| Recurrent ventricular fibrillation and modes of death in survivors of out-of-hospital ventricular fibrillation. | |
| | |
MedLine Citation:
|
PMID: 1138178 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
We examined the causes of death in patients previously resuscitated from out-of-hospital ventricular fibrillation. In 51 months, 234 patients were sucessfully resuscitated, hospitalized and discharged home. During follow-up observation, 89 episodes of recurrent ventricular fibrillation or death (or both) occurred, 64 of which (72 per cent) were unexpected, out-of-hospital circulatory arrests. Ventricular fibrillation occurred in 77 per cent of the 44 episodes in which the electrocardiogram was observed. Ten patients survived one or more episodes of recurrent ventricular fibrillation. Median time to recurrent ciruclatory arrest was 20 weeks after the preceding episode. Prodromal symptoms were infrequent, and activity levels were generally low at the time of cardiac arrest. Recurrent ventricular fibrillation of sudden death (or both) occurred predominantly when the initial episode was not associated with acute myocardial infarction. Patients resuscitated from ventricular fibrillation are susceptible to early recurrence, probably reflecting continuing myocardial electrical instability. |
| | |
Authors:
|
W A Schaffer; L A Cobb |
Related Documents
:
|
2453038 - Sudden death associated with alcohol consumption. 12386498 - Alternative ventilation strategies in cardiopulmonary resuscitation. 3027808 - Neurologic outcome following successful cardiopulmonary resuscitation in dogs. 14758178 - A lazaroid mitigates postresuscitation myocardial dysfunction. 9880718 - Special compression sutures: a new surgical technique to achieve a quick decrease in sh... 6762808 - Usefulness of multiaxis echocardiography in assessment of the left ventricle in ischemi... |
Publication Detail:
|
Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: The New England journal of medicine Volume: 293 ISSN: 0028-4793 ISO Abbreviation: N. Engl. J. Med. Publication Date: 1975 Aug |
Date Detail:
|
Created Date: 1975-09-09 Completed Date: 1975-09-09 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0255562 Medline TA: N Engl J Med Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 259-62 Citation Subset: AIM; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Clinical Enzyme Tests Death, Sudden* Electrocardiography Female Follow-Up Studies Heart / physiopathology Heart Arrest / therapy Hospitalization Humans Isoenzymes L-Lactate Dehydrogenase / blood Male Middle Aged Myocardial Infarction / complications, diagnosis Necrosis Recurrence Resuscitation Risk Time Factors Ventricular Fibrillation / mortality*, physiopathology, therapy |
| Chemical | |
Reg. No./Substance:
|
0/Isoenzymes; EC 1.1.1.27/L-Lactate Dehydrogenase |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Medical malpractice.
Next Document: Transbronchinal lung biopsy for the diagnosis of sarcoidosis.