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Treatment of Refractory Ventricular Fibrillation by Combined Internal (Epicardial) and External (Transthoracic) Defibrillation
Author(s) -
FREDMAN CAREY S.,
BIERMANN KURT M.,
BAROLD S. SERGE,
DOLAN PATRICK H.,
MARBARGER JOHN P.,
GARRETT TED E.
Publication year - 1996
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1996.tb03401.x
Subject(s) - medicine , defibrillation , ventricular fibrillation , cardiology , refractory (planetary science) , implantable cardioverter defibrillator , defibrillation threshold , shock (circulatory) , atrial fibrillation , fibrillation , physics , astrobiology
This report describes a modified defibrillation technique used successfully in a patient with an implanted epicardial cardioverter defibrillator who developed refractory ventricular fibrillation. During operative testing at the time of generator replacement, two episodes of intractable ventricular fibrillation were terminated by using a combined internal (epicardial)‐external (transthoracic) defibrillation system that delivered a 360‐J shock between the anterior epicardial patch and a large posterior skin electrode.