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Federico Migliore et al. JACEP 2016;2:

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1 Federico Migliore et al. JACEP 2016;2:246-247
Left Ventricular Assist Device and Subcutaneous Implantable Cardioverter-Defibrillator (A) Chest radiograph illustrating the Jarvik 2000 left ventricular assist device and subcutaneous implantable cardioverter-defibrillator in situ (posteroanterior view). (B) Electrogram recorded by the subcutaneous implantable cardioverter-defibrillator after left ventricular assist device implantation showing appropriate sensing without any noise in the alternate vector (tip electrode to ring electrode). (C) Electrogram showing an episode of ventricular fibrillation with very low amplitude waves correctly detected and treated. The device initiated tachycardia detection (T) and started the capacitor charging (first C). The 80-J full charge was accomplished after 19 s (second C). Of note, only a few beats were discarded (marked with a dot) by the subcutaneous implantable cardioverter-defibrillator algorithms. Federico Migliore et al. JACEP 2016;2: 2016 American College of Cardiology Foundation

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