| A single implantable cardioverter-defibrillator shock unmasking an electrical storm of 389 ventricular tachycardia episodes triggering device therapies. | |
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MedLine Citation:
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PMID: 19091283 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We describe the case of a patient with ischemic cardiomyopathy who presented the first implantable cardioverter-defibrillator (ICD) shock approximately 5 months after implantation. Device interrogation surprisingly revealed the occurrence of 389 ventricular tachyarrhythmia episodes terminated by asymptomatic antitachycardia pacing (ATP) except for the episode requiring shock. The present case of electrical storm highlights how contemporary tiered ATP schemes constitute a valuable but underused form of termination for ventricular tachyarrhythmias in ICD patients, reducing the number of painful shocks and their adverse consequences. |
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Authors:
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Miguel A Arias; Irene Valverde; Alberto Puchol; Eduardo Castellanos; Luis Rodríguez-Padial; Ana M Sánchez; María Alvarez-Temiño; Miguel Palomino |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The American journal of emergency medicine Volume: 26 ISSN: 1532-8171 ISO Abbreviation: Am J Emerg Med Publication Date: 2008 Nov |
Date Detail:
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Created Date: 2008-12-18 Completed Date: 2009-01-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309942 Medline TA: Am J Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 1066.e1-3 Citation Subset: IM |
Affiliation:
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Cardiac Arrhythmia and Electrophysiology Unit, Department of Cardiology, Hospital Virgen de Salud, 45004 Toledo, Spain. maapalomares@secardiologia.es |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Cardiac Electrophysiology Cardiac Pacing, Artificial Defibrillators, Implantable* Electrocardiography Humans Male Tachycardia, Ventricular / diagnosis, physiopathology, therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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