It was reported that during the implant of the cardiac resynchronization therapy defibrillator (crt-d) system the patient coded and was resuscitated.The implant procedure was completed and the patient appeared stable.Approximately 10 minutes later, the patient's heart rate dropped.The crt-d lower paced rate was increased and cardiopulmonary resuscitation was done.An echo showed a pericardial effusion, which was treated, but the patient's status did not improved.The patient declined into ventricular fibrillation (vf) which was treated unsuccessfully until no electrical activity was observed.The second code lasted for about an hour until the patient passed away.
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