Critical care transthoracic echocardiography: Atrial sinus rhythm during ventricular fibrillation

Research output: Contribution to journalArticle

Abstract

A 70-year-old man with end-stage heart failure and a continuous-flow left ventricular assist device received repeated electrical discharges from his biventricular implantable cardiac defibrillator. Although the electrocardiogram demonstrated ventricular fibrillation, the patient was awake and in no distress. A focused transthoracic echocardiogram was performed to assess ventricular function revealing simultaneous atrial sinus rhythm and ventricular fibrillation. This clinical scenario highlights a unique clinical finding, the complexity of the care of continuous-flow left ventricular assist device patients, and the challenges of intensivist-performed bedside focused transthoracic echocardiogram.

Original languageEnglish (US)
JournalJournal of Investigative Medicine High Impact Case Reports
Volume2
Issue number1
DOIs
StatePublished - Jan 1 2014

Fingerprint

Left ventricular assist devices
Echocardiography
Heart-Assist Devices
Ventricular Fibrillation
Critical Care
Defibrillators
scenario
Ventricular Function
Implantable Defibrillators
Electrocardiography
Heart Failure

Keywords

  • Intensivist
  • LVAD
  • Sinus rhythm
  • TTE
  • Ventricular fibrillation

ASJC Scopus subject areas

  • Epidemiology
  • Safety, Risk, Reliability and Quality
  • Safety Research

Cite this

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abstract = "A 70-year-old man with end-stage heart failure and a continuous-flow left ventricular assist device received repeated electrical discharges from his biventricular implantable cardiac defibrillator. Although the electrocardiogram demonstrated ventricular fibrillation, the patient was awake and in no distress. A focused transthoracic echocardiogram was performed to assess ventricular function revealing simultaneous atrial sinus rhythm and ventricular fibrillation. This clinical scenario highlights a unique clinical finding, the complexity of the care of continuous-flow left ventricular assist device patients, and the challenges of intensivist-performed bedside focused transthoracic echocardiogram.",
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AU - Schulman, Peter

AU - Gelow, Jill

AU - Merkel, Matthias

AU - Mudd, James

AU - Wei, Kevin

AU - Hutchens, Michael

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AB - A 70-year-old man with end-stage heart failure and a continuous-flow left ventricular assist device received repeated electrical discharges from his biventricular implantable cardiac defibrillator. Although the electrocardiogram demonstrated ventricular fibrillation, the patient was awake and in no distress. A focused transthoracic echocardiogram was performed to assess ventricular function revealing simultaneous atrial sinus rhythm and ventricular fibrillation. This clinical scenario highlights a unique clinical finding, the complexity of the care of continuous-flow left ventricular assist device patients, and the challenges of intensivist-performed bedside focused transthoracic echocardiogram.

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KW - LVAD

KW - Sinus rhythm

KW - TTE

KW - Ventricular fibrillation

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