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Sustained Ventricular Fibrillation in an Alert Patient: Preserved Hemodynamics with a Left Ventricular Assist Device
Prehospital Emergency Care, 09/02/2011
Patel P et al. – Emergency medical services (EMS) encountered an alert patient with sustained ventricular fibrillation with preserved hemodynamics via a left ventricular assist device (LVAD). Multiple firings of the patient's implantable defibrillator were the only sign that this patient was experiencing the usually fatal ventricular arrhythmia. Initial attempts at rhythm conversion with amiodarone and 200–J biphasic shocks were unsuccessful. The patient was finally defibrillated to normal sinus rhythm after a 360–J biphasic shock.
