Case 108

Paul A. Friedman; Charles D. Swerdlow

doi:10.1007/978-1-84996-390-9_108

Case 108

Paul A. Friedman, Charles D. Swerdlow

Cardiovascular Medicine

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

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?

Original language	English (US)
Title of host publication	Cardiac Electrophysiology
Subtitle of host publication	Clinical Case Review
Publisher	Springer London
Pages	427-430
Number of pages	4
ISBN (Print)	9781849963893
DOIs	https://doi.org/10.1007/978-1-84996-390-9_108
State	Published - 2011

ASJC Scopus subject areas

General Medicine

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10.1007/978-1-84996-390-9_108

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AB - 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?

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Case 108

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ASJC Scopus subject areas

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