Pulmonary arterial pressure sensing in a patient with left ventricular assist device during ventricular arrhythmia Jill R. Harris, MSN, ACNP-C, CNS,

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Presentation transcript:

Pulmonary arterial pressure sensing in a patient with left ventricular assist device during ventricular arrhythmia Jill R. Harris, MSN, ACNP-C, CNS, Stephen K. Carlson, MD, Aaron M. Wolfson, MD, Leslie A. Saxon, MD, Rahul N. Doshi, MD, FHRS HeartRhythm Case Reports Volume 3, Issue 7, Pages 348-351 (July 2017) DOI: 10.1016/j.hrcr.2017.05.002 Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 1 Chest radiograph revealing implanted devices, including pulmonary artery (PA) pressure sensor and chronic high-voltage lead. LV = left ventricle; LVAD = left ventricular assist device. HeartRhythm Case Reports 2017 3, 348-351DOI: (10.1016/j.hrcr.2017.05.002) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 2 A: Twelve-lead electrocardiogram revealing wide complex tachycardia at the time of patient presentation to the emergency room following an episode of witnessed syncope. B: Initial interrogation of pulmonary artery pressure (PAP) sensor showing only minimal and fast irregular pressure waveform with a mean of 22 mm Hg. HeartRhythm Case Reports 2017 3, 348-351DOI: (10.1016/j.hrcr.2017.05.002) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 3 A: Electrocardiogram demonstrating an A-V sequential biventricular-paced rhythm post cardioversion. B: Postcardioversion interrogation of pulmonary artery pressure (PAP) sensor revealing normal pulmonary artery waveform. HeartRhythm Case Reports 2017 3, 348-351DOI: (10.1016/j.hrcr.2017.05.002) Copyright © 2017 Heart Rhythm Society Terms and Conditions