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A 50-year-old woman with dextrocardia and D-transposition of the great arteries presented with a “RV defib lead impedance” remote-monitoring alert from her implantable cardioverter defibrillator (ICD). An epicardial pacemaker was implanted. In 2012, she had a ventricular fibrillation cardiac arrest.
We examined the effect of ibutilide, a class III antiarrhythmic agent, on the energy requirement for atrial defibrillation and assessed the value of this agent in facilitating cardioversion in patients with atrial fibrillation that is resistant to conventional transthoracic cardioversion.
This can be achieved by introducing electrodes into the vascular system which are connected to a pacemaker with a resynchronization function. 2012, 14, 628–634. [5] Clinical trials evaluating this method showed positive results in terms of relieving symptoms and, most importantly, improving the survival rate of sufferers. Heart Fail.
2:34 PM, following right heart catheterization She then went into atrial fibrillation with complete heart block and junctional escape rhythm prompting placement of transvenous pacemaker. Several 200 J shocks did not terminate the VF, so a second defibrillator was applied for double sequential defibrillation with 400 J.
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