Extracorporeal cardiac mechanical stimulation: precordial thump and precordial percussion

Simple mechanical methods for cardioversion: defence of the precordial thump and cough version.

A prospective study was made of the value of the precordial thump and of cough version in life threatening ventricular arrhythmias. Of about 5000 medical and surgical patients, 68 were treated for persistent ventricular tachycardia and 248 for ventricular fibrillation, 86 of whom had presented outside hospital. Mechanical intervention was successful in 26 incidents occurring in 23 patients. Ele...

Treatment of monitored out-of-hospital ventricular fibrillation and pulseless ventricular tachycardia utilising the precordial thump.

BACKGROUND Few studies have described the value of the precordial thump (PT) as first-line treatment of monitored out-of-hospital cardiac arrest (OHCA) from ventricular fibrillation and pulseless ventricular tachycardia (VF/VT). METHODS Patient data was extracted from the Victorian Ambulance Cardiac Arrest Registry (VACAR) for all OHCA witnessed by paramedics between 2003 and 2011. Adult pati...

Precordial pain.

Postoperative exostosis of the xiphoid process: a contraindication for precordial thump.

A 79-year-old man was admitted for aortic valve replacement 10 years after coronary surgery. The computed tomography (CT) scan showed a 5—6-cm-long bony structure originating from the distal sternum with its tip directed towards the right ventricle (Fig. 1). The structure was resected (Fig. 2) and histopathological examination revealed an exostosis. Fig. 1. 3D CT scan showing impingement of the...

Quantitation of Precordial Movement

Precordial displacement records of 39 patients with mitral regurgitation have been analyzed using a new method of quantitation. Three groups of patients were studied, and the data from each group have been compared in a number of different ways to those obtained from a control group. The optimal method of discrimination is a graphic representation involving the two variables of the height of th...