A 74-year-old male patient with a history of non-ischemic cardiomyopathy with severe LV systolic dysfunction (LVEF of 35%), implanted with a CRT-D device for the primary prevention of sudden cardiac death, device extraction due to an episode of device-related infective endocarditis, persistent symptomatic typical atrial flutter treated with catheter ablation (2021), and paroxysmal atrial fibrillation presents to the Emergency Department for an episode of decompensated heart failure. His ECG at admittance is presented in Fig. 1.

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ECG 17

  • Charline Daval

摘要

A 74-year-old male patient with a history of non-ischemic cardiomyopathy with severe LV systolic dysfunction (LVEF of 35%), implanted with a CRT-D device for the primary prevention of sudden cardiac death, device extraction due to an episode of device-related infective endocarditis, persistent symptomatic typical atrial flutter treated with catheter ablation (2021), and paroxysmal atrial fibrillation presents to the Emergency Department for an episode of decompensated heart failure. His ECG at admittance is presented in Fig. 1.