![]() No arrhythmia could be induced on electrophysiological testing, but the fluoroscopy demonstrated a very leftward displacement of the patient's heart, which had also been observed on the chest x‐ray suggesting a pericardial defect. ![]() After several days without any recurrent malignant arrhythmia the patient was transferred to our center for an electrophysiological study and implantation of a cardioverter defibrillator (ICD). The further clinical evolution was favorable with a complete neurological recovery and extubation 48 hours after her aborted sudden cardiac death. There is also a prominent R wave in lead aVR. Note complete absence of R waves in all precordial leads with T‐wave inversion without ST elevation or depression. Initial ECG after aborted sudden cardiac death. ![]()
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