Machines in Our Hearts
eBook - ePub

Machines in Our Hearts

The Cardiac Pacemaker, the Implantable Defibrillator, and American Health Care

  1. English
  2. ePUB (mobile friendly)
  3. Available on iOS & Android
eBook - ePub

Machines in Our Hearts

The Cardiac Pacemaker, the Implantable Defibrillator, and American Health Care

About this book

Today hundreds of thousands of Americans carry pacemakers and implantable cardioverter-defibrillators (ICDs) within their bodies. These battery-powered machines—small computers, in fact—deliver electricity to the heart to correct dangerous disorders of the heartbeat. But few doctors, patients, or scholars know the history of these devices or how "heart-rhythm management" evolved into a multi-billion-dollar manufacturing and service industry.

Machines in Our Hearts tells the story of these two implantable medical devices. Kirk Jeffrey, a historian of science and technology, traces the development of knowledge about the human heartbeat and follows surgeons, cardiologists, and engineers as they invent and test a variety of electronic devices. Numerous small manufacturing firms jumped into pacemaker production but eventually fell by the wayside, leaving only three American companies in the business today. Jeffrey profiles pioneering heart surgeons, inventors from the realms of engineering and medical research, and business leaders who built heart-rhythm management into an industry with thousands of employees and annual revenues in the hundreds of millions. As Jeffrey shows, the pacemaker (first implanted in 1958) and the ICD (1980) embody a paradox of high-tech health care: these technologies are effective and reliable but add billions to the nation's medical bill because of the huge growth in the number of patients who depend on implanted devices to manage their heartbeats.

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Yes, you can access Machines in Our Hearts by Kirk Jeffrey in PDF and/or ePUB format, as well as other popular books in Medicine & Diseases & Allergies. We have over one million books available in our catalogue for you to explore.

Information

Table of contents

  1. Cover Page
  2. Title Page
  3. Copyright Page
  4. Dedication
  5. Contents
  6. List of Illustrations and Tables
  7. Acknowledgments
  8. Halftitle1 Page
  9. Introduction
  10. CHAPTER 1 Heart Block and the Heart Tickler
  11. CHAPTER 2 The War on Heart Disease and the Invention of Cardiac Pacing
  12. CHAPTER 3 Heart Surgeons Redefine Cardiac Pacing
  13. CHAPTER 4 The Multiple Invention of Implantable Pacemakers
  14. CHAPTER 5 Making the Pacemaker Safe and Reliable
  15. CHAPTER 6 The Industrialization of the Pacemaker
  16. CHAPTER 7 The Pacemaker Becomes a Flexible Machine
  17. CHAPTER 8 Slowing the Pace: The Industry’s Time of Troubles
  18. CHAPTER 9 Competition through Innovation: Accelerating the Pace of Change
  19. CHAPTER 10 Preventing Sudden Cardiac Death: The Implantable Defibrillator
  20. CHAPTER 11 The 1990s and Beyond: “When Life Depends on Medical Technology”
  21. APPENDIX A Device Reliability, Qualification Tests, and Improvements
  22. APPENDIX B Number of Implantations
  23. APPENDIX C ICHD Pacemaker Identification Code
  24. Abbreviations
  25. Notes
  26. Bibliographical Note
  27. Index