?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Arrhythmia+Diagnosis+Following+an+ICD+Shock&rft.creator=John%2C+Roy++M.&rft.subject=Indian+Pacing+and+Electrophysiology+Journal&rft.description=A+60+year+male+presents+to+the+emergency+room+following+a+shock+from+his+implanted+cardioverter+defibrillator.+He+had+just+risen+from+bed+that+morning+and+experienced+mild+dizziness+prior+to+the+shock.%0A%0A+++++++++++++He+has+a+history+of+hypertension%2C+and+had+undergone+coronary+bypass+surgery+3+years+previously.+Six+months+following+surgery%2C+he+developed+spontaneous+rapid+sustained+monomorphic+ventricular+tachycardia+associated+with+syncope.+Therapy+with+amiodarone+was+complicated+by+acute+pneumonitis+requring+steroids+and+cessation+of+amiodarone+therapy.+He+was+implanted+with+a+Ventritex++Model+V+145+single+chamber+ICD.+A+recent+echocardiogram+had+shown+inferior+and+posterior+left+ventricular+hypokinesis+with+an+ejection+fraction+of+35%25.+Left+atrium+measured+4.4+cm.+His+medications+included+metoprolol+25+mg+bid%2C+lisinopril+5mg+bid%2C+hydrochlorthiazide+25+mg+qd%2C+atrovostatin+10+mg+qd%2C+and+aspirin+325+mg+qd.+Physical+examination+revealed+normal+jugular+venous+pressure%2C+sinus+rhythm+with+a+heart+rate+of+84+bpm%2C+BP+140%2F85%2C+a+soft+pansystolic+murmur+at+the+apex%2C+and+clear+lung+fields.%0A&rft.publisher=Indian+Pacing+and+Electrophysiology+Group&rft.contributor=Singh%2C+Balbir&rft.contributor=Lokhandwala%2C+Yash&rft.contributor=Francis%2C+Johnson&rft.contributor=Gupta%2C+Anup&rft.date=2005-01&rft.type=Journal+(Paginated)&rft.type=PeerReviewed&rft.format=text%2Fhtml&rft.identifier=http%3A%2F%2Fcogprints.org%2F4329%2F1%2Fquiz.htm&rft.identifier=++John%2C+Roy+M.++(2005)+Arrhythmia+Diagnosis+Following+an+ICD+Shock.++%5BJournal+(Paginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F4329%2F