Optimal Parameters of Electrical Impulses for Defibrillation by Condenser Discharges
The defibrillation threshold for various wave forms of condenser discharge, using capacitors from 4 to 200 µF, has been measured. Condenser discharge alone was used, or condenser discharge 0.25 henry (20 ohms) with an iron core series inductance, or condenser discharge, 0.29 henry (27 ohms) inductance, but without the iron core. Statistical analysis of the results showed that the last of these three circuits gave the lowest threshold voltage values. Optimal parameters of inductance-altered discharges are obtained with values of 24, 32, and 50 µF.
Detailed analysis of the separate physical parameters of the discharge show that optimal pulse duration is 8.5 to 16.6 msec. Further increase of duration does not decrease the voltage or current for threshold shocks, but merely increases the energy delivered. Pulse duration appears to be one of the more important parameters for successful defibrillation, and for this reason, a series inductance is also important.
- Accepted June 21, 1965.
- © 1966 American Heart Association, Inc.