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defibrillation (de-fib″rĭ-la´shәn)   termination of atrial or ventricular fibrillation, usually by electric shock. Defibrillation by precordial shock is done by delivering a nonsynchronized direct current to the myocardium; this is an emergency procedure, used to stop life-threatening ventricular arrhythmia. The electric shock is delivered either by placing metal paddles on the chest (closed defibrillation) or by applying paddles directly to the heart muscle, as in cardiac surgery. The high-voltage electrical current delivered during precordial shock causes complete depolarization of the heart muscle, disrupting all the electrical circuits that are activating it and causing ventricular fibrillation. That allows the heart's natural pacemaker to regain control and regulation of the heart rate and rhythm.




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