from the national patient register of Socialstyrelsen as well as socio-economic data from SCB. Along with that data, AED locations at the end of 2013 and OHCA data from 2006 up until 2013 was used in visualizations and risk analysis. In order to determine the final optimal placement through the risk analysis, a Geographical Information System (GIS) tool named Multi-Criteria Evaluation (MCE) was used. This tool enabled the weighting of the different parameters against each other, which was integral for the final result. In order to visualize differences, e.g. between two years, a raster was created which consisted of a density difference between the two years. This analysis method shows the spots where there is a majority of either case, e.g. if one area had a larger number of OHCA cases one year compared to previous year. Simple plots were included to show an overview of the problem e.g. where OHCA occurred between the years 2006 and 2013. The results implied that the recommended locations of AEDs while using daytime population data were located in commercial areas. Recommended AEDs from using the nighttime population data was located differently but was located as well as clusters in residential areas. A large source of error in the analysis was the prior heart disease data. The chosen method, an assignment of a percentage chance of heart disease per age group, is a rough and inexact approximation of the actual heart disease statistics. Had there been data about exactly where patients with prior heart disease live and work, the results would most likely be even better.
När ett hjärtstopp utanför sjukhus (OHCA) inträffar, är tiden av yttersta vikt. För varje minut som hjärtstoppet går obehandlat minskar snabbt chansen för överlevnad. Den vanligaste behandlingen, som även är den mest kända, är hjärt- och lungräddning. Tack vare ny teknik är defibrillatorn inte längre ett verktyg som endast är tillgänglig för sjukvårdspersonal utan för alla som vet var de finns. Syftet med denna uppsats är att delvis visualisera förekomsten av OHCA men även att åskådliggöra skillnaderna mellan platser och år. I studien analyseras även, baserat på ett antal variabler, var de optimala platserna för Automatiska Externa Defibrillatorer (AED) är. Denna del av analysen är benämnd som riskanalys. Analysen genomfördes med hjälp av att använda dag- och nattidsbefolkningsdata från Statistiska Centralbyrån (SCB) i kombination med hjärtsjuksdomsstatistik från Socialstyrelsens nationella patientsregister och även socioekonomiska data från SCB. Dessa data, samt AED data från slutet av 2013 och OHCA data daterat från 2006 till 2013 användes både till visualiseringen och till riskanalysen. För att bestämma de slutgiltiga optimala platserna genom riskanalysen användes ett Geografiskt Information System (GIS) verktyg som heter multikriterieanalys (MCE). Detta verktyg gör det möjligt att vikta de olika parametrarna mot varandra, vilket var väsentligt för det slutgiltiga resultatet. För att kunna visualisera skillnader, till exempel mellan två år, skapades ett raster som bestod av en densitetskillnad mellan de två åren. Denna analysmetod kunde sedan visualisera var det finns en majoritet av det ena fallet, till exempel om ett område hade fler hjärtstopp ett år jämfört med tidigare år. Enklare kartor användes för att ge en översikt, till exempel var OHCA har skett mellan åren 2006 och 2013. Resultatet tyder på att de rekommenderade platserna för AED då dagtidsbefolkningsdata användes hamnade i områden med många arbetsplatser. De optimala platserna för AED med nattidsbefolkningsdata var annorlunda utplacerade men hamnade även dem i kluster i befolkningstäta områden med mycket bostäder. En av de större felkällorna i analysen tros vara hjärtsjuksdomsstatistiken. Den metod som användes var att extrahera ålder- och könsgrupper från ett patientregister vilket är en grov och inexakt approximation av den faktiska hjärtsjuksdomsstatistiken. Hade tillgång till data om var befolkning med hjärtsjukdomar faktiskt bor och arbetar funnits, kunde resultatet blivit mer pålitligt.
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50

Nehmer, Klaus Martin. "Vergleichende Langzeitbeobachtung unterschiedlicher Patientengruppen mit implantierten, automatischen Schrittmacher-Defibrillatoren." [S.l.] : [s.n.], 2003. http://deposit.ddb.de/cgi-bin/dokserv?idn=969801165.

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