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Double sequential external shocks for refractory ventricular fibrillation.

Abstract：

OBJECTIVES:A technique for terminating refractory ventricular fibrillation is described. BACKGROUND:Refractory ventricular fibrillation can occur in up to 0.1% of electrophysiologic studies. Animal studies have shown that rapid sequential shocks may reduce ventricular fibrillation threshold. METHODS:Five patients of 2,990 consecutive patients in a 3-year period experienced refractory ventricular fibrillation during 5,450 routine electrophysiologic studies. Multiple shocks were delivered by means of a single defibrillator. Double sequential shocks were delivered externally 0.5 to 4.5 s apart by means of two defibrillators with separate pairs of electrodes. RESULTS:In all patients, standard defibrillation was unsuccessful, but all were successfully resuscitated using the double sequential shocks. CONCLUSIONS:This report stresses the importance of an additional defibrillator being readily available during electrophysiologic testing. This technique of rapid, double sequential external shocks may have general applicability, providing a simple and potentially lifesaving approach to refractory ventricular fibrillation.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Hoch DH,Batsford WP,Greenberg SM,McPherson CM,Rosenfeld LE,Marieb M,Levine JH

doi

10.1016/0735-1097(94)90602-5

subject

Has Abstract

pub_date

1994-04-01 00:00:00

pages

1141-5

issue

5

eissn

0735-1097

issn

1558-3597

pii

0735-1097(94)90602-5

journal_volume

23

pub_type

杂志文章

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