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CT of the chest showed no pulmonary embolism but bibasilar infiltrates. Finally, do a coronaryangiogram Possible alternative to pacing is to give a beta-1 agonist to increase heart rate. She was intubated. Bedside cardiac ultrasound showed moderately decreased LV function. Dobutamine is an acceptable alternative.
Background:Epicardial patch defibrillators (EPDs) were commonly implanted in the 1990s for secondary prevention of sudden cardiac death. A CT angiogram showed no active bleeding but noted the EPD was close to the lower lobe of the left lung. Despite empiric bronchial artery embolization, hemoptysis persisted.
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