A 58-year-old male patient with a history of ischemic cardiomyopathy with severe LV systolic dysfunction (LVEF of 21%), remote anterior myocardial infarction (2007), implanted with a CRT-D device for the primary prevention of sudden cardiac death, paroxysmal atrial fibrillation, and type 2 diabetes mellitus, presents to the Emergency Department for dyspnea on exertion, bilateral peripheral edema suggesting an episode of decompensated heart failure. His ECG at admittance is presented in Fig. 1.

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ECG 7

  • Gabriel Gusetu

摘要

A 58-year-old male patient with a history of ischemic cardiomyopathy with severe LV systolic dysfunction (LVEF of 21%), remote anterior myocardial infarction (2007), implanted with a CRT-D device for the primary prevention of sudden cardiac death, paroxysmal atrial fibrillation, and type 2 diabetes mellitus, presents to the Emergency Department for dyspnea on exertion, bilateral peripheral edema suggesting an episode of decompensated heart failure. His ECG at admittance is presented in Fig. 1.