Fl Electrophysiologis Rpt
Transcript of Fl Electrophysiologis Rpt
Taser Device:Taser Device:A Cardiac A Cardiac
Electrophysiologist’s Electrophysiologist’s Perspective Perspective
Aurelio Duran MDAurelio Duran MD
Orlando Heart CenterOrlando Heart Center
Cardioloigist/ElectrophysiologistCardioloigist/Electrophysiologist Cardiology Advisor Orange County Cardiology Advisor Orange County
EMSEMS Vice Chairman Cardiology ORMCVice Chairman Cardiology ORMC Teach house staff at ORMC and FSU Teach house staff at ORMC and FSU
Medical studentsMedical students Help develop pacemakers and Help develop pacemakers and
defibrillators defibrillators
Electricity and our bodiesElectricity and our bodies
Used by our bodies to perform many Used by our bodies to perform many functions.functions.
Rapid messenger-working in msecRapid messenger-working in msec Manipulating the electrical status of Manipulating the electrical status of
cells can have major impact as to cells can have major impact as to how the body functions. Many uses how the body functions. Many uses in medicine.in medicine.
How “electricity” is normally usedHow “electricity” is normally used
How “electricity” is normally usedHow “electricity” is normally used
How “electricity” is normally usedHow “electricity” is normally used
How “electricity” is normally usedHow “electricity” is normally used
How “electricity” is normally usedHow “electricity” is normally used
How “electricity” is normally usedHow “electricity” is normally used
Specialized electrical cells act as Specialized electrical cells act as wireswires
Nerves, heart, muscleNerves, heart, muscleVery small amounts of Very small amounts of current current
are needed to trigger conduction are needed to trigger conduction from cell to cell-dependant on from cell to cell-dependant on voltagevoltage
Chemical Electrical GatesChemical Electrical Gates
Work instantaneously- on/off like a Work instantaneously- on/off like a light switchlight switch
Altering these systems are widely Altering these systems are widely used in many medical and non used in many medical and non medical situationsmedical situations
Medications-anesthetics, anti-Medications-anesthetics, anti-arrhythmics, and anti-seizure drugsarrhythmics, and anti-seizure drugs
Chemical Electrical GatesChemical Electrical Gates
PacemakersPacemakers DefibrillatorsDefibrillators Skin stimulator to measure depth of Skin stimulator to measure depth of
anesthesia anesthesia Tens UnitsTens Units ““Muscle building” devices home useMuscle building” devices home use TaserTaser
Chemical Electrical GatesChemical Electrical Gates
Activation naturally or artificially does not Activation naturally or artificially does not damage these cellsdamage these cells
Conduction with these methods is driven by Conduction with these methods is driven by voltage voltage not currentnot current
Voltage changes are the natural method in Voltage changes are the natural method in which these cells “talk” to each otherwhich these cells “talk” to each other
High voltage activates these systems without High voltage activates these systems without damage to cells. High damage to cells. High currentcurrent is what could is what could burn or “cook” tissue-electrocution burn or “cook” tissue-electrocution
TaserTaser
High voltage low current systemHigh voltage low current system Fixed currentFixed current Small electrodes which are superficial Small electrodes which are superficial The amount of energy The amount of energy delivered to the delivered to the
skinskin is very small 3.8 mA is very small 3.8 mA Range of what is used Range of what is used directly on the directly on the
heartheart in pacemakers in pacemakers
What would the “ideal” bad device What would the “ideal” bad device look likelook like
High currentHigh current Large electrodes/deep/?gel-penetrate high Large electrodes/deep/?gel-penetrate high
resistance of skin/chest/lungsresistance of skin/chest/lungs Front and back electrodes-not on the Front and back electrodes-not on the
same side of bodysame side of body This “bad” device would need these This “bad” device would need these
features to be able to get the current to the features to be able to get the current to the heart which is insulatedheart which is insulated
TaserTaser
Does not appear to be able to do thisDoes not appear to be able to do this Observations-volunteers 50,000, animals, Observations-volunteers 50,000, animals,
real usereal use If a device were to cause a bad rhythm If a device were to cause a bad rhythm
(ventricular fibrillation or ventricular (ventricular fibrillation or ventricular tachycardia) the individual would collapse tachycardia) the individual would collapse and arrest and arrest immediatelyimmediately
Not seenNot seen
TaserTaser
Works by instantly interfering with the Works by instantly interfering with the nervous systems ability to send nervous systems ability to send messagesmessages
Not likely to be able to have electricity Not likely to be able to have electricity reach the heartreach the heart
Taser Device:Taser Device:A Cardiac A Cardiac
Electrophysiologist’s Electrophysiologist’s Perspective Perspective
Aurelio Duran MDAurelio Duran MD
Orlando Heart CenterOrlando Heart Center