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Volume 361:724-725 August 13, 2009 Number 7
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Case 15-2009: A Man with Coma after Cardiac Arrest

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by Kotton, C. N.
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To the Editor: Kotton et al. (May 14 issue)1 present the case of a 25-year-old man with cardiac arrest. The initial rhythm was ventricular fibrillation. Despite successful resuscitation, brain death was declared and the heart was procured for transplantation. Although no structural abnormalities were identified on echocardiography or cardiac catheterization, primary ventricular fibrillation has many causes that are not readily diagnosed,2 and when idiopathic it has a high rate of recurrence.3 Therefore, the suitability of the donor's heart for transplantation needs to be determined by means of a thorough anatomical and electrophysiological assessment, which may be difficult to perform under . . . [Full Text of this Article]



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