A shocking twist
| Autor: | Eron Yones, Paul Morris, David Warriner |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Class iii Critical Care and Intensive Care Medicine Chest pain New york heart association Diagnosis Differential Foreign-Body Migration Internal medicine medicine Chronic atrial fibrillation Humans medicine.diagnostic_test Left bundle branch block business.industry General Medicine Middle Aged medicine.disease Defibrillators Implantable Electrodes Implanted Haemodynamically stable Heart failure cardiovascular system Emergency Medicine Cardiology Radiography Thoracic medicine.symptom Chest radiograph business |
| Zdroj: | Emergency medicine journal : EMJ. 34(1) |
| ISSN: | 1472-0213 |
| Popis: | A 61-year-old man presented to the ED after receiving multiple shocks from his cardiac resynchronisation therapy-defibrillator (CRT-D) device, implanted 2 months previously for New York Heart Association (NYHA) class III heart failure and left bundle branch block (LBBB). He had hiccoughs and was anxious but denied chest pain and dyspnoea. He had chronic atrial fibrillation (AF). He was haemodynamically stable but received several further unheralded shocks. The cardiac monitor appeared to show AF and LBBB throughout. His presenting chest radiograph is demonstrated in figure 1. Figure 1 The ED chest radiograph. What is the most likely cause for this man's CRT-D firing? 1. Lead fracture 2. Lead migration … |
| Databáze: | OpenAIRE |
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