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While in the hospital, he had witnessed ventricular fibrillation (VF) arrest for which he received external defibrillation. An echocardiogram showed newly reduced left ventricular ejection fraction of 30-35%.
We describe a case of ventricular pacemaker spikes delivered on the T wave causing PMVT.Case:A 53-year-old female with CAD s/p stent, postpartum cardiomyopathy s/p Bi-V CRT-D (Boston Scientific G124), and paroxysmal atrial fibrillation presented for elective endoscopy and colonoscopy to evaluate her dysphagia and abdominal pain.
Echocardiogram : Uses sound waves to create images of your heart. We offer a wide range of diagnostic and treatment services including: Coronary artery bypass surgery Angioplasty and stenting Heart valve surgery Pacemaker and defibrillator implantation Cardiac rehabilitation We believe every patient deserves personalized care.
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. It was stented.
During angiogram in the cath lab, the patient suffered two episodes of ventricular fibrillation for which he was successfully defibrillated. Two stents were placed with resultant TIMI 3 flow.
Defibrillation was performed, and ROSC was achieved. Total proximal LAD occlusion was found and stented at angiography soon after the ECG above. Unfortunately, the ECG was interpreted as no significant change from prior , "no STEMI"!! He was sent back to the waiting room, where he suffered a VF arrest.
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