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Autopsy and Medicine
January 11, 1999

Case of the MonthDeath and Devices

Peter B. Baker, MD; Randy Hanzlick, MD; and the Autopsy Committee of the College of American Pathologists
Arch Intern Med. 1999;159(1):21-22. doi:10.1001/archinte.159.1.21

A 49-YEAR-OLD man had a history of idiopathic cardiomyopathy and had been receiving antiarrhythmic medications for the past several years. He was admitted to the hospital for evaluation of atrial fibrillation with a rapid, uncontrolled ventricular response. Partial ablation of the atrioventricular node was performed, and a pacemaker was implanted. He was discharged from the hospital on the next day with a stable heart rate of 50 to 60 beats/min. He was found unresponsive at home 10 days after discharge, and resuscitative efforts were unsuccessful.

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