• Pacing Clin Electrophysiol · May 2012

    Case Reports

    Twelve hours of sustained ventricular fibrillation supported by a continuous-flow left ventricular assist device.

    • Daniel B Sims, Gregg Rosner, Nir Uriel, José González-Costello, Frederick A Ehlert, and Ulrich P Jorde.
    • Division of Cardiology, Department of Medicine, Columbia University Medical Center, New York, New York 10032, USA. das9093@nyp.org
    • Pacing Clin Electrophysiol. 2012 May 1; 35 (5): e144-8.

    AbstractLeft ventricular assist device (LVAD) therapy improves survival and quality of life by mechanically unloading the left ventricle and maintaining hemodynamics in patients with end-stage heart failure. LVADs can also be lifesaving by maintaining hemodynamics during ventricular arrhythmia. Continuous-flow LVADs have become the preferred LVAD technology. As presented here, a continuous-flow LVAD successfully provided hemodynamic support to a patient in sustained ventricular fibrillation for over 12 hours when the internal defibrillator was unable to terminate the arrhythmia. This case demonstrates that continuous-flow LVADs can be lifesaving in the setting of otherwise certain hemodynamic collapse from sustained ventricular fibrillation.©2012, The Authors. Journal compilation ©2012 Wiley Periodicals, Inc.

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