In 1954 Dr. C. Walton Lillehei, a cardiac surgeon at the University of Minnesota, made advances in the treatment of the blue baby syndrome. In blue baby syndrome there is an abnormal blood communication between the left and right chambers of the heart. As a part of the treatment, Lillehei typically closed holes in the septum between the left and right heart chambers. Because the normal conduction system is in this septum, one common complication of the surgery was complete heart blockage, which meant the patient had no pulse. This heart blockage often resolved over a period of weeks, but to keep the child alive until then, Lillehei used temporary epicardial pacing. These pacing pads were sewn onto the heart and power by a large cart-mounted electrical generator. The patients were effectively tethered to the wall plug. If nurses had to move them, the staff could walk only so far as the next electrical outlet, unplug the generator, and then replug it into the next outlet. This not only made it difficult for the patients to be active, it made it difficult to move them for tests. This system, while cumbersome, allowed Lillehei to keep many children alive, and by 1957 he was one of the busiest congenital cardiac surgeons in the nation.
On October 31, 1957, a 3-hour power outage in Minneapolis rendered these generators useless because the wards had no backup electrical generators. Although one version of the story is that a child died, in an interview with Earl Bakken, Lillehei reported no deaths. Nonetheless, Lillehei knew he needed something battery operated.1 Soon after this, Lillehei contacted Bakken, an engineer who owned the Medtronic medical equipment service company. Bakken spent the next month working on a pacemaker generator that would be small enough to wear and be powered by batteries. As inspiration he used an electronic, transistor-based metronome that generated sound periodically.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Jefferey K. Machines in Our Hearts. Baltimore: JHU; 2001:68
Luderitz B. History of the Disorders of Cardiac Rhythm. Armonk: Futura Publishing 2002:4
Cheng TO. Decreased heart rate variability as a predictor for sudden death was know in China in the third century AD. Eur Heart J 2000;21:2081–2082
Cowan MJ. Measurement of heart rate variability. Western Journal of Nursing Researc 1995;17:32–48
Luderitz B. History of the Disorders of Cardiac Rhythm. Armonk: Futura Publishing 2002:27
Adams R. (1791–1875) Morgagni—Adams–Stokes syndrome. JAMA 1968;206:639–640
Galvani L. Commentary on the Effects of Electricity on Muscular Motion. Trans. b Foley MG. Norwalk: Burdy Libarary; 1953
Wikipedia Search Lugi Galvani on Aug 11, 2007
Gedes LA, Bakken E. IEEE Engineering in Medicine and Biology 2007;26:77–79
Luderitz B. History of the Disorders of Cardiac Rhythm. Armonk: Futura Publishing 2002:68
Luderitz B. History of the Disorders of Cardiac Rhythm. Armonk: Futura Publishing 2002:120
Marmorstein M. Contribution of l'etude des excitation electriques localisees sur le Coeur en rapport avec la topographie de l'innervation de coeur chez le chien. J Physiol (Paris)1927;25:617
Luderitz B. History of the Disorders of Cardiac Rhythm. Armonk: Futura Publishing;2002:125
Hyman AS. Resuscitation of the stopped heart by intracardial therapy, II: experimental use of an artificial pacemaker. Arch Int Med 1932;50:283–305
Callaghan JC, Bigelow W. An electrical artificial pacemaker for standstill of the heart.Ann Surg 1951;134:8–17
Jefferey K. Machines in Our Hearts. Baltimore: JHU; 2001:90
Jefferey K. Machines in Our Hearts. Baltimore: JHU; 2001:123
Parsonnet V, Littleford P. PAC E 1981;1:109–112
Silver AW. Annals Thoraic Surgery 1:380–388
Jeffery K. Machines in Our Hearts. Baltimore: JHU; 2001:138
Furman S. Therapeutic uses of atrial pacing. Am Heart J 1973;73:835–840
Castillo C. Bifocal demand pacing. Chest 1971;59:360–364
Belott PH. A variation on the introducer technique for unlimited access to the subclavian vein. PAC E 1981;4:43–48
Kastor JA. Michel Mirowski and the automatic implantable defibrillator. Am J Cardiol 1989;63:977–982 and 1121–1126
Jefferey K. Machines in Our Hearts. Baltimore: JHU; 2001:239
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer Science+Business Media, LLC.
About this chapter
Cite this chapter
Mahapatra, S. (2009). History of Cardiac Pacing. In: Efimov, I.R., Kroll, M.W., Tchou, P.J. (eds) Cardiac Bioelectric Therapy. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-79403-7_1
Download citation
DOI: https://doi.org/10.1007/978-0-387-79403-7_1
Publisher Name: Springer, Boston, MA
Print ISBN: 978-0-387-79402-0
Online ISBN: 978-0-387-79403-7
eBook Packages: MedicineMedicine (R0)