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Gepubliceerd in: Netherlands Heart Journal 3/2023

Open Access 20-12-2022 | Rhythm Puzzle – Question

Implantable cardioverter-defibrillator shocks and nonsustained rapid ventricular rhythms

Auteurs: H. Witteveen, P. Stellingwerf, H. F. Groenveld

Gepubliceerd in: Netherlands Heart Journal | Uitgave 3/2023

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A 71-year-old man presented to the emergency department because he experienced a shock from his implantable cardioverter-defibrillator (ICD). The ICD had been implanted for secondary prevention after a cardiac arrest caused by ventricular fibrillation of unknown origin. The patient reported 3 ICD shocks in the past month, all of which had occurred during rest. The patient had remained conscious during all these events and had not experienced prodromal symptoms.
This time, he felt pain located near the ICD and therefore presented himself to the emergency department. Blood tests showed no abnormalities. An electrocardiogram (ECG) and chest radiograph were also performed (Figs. 1 and 2). What is your diagnosis?

Answer

You will find the answer elsewhere in this issue.

Funding

The authors received no financial support for publication of this article.

Conflict of interest

H. Witteveen, P. Stellingwerf and H.F. Groenveld declare that they have no competing interests.
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://​creativecommons.​org/​licenses/​by/​4.​0/​.
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Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

Metagegevens
Titel
Implantable cardioverter-defibrillator shocks and nonsustained rapid ventricular rhythms
Auteurs
H. Witteveen
P. Stellingwerf
H. F. Groenveld
Publicatiedatum
20-12-2022
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 3/2023
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-022-01746-z

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