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Updated: Aug 7, 2026

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Successful external cardioversion for ventricular tachycardia using 2 Joules
H D Papaconstantinou1, C J Burrell
1Department of Cardiology, Derriford Hospital, Plymouth, UK.
Abstract:
We present a patient with recurrent sustained monomorphic ventricular tachycardia following myocardial infarction, refractory to drug therapy. He has been reluctant to have an implantable cardioverter-defibrillator, but responds to very low energy transthoracic direct current cardioversion administered via external pacing electrodes under sedation. The use of very low energies may avoid shock-induced myocardial damage in patients with recurrent ventricular tachycardia.
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