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Additional coronary sinus shocking lead improved defibrillation threshold
  1. P Saravanan,
  2. D Bennett,
  3. N Davidson
  1. drplsuk@yahoo.co.uk

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A 61-year-old man was referred for treatment of recurrent syncopal ventricular arrhythmias, including two documented episodes of ventricular fibrillation (VF) due to alcohol-induced dilated cardiomyopathy. The patient had been taking amiodarone for 8 months. In addition he was taking an ACE inhibitor and spironolactone. A standard 12-lead ECG showed normal sinus rhythm with a QRS duration of 118 ms. Echocardiography confirmed the presence of severely impaired left ventricular function with an …

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