Abstract

Implanted cardiac devices are an effective treatment to terminate sudden cardiac death events. The system has a generator device and a lead system that allows cardiac rhythm disturbances to be sensed and for defibrillation treatment to be delivered. The leads are subject to mechanical and biological stressors and have a tendency for failure. Despite advances in the design and engineering, there are ongoing issues with lead failures that impact significantly on patient management. The design, delivery, monitoring and management of leads and their problems are discussed.

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