Abstract

Capacitor-discharge countershock offers the physician an effective and even dramatic tool in the treatment of many cardiac arrhythmias. It is not intended to be a substitute for sound clinical judgment or to be a “magic button” with which a cure may be effected. Some of the immediate problems associated with the clinical use of this form of treatment for certain cardiac arrhythmias have been discussed, in order to emphasize its practical advantages as well as its limitations. We have not discussed the problem associated with the use of long-term drug prophylaxis in maintaining normal rhythm once it is established. The push-button technique of reversion should not be withheld as a fearful, ultimate weapon in the war on cardiac arrhythmias, used only when all else has failed, but as a safe, effective instrument with which the physician may restore peace to the heart.

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