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  • Title: Ventricular fibrillation in two cases with dilated cardiomyopathy and mechanical alternans.
    Author: Kodama M, Ramadan MM, Mitsuma W, Okamura K, Kashimura T, Tachikawa H, Ito M, Fuse K, Hirono S, Okura Y, Kato K, Hanawa H, Watanabe K, Aizawa Y.
    Journal: Pacing Clin Electrophysiol; 2005 Dec; 28(12):1347-9. PubMed ID: 16403167.
    Abstract:
    Clinical implication of mechanical alternans is yet unclear. It may suggest the risk for sudden death in patients with chronic heart failure. Two cases with dilated cardiomyopathy showed mechanical alternans during diagnostic cardiac catheterization. They suddenly died due to ventricular fibrillation before the induction of beta-blocker therapy. Patients with mechanical alternans should be treated under intense monitoring until the induction of beta-blocker therapy.
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