A reliable witness: dual-chamber pacemaker prolonged intracardiac recordings of a resuscitated cardiac arrest episode

Luca De Mattia; Marco Brieda; Ermanno Dametto; Federica Del Bianco; Gian Luigi Nicolosi

doi:10.2459/JCM.0b013e32835fa69a

A reliable witness: dual-chamber pacemaker prolonged intracardiac recordings of a resuscitated cardiac arrest episode

J Cardiovasc Med (Hagerstown). 2015 Jan:16 Suppl 1:S5-7. doi: 10.2459/JCM.0b013e32835fa69a.

Authors

Luca De Mattia¹, Marco Brieda, Ermanno Dametto, Federica Del Bianco, Gian Luigi Nicolosi

Affiliation

¹ Department of Cardiology A.R.C., Azienda Ospedali Riuniti del Pordenonese, Pordenone, Italy.

PMID: 23448965
DOI: 10.2459/JCM.0b013e32835fa69a

Abstract

We report the case of a patient with a previously implanted pacemaker, who suffered cardiac arrest due to ventricular fibrillation requiring cardiopulmonary resuscitation (CPR) manoeuvres and electrical cardioversion to restore sinus rhythm. Analysis of the pacemaker's stored electrograms showed the arrhythmia progression from monomorphic ventricular tachycardia to ventricular fibrillation and the electrophysiological effects of CPR manoeuvres and epinephrine administration before successful cardioversion.

Publication types

Case Reports

MeSH terms

Aged
Cardiopulmonary Resuscitation / methods*
Electric Countershock / statistics & numerical data
Electrocardiography*
Epinephrine / therapeutic use
Heart Arrest / complications*
Heart Arrest / physiopathology
Heart Arrest / therapy
Humans
Male
Pacemaker, Artificial / statistics & numerical data*
Tachycardia, Ventricular / diagnosis*
Tachycardia, Ventricular / physiopathology
Tachycardia, Ventricular / therapy
Ventricular Fibrillation / etiology
Ventricular Fibrillation / physiopathology
Ventricular Fibrillation / therapy*

Substances

Epinephrine