title: More safety with more energy: survival of electrical storm with 40-J shocks.
abstract: We report the first clinical case of ineffective high-voltage therapy with 36 J and subsequent effective therapy with 40 J in a patient with electrical storm who had previously received a high-energy implantable cardioverter defibrillator (ICD, Fortify VR, 1233-40Q St. Jude Medical, Sylmar, CA, USA). Using a combination of high energy and optimized fixed millisecond duration biphasic waveform shock, successful defibrillation could be achieved at 8 J below the programmed maximum energy level.
authors: Department of Cardiology, Division of Clinical Electrophysiology, J.W. Goethe University, Frankfurt, Germany. d.erkapic@kerckhoff-klinik.de
authors: D
authors: D
authors: Erkapic
authors: F
authors: F
authors: Amberger
authors: P
authors: P
authors: Bushoven
authors: J
authors: J
authors: Ehrlich
mesh_terms: D000368:Aged; D001145:Arrhythmias, Cardiac / Q000209:etiology* / Q000517:prevention & control*; D016757:Death, Sudden, Cardiac / Q000517:prevention & control*; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D004735:Energy Transfer; D004868:Equipment Failure; D019544:Equipment Failure Analysis / Q000379:methods; D006801:Humans; D008297:Male