Unsuccessful defibrillation: Reinitiation or continuation of fibrillation?

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Comparison of activation during ventricular fibrillation and following unsuccessful defibrillation shocks in open-chest dogs.

The purpose of this study was to map in detail the spread of activation away from sites of early postshock excitation following unsuccessful defibrillation to determine whether these activation fronts are the unaltered continuation of activation fronts present just before the shock. We recorded simultaneously from 120 bipolar electrodes on 40 plunge needles in a 20 x 35 x 5-mm volume of tissue ...

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Theory and practice of defibrillation: (2) defibrillation for ventricular fibrillation.

Correspondence to: Professor Jennifer Adgey, Regional Medical Cardiology Centre, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6BA, UK; jennifer.adgey@ royalhospitals.n-i.nhs.uk _________________________ S everal investigators around the turn of the 19th century confirmed the association between coronary artery occlusion, coronary artery reperfusion and ventricular fibrillation (VF) exp...

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High dispersion of ventricular repolarization after an implantable defibrillator shock predicts induction of ventricular fibrillation as well as unsuccessful defibrillation.

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Activation during ventricular defibrillation in open-chest dogs. Evidence of complete cessation and regeneration of ventricular fibrillation after unsuccessful shocks.

To test the hypothesis that a defibrillation shock is unsuccessful because it fails to annihilate activation fronts within a critical mass of myocardium, we recorded epicardial and transmural activation in 11 open-chest dogs during electrically induced ventricular fibrillation (VF). Shocks of 1-30 J were delivered through defibrillation electrodes on the left ventricular apex and right atrium. ...

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Immediate defibrillation or defibrillation after cardiopulmonary resuscitation.

OBJECTIVES This study aimed to determine whether short cardiopulmonary resuscitation (CPR) by emergency medical services before defibrillation (CPR first) has a better outcome than immediate defibrillation followed by CPR (shock first) in patients with ventricular fibrillation/pulseless ventricular tachycardia (VF/pulseless VT) out-of-hospital cardiac arrest. METHODS We analyzed a national da...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 1996

ISSN: 0735-1097

DOI: 10.1016/s0735-1097(96)80814-x