Atrial fibrillation with high degree atrioventricular block masquerading as ventricular fibrillation masquerading as asystole during cardiac arrest.

Abstract:

:Ventricular fibrillation (VF) can masquerade as asystole. We report a 54-yr-old male in cardiac arrest who, on surface ECG, appeared to be in VF or asystole. A bedside intracardiac recording using a transmyocardial pacing wire showed the true rhythm to be atrial fibrillation (AF) with high grade atrioventricular block. AF with a high degree block can masquerade as VF, which simultaneously masquerades as asystole, and can be correctly diagnosed by bedside intracardiac monitoring. Patients who have a flat line rhythm which may represent asystole, fine ventricular fibrillation, or atrial fibrillation with a high degree atrioventricular block may warrant a trial of electrical countershock, high-dose atropine, or transthoracic pacing.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Ornato JP,Gonzales ER,Garnett R

doi

10.1097/00003246-198704000-00013

subject

Has Abstract

pub_date

1987-04-01 00:00:00

pages

334-5

issue

4

eissn

0090-3493

issn

1530-0293

journal_volume

15

pub_type

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