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Old 06-24-2011
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Heart Next step after cardiac arrest

A 50 year old man had a ventricular fibrillation cardiac arrest whilst at a railway station. He was successfully resuscitation by a passerby. Coronary angiography showed no stenotic lesions in the coronary arteries. Which is the next management step?

A. Lifelong amiodarone
B. Implantable cardiac defibrillator
C. Procainamide
D. Permanent pacemaker
E. No further action necessary
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Old 07-08-2012
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Correct Answer B) correct

B) CORRECT, ) implantable cardiac defibrillator. Electrophysiological study would be necessary to help confirm whether this patient has inducible ventricular tachycardia, and ablation of the pathways if so. However in a young patient with no coronary artery disease demonstrable to revascularise, ICD is necessary to treat a possible further cardiac arrest
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Old 07-09-2012
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Shud be b

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Cardiology-, Emergency-Medicine, Step-2-Questions

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