Successful Use of Wearable Cardioverter Defibrillator in a Patient with Dextrocardia and Persistent Left Superior Vena Cava |
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Authors: | Chingping Wan MD MSHCPM Jess W Oren MD Steven J Szymkiewicz MD |
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Institution: | 1. Clinical Research, ZOLL, , Pittsburgh, PA;2. Division of Cardiology, Geisinger Medical Center, , Danville, PA |
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Abstract: | Congenital disorders, such as dextrocardia and persistent left superior vena cava, are rare. However, their presence is often associated with other cardiac anomalies, and may lead to lethal ventricular tachyarrhythmias, which result in sudden cardiac death. Treating patients with these disorders can present a challenge to clinicians, as it may cause technical difficulties during interventional procedures, and more often, altered defibrillation techniques in a setting of prehospital sudden cardiac arrest. This report describes the first case of successful defibrillation therapy delivered by the wearable cardioverter defibrillator to a patient with dextrocardia and persistent left superior vena cava during a ventricular tachycardia arrest. |
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Keywords: | electrophysiology ‐ cardiac arrest/sudden death electrophysiology ‐ ventricular tachycardia cardiac anatomy |
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