Cardiac Arrest Defibrillator Stents 
HeartRhythm
JULY 3, 2024
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). In 2012, she had a ventricular fibrillation cardiac arrest. An epicardial pacemaker was implanted.
Dr. Smith's ECG Blog
OCTOBER 28, 2013
She was found to be in ventricular fibrillation and was defibrillated 8 times without a single, even transient, conversion out of fibrillation. She was immediately intubated during continued compressions, then underwent a 9th defibrillation, which resulted in an organized rhythm at 42 minutes after initial arrest.
Dr. Smith's ECG Blog
JULY 14, 2010
She was defibrillated successfully from ventricular fibrillation and developed a perfusing rhythm. Pressors were required, and the patient was transported to the cath lab with a door to balloon time of 60 minutes, where a proximal dominant RCA occlusion was opened and stented. She was intubated.
Dr. Smith's ECG Blog
OCTOBER 3, 2017
After the second defibrillation the patient had an organized rhythm: Bradycardic escape/agonal rhythm, with large ST deviations. The patient was taken back to the cath lab, where 100% proximal in-stent rethrombosis was found and treated. It should have been shocked at least 10 seconds ago. This is diagnostic of re-occlusion.
Dr. Smith's ECG Blog
FEBRUARY 25, 2009
The patient had 2 ventricular fibrillation arrests during transport, but was immediately defibrillated both times, and was awake in the ED, when the following ECG was recorded: The ST elevation has mostly resolved on this ECG, and were it not for the arrest and the prehospital ECG, this would not be a slam dunk diagnosis.
Dr. Smith's ECG Blog
APRIL 8, 2016
At cath, he immediately had incessant Torsades de Pointes requiring defibrillation 7 times and requiring placement of a transvenous pacer for overdrive pacing at a rate of 80. This was stented. If cardiac arrest from hypokalemia is imminent (i.e., He was given amiodarone and lidocaine load and drip and K and Mg drips.
Cardiometabolic Health Congress
JULY 17, 2024
February 2024 FDA Approvals: Innovations in Cardiovascular Interventions XACT Carotid Stent System (Approved: 02/07/2024) This approval expands the indications to be used during a Transcarotid Artery Revascularization (TCAR) procedure to prevent future strokes.
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