“…In addition, a state of excitation, for example, adrenaline released during an agitated state of fight or flight, can make the heart more susceptible to cardiac stimulation, which can facilitate capture or VF induction 14 ( Figure 6). Because of these variables and the effect of the vector encompassed by the 2 darts, 13,14,17 in my opinion, no absolute number exists beyond which chest darts could not capture the heart in a particular individual. Darts closest to the cardiac silhouette would pose the greatest risk for cardiac capture and therefore VF induction.…”