Integrated approach for smart implantable cardioverter defibrillator (ICD) device with real time ECG monitoring: use of flexible sensors for localized arrhythmia sensing and stimulation

Arrhythmias are the most common cause of death associated with sudden death and are common in US and worldwide. Cardiac resynchronization therapy (CRT), evolving from pacemakers and development of implantable cardioverter defibrillator (ICD), has been adopted for therapeutic use and demonstrated ben...

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Main Authors:	Puri, Munish, Chapalamadugu, Kalyan C., Miranda, Aimon C., Gelot, Shyam, Moreno, Wilfrido, Adithya, Prashanth C., Law, Catherine, Tipparaju, Srinivas M.
Format:	Online
Language:	English
Published:	Frontiers Media S.A. 2013
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3807057/

id	pubmed-3807057
recordtype	oai_dc
spelling	pubmed-38070572013-10-28 Integrated approach for smart implantable cardioverter defibrillator (ICD) device with real time ECG monitoring: use of flexible sensors for localized arrhythmia sensing and stimulation Puri, Munish Chapalamadugu, Kalyan C. Miranda, Aimon C. Gelot, Shyam Moreno, Wilfrido Adithya, Prashanth C. Law, Catherine Tipparaju, Srinivas M. Physiology Arrhythmias are the most common cause of death associated with sudden death and are common in US and worldwide. Cardiac resynchronization therapy (CRT), evolving from pacemakers and development of implantable cardioverter defibrillator (ICD), has been adopted for therapeutic use and demonstrated benefits in patients over the years due to its design and intricate functionality. Recent research has been focused on significant design improvement and efforts are dedicated toward device size reduction, weight and functionality in commercially available ICD's since its invention in the 1960's. Commercially available CRT-D has shown advancement on both clinical and technical side. However, improved focus is required on the device miniaturization, technologically supported and integrated wireless based system for real time heart monitoring electrocardiogram (ECG). In the present report a concise overview for the state-of-the art technology in ICDs and avenues for future development are presented. A unique perspective is also included for ICD device miniaturization and integration of flexible sensing array. Sensor array integration along with its capabilities for identifying localized arrhythmia detection and targeted stimulation for enhancing ICD device capabilities is reviewed. Frontiers Media S.A. 2013-10-24 /pmc/articles/PMC3807057/ /pubmed/24167492 http://dx.doi.org/10.3389/fphys.2013.00300 Text en Copyright © 2013 Puri, Chapalamadugu, Miranda, Gelot, Moreno, Adithya, Law and Tipparaju. http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Puri, Munish Chapalamadugu, Kalyan C. Miranda, Aimon C. Gelot, Shyam Moreno, Wilfrido Adithya, Prashanth C. Law, Catherine Tipparaju, Srinivas M.
spellingShingle	Puri, Munish Chapalamadugu, Kalyan C. Miranda, Aimon C. Gelot, Shyam Moreno, Wilfrido Adithya, Prashanth C. Law, Catherine Tipparaju, Srinivas M. Integrated approach for smart implantable cardioverter defibrillator (ICD) device with real time ECG monitoring: use of flexible sensors for localized arrhythmia sensing and stimulation
author_facet	Puri, Munish Chapalamadugu, Kalyan C. Miranda, Aimon C. Gelot, Shyam Moreno, Wilfrido Adithya, Prashanth C. Law, Catherine Tipparaju, Srinivas M.
author_sort	Puri, Munish
title	Integrated approach for smart implantable cardioverter defibrillator (ICD) device with real time ECG monitoring: use of flexible sensors for localized arrhythmia sensing and stimulation
title_short	Integrated approach for smart implantable cardioverter defibrillator (ICD) device with real time ECG monitoring: use of flexible sensors for localized arrhythmia sensing and stimulation
title_full	Integrated approach for smart implantable cardioverter defibrillator (ICD) device with real time ECG monitoring: use of flexible sensors for localized arrhythmia sensing and stimulation
title_fullStr	Integrated approach for smart implantable cardioverter defibrillator (ICD) device with real time ECG monitoring: use of flexible sensors for localized arrhythmia sensing and stimulation
title_full_unstemmed	Integrated approach for smart implantable cardioverter defibrillator (ICD) device with real time ECG monitoring: use of flexible sensors for localized arrhythmia sensing and stimulation
title_sort	integrated approach for smart implantable cardioverter defibrillator (icd) device with real time ecg monitoring: use of flexible sensors for localized arrhythmia sensing and stimulation
description	Arrhythmias are the most common cause of death associated with sudden death and are common in US and worldwide. Cardiac resynchronization therapy (CRT), evolving from pacemakers and development of implantable cardioverter defibrillator (ICD), has been adopted for therapeutic use and demonstrated benefits in patients over the years due to its design and intricate functionality. Recent research has been focused on significant design improvement and efforts are dedicated toward device size reduction, weight and functionality in commercially available ICD's since its invention in the 1960's. Commercially available CRT-D has shown advancement on both clinical and technical side. However, improved focus is required on the device miniaturization, technologically supported and integrated wireless based system for real time heart monitoring electrocardiogram (ECG). In the present report a concise overview for the state-of-the art technology in ICDs and avenues for future development are presented. A unique perspective is also included for ICD device miniaturization and integration of flexible sensing array. Sensor array integration along with its capabilities for identifying localized arrhythmia detection and targeted stimulation for enhancing ICD device capabilities is reviewed.
publisher	Frontiers Media S.A.
publishDate	2013
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3807057/
_version_	1612020501711945728

Integrated approach for smart implantable cardioverter defibrillator (ICD) device with real time ECG monitoring: use of flexible sensors for localized arrhythmia sensing and stimulation

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