RT Journal
A1 Dewland TA, Chorba JS, Goldschlager N, Marcus GM
T1 SUstained ventricular fibrillation in a conscious patient
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2011
FD June 13
VO 171
IS 11
SP 973
OP 973
DO 10.1001/archinternmed.2011.235
UL http://dx.doi.org/10.1001/archinternmed.2011.235
AB 
A 44-year-old man with a nonischemic dilated cardiomyopathy treated with an implanted left ventricular assist device (LVAD) was admitted to our hospital for diuresis after presenting with acute decompensated heart failure. His admission blood pressure was 95/65 mm Hg. Serial troponin measurements were negative. While hospitalized, the patient developed a wide complex tachycardia on telemetry monitoring resulting in multiple successive discharges from his implantable cardioverter-defibrillator (ICD). On evaluation, the patient was conversant and without complaint of lightheadedness or palpitations. Bilateral radial and femoral pulses were absent. An automated cuff was unable to measure a brachial blood pressure in either arm. An electrocardiogram (ECG) was obtained (Figure 1).