Journal of Cardiology Research and Endovascular Therapy

Case Report: Double Sequential Synchronized Cardioversion for Refractory Arrhythmia

Abstract

Kim Gerome G Macalinao, George Tabepuda and Bharatvansh Kumar Bali

Wide Complex Tachycardia (WCT) can potentially be a life-threatening condition that poses significant challenges in managing. Here we present a case of a 57-year-old Itaukei male who presented with wide complex tachycardia. Despite the use of pharmacological treatment, the tachycardia persisted. Multiple attempts at synchronized cardioversions in different configurations failed to cardiovert the patient. This refractory arrhythmia was then terminated using a Double Sequential Synchronized Cardioversion (DSSC). This case highlights the indication and appropriate technique for DSSC in managing refractory arrhythmia. We reviewed the literature regarding appropriate use of DSSC.

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