Document Detail


Coronary revascularization in patients surviving unexpected ventricular fibrillation.
MedLine Citation:
PMID:  1182975     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Coronary angiography and hemodynamic studies were performed in a group of 13 patients who had been successfully resuscitated from unexpected ventricular fibrillation, had had angina pectoris prior to the cardiac arrest, and who had not had an acute myocardial infarction in the periarrest period. Eleven of the 13 had one or more coronary artery lesions which were amenable to surgical intervention, and eight of the 11 accepted surgery. Left ventricular end-diastolic pressure was elevated in most patients, while cardiac index and ejection fraction were depressed. Bypassable lesions were found in the main left coronary artery in one patient, and the proximal left anterior descending artery in two. Both of these patients had disease elsewhere. The remaining five patients had diffuse three-vessel disease. The eight patients have survived for periods ranging from 8 to 32 months (average = 24 months). This contrasts to an overall 1-year mortality of approximately 30% in survivors of hospitalization after unexpected ventricular fibrillation.
Authors:
R J Myerburg; A Ghahramani; S M Mallon; A Castellanos; G Kaiser
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Circulation     Volume:  52     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1975 Dec 
Date Detail:
Created Date:  1976-01-30     Completed Date:  1976-01-30     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  III219-22     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Coronary Disease / mortality,  radiography,  surgery*
Coronary Vessels
Death, Sudden
Florida
Heart Catheterization
Hemodynamics
Humans
Mobile Health Units
Myocardial Revascularization*
Risk
Ventricular Fibrillation / mortality*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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