Abstract: Techniques and systems for monitoring cardiac arrhythmias and delivering electrical stimulation therapy using a subcutaneous implantable cardioverter defibrillator (SICD) and a leadless pacing device (LPD) are described. For example, the SICD may detect a tachyarrhythmia within a first electrical signal from a heart and determine, based on the tachyarrhythmia, to deliver anti-tachyarrhythmia shock therapy to the patient to treat the detected arrhythmia. The LPD may receive communication from the SICD requesting the LPD deliver anti-tachycardia pacing to the heart and determine, based on a second electrical signal from the heart sensed by the LPD, whether to deliver anti-tachycardia pacing (ATP) to the heart. In this manner, the SICD and LPD may communicate to coordinate ATP and/or cardioversion/defibrillation therapy. In another example, the LPD may be configured to deliver post-shock pacing after detecting delivery of anti-tachyarrhythmia shock therapy.

Abstract: A precooling system for an evaporative cooler for a closed loop cooling fluid system includes a supplemental heat exchanging coil connected in the cooling fluid loop upstream of the main evaporative cooler coils and positioned in the outlet air flow through the evaporative cooler, but above or outside the path of the spray water. The supplemental heat exchanging coil provides enough additional cooling capacity to allow the spray water system to be completely shut off and the spray water sump drained during low outside ambient temperature operation. Freeze up of the sump and other parts of the spray water system are completely eliminated and a substantial saving in spray water consumption and energy for freeze prevention systems is realized.