A 49-year-old man was admitted to the emergency ward with a diagnosis of myocardial infarction. Two hours later, he developed ventricular fibrillation and was defibrillated immediately, but without success. CPR was started, and electric cardioversion was given again with higher voltage, but the patient remained unresponsive. At this time a bolus of intravenous epinephrine was given while continuing the CPR.
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