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Critical Care Transthoracic Echocardiography: Atrial Sinus Rhythm During Ventricular Fibrillation.

Schulman P, Gelow J, Matthias M, Mudd J, Wei K, Hutchens M - J Investig Med High Impact Case Rep (2014)

View Article: PubMed Central - PubMed

Affiliation: Oregon Health & Science University, Department of Anesthesiology and Perioperative Medicine.

ABSTRACT

A 70-year-old man with end-stage heart failure and a continuous-flow left ventricular assist device received repeated electrical discharges from his biventricular implantable cardiac defibrillator. Although the electrocardiogram demonstrated ventricular fibrillation, the patient was awake and in no distress. A focused transthoracic echocardiogram was performed to assess ventricular function revealing simultaneous atrial sinus rhythm and ventricular fibrillation. This clinical scenario highlights a unique clinical finding, the complexity of the care of continuous-flow left ventricular assist device patients, and the challenges of intensivist-performed bedside focused transthoracic echocardiogram.

No MeSH data available.


Related in: MedlinePlus

Electrocardiogram demonstrating ventricular fibrillation.
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fig1-2324709614524945: Electrocardiogram demonstrating ventricular fibrillation.

Mentions: On arrival in our cardiac-surgical intensive care unit, the patient was in no distress. Mean blood pressure was 90 mm Hg by Doppler-modified manual sphygmomanometry. Jugular venous pressure was elevated, lungs were clear, and extremities were warm without edema. The EKG confirmed VF (Figure 1). Laboratory studies were unremarkable. The LVAD interrogation revealed slightly reduced flow.


Critical Care Transthoracic Echocardiography: Atrial Sinus Rhythm During Ventricular Fibrillation.

Schulman P, Gelow J, Matthias M, Mudd J, Wei K, Hutchens M - J Investig Med High Impact Case Rep (2014)

Electrocardiogram demonstrating ventricular fibrillation.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License 1 - License 2 - License 3
Show All Figures
getmorefigures.php?uid=PMC4120493&req=5

fig1-2324709614524945: Electrocardiogram demonstrating ventricular fibrillation.
Mentions: On arrival in our cardiac-surgical intensive care unit, the patient was in no distress. Mean blood pressure was 90 mm Hg by Doppler-modified manual sphygmomanometry. Jugular venous pressure was elevated, lungs were clear, and extremities were warm without edema. The EKG confirmed VF (Figure 1). Laboratory studies were unremarkable. The LVAD interrogation revealed slightly reduced flow.

View Article: PubMed Central - PubMed

Affiliation: Oregon Health & Science University, Department of Anesthesiology and Perioperative Medicine.

ABSTRACT

A 70-year-old man with end-stage heart failure and a continuous-flow left ventricular assist device received repeated electrical discharges from his biventricular implantable cardiac defibrillator. Although the electrocardiogram demonstrated ventricular fibrillation, the patient was awake and in no distress. A focused transthoracic echocardiogram was performed to assess ventricular function revealing simultaneous atrial sinus rhythm and ventricular fibrillation. This clinical scenario highlights a unique clinical finding, the complexity of the care of continuous-flow left ventricular assist device patients, and the challenges of intensivist-performed bedside focused transthoracic echocardiogram.

No MeSH data available.


Related in: MedlinePlus