Ventricular fibrillation a rare complication during head-up tilt test

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Presentation transcript:

Ventricular fibrillation a rare complication during head-up tilt test Jayaprakash Shenthar, MD, DM, FACC, Deepak Pujar, MD, Mukund Aravind Prabhu, MD, DM, Prakash Sadashivappa Surhynne, MD, DM HeartRhythm Case Reports Volume 1, Issue 5, Pages 363-365 (September 2015) DOI: 10.1016/j.hrcr.2015.06.012 Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 1 A−D: Continuous tracing of lead II during head-up tilt test. Panel A shows gradual bradycardia followed by asystole that continues for 9 seconds (B); this is followed by the onset of ventricular fibrillation (VF) (C) and external cardiac massage is initiated.Thin arrows mark QRS complexes within the artifacts related to cardiac massage and (D) sinus rhythm resumes. CPR = cardiopulmonary resuscitation. HeartRhythm Case Reports 2015 1, 363-365DOI: (10.1016/j.hrcr.2015.06.012) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 2 Coronary angiogram in A: left anterior oblique cranial, B: right anterior oblique caudal, and C: cranial views showing significant lesions in proximal left anterior descending artery. D: The right coronary artery was totally occluded at the proximal segment. HeartRhythm Case Reports 2015 1, 363-365DOI: (10.1016/j.hrcr.2015.06.012) Copyright © 2015 Heart Rhythm Society Terms and Conditions