TY - JOUR T1 - SUstained ventricular fibrillation in a conscious patient AU - Dewland TA, Chorba JS, Goldschlager N, Marcus GM Y1 - 2011/06/13 N1 - 10.1001/archinternmed.2011.235 JO - Archives of Internal Medicine SP - 973 EP - 973 VL - 171 IS - 11 N2 - 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). SN - 0003-9926 M3 - doi: 10.1001/archinternmed.2011.235 UR - http://dx.doi.org/10.1001/archinternmed.2011.235 ER -