A 73-year-old man with coronary artery disease, hypertension, and depressed ventricular function presents after receiving multiple shocks from his single chamber ICD. On physical examination, the blood pressure is 148/73, with heart rate 86. The jugular venous distension measures 8 cm, lungs are clear, gallops are absent, the abdomen is unremarkable, and trace lower extremity edema is noted. Figure 108.1 shows the VT/VF episode list. A representative episode is shown in Fig. 108.2. Based on this, what is your diagnosis? Do you recommend device reprogramming or surgical system revision? © Springer-Verlag London Limited 2011.
CITATION STYLE
Friedman, P. A., & Swerdlow, C. D. (2011). Case 108. In Cardiac Electrophysiology: Clinical Case Review (pp. 427–430). Springer London. https://doi.org/10.1007/978-1-84996-390-9_108
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