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Ventricular fibrillation a rare complication during head-up tilt test

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1 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 (September 2015) DOI: /j.hrcr Copyright © 2015 Heart Rhythm Society Terms and Conditions

2 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, DOI: ( /j.hrcr ) Copyright © 2015 Heart Rhythm Society Terms and Conditions

3 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, DOI: ( /j.hrcr ) Copyright © 2015 Heart Rhythm Society Terms and Conditions

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