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. 2008 May 20;178(11):1451–1457. doi: 10.1503/cmaj.071867

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Figure 1: Cardiac stimulation and hypotension from a stun gun discharge. Note the corruption of the surface electrocardiographic leads in panel B and the electrical activity of the intracardiac electrograms. After stun gun discharge, a spontaneous and immediate return of regular sinus rhythm and blood pressure occurs (panel C). Panel D and E show magnified intracardiac electrograms of similar duration. It is evident in panel E that the rate is much faster and the rhythm is wider than in panel D. The morphology of the tachycardia in panel E is wider than the morphology in panel D. There is a constant stun gun stimulus artifact to electrogram duration as illustrated in panel E, with every fourth stun gun discharge resulting in stimulation of the heart. Note the loss of blood pressure during the stimulation and the recovery of blood pressure once the discharge is completed. Reproduced with permission from Elsevier (Nanthakumar et al24). Note: CS = coronary sinus, RV = right ventricular, BP = blood pressure.