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Prognosis of ventricular fibrillation in hospital

G V Jensen1, C Torp-Pedersen, L Køber

  • 1Department of Cardiology, Glostrup County Hospital, Copenhagen, Denmark.

European Heart Journal
|September 1, 1992
PubMed

Insights

Patients with in-hospital ventricular fibrillation (VF) and known ischemic heart disease (IHD) but without acute myocardial infarction (AMI) face poor survival. These individuals require thorough cardiac evaluation due to high mortality risks.

Area of Science:

  • Cardiology
  • Internal Medicine
  • Critical Care Medicine

Background:

  • In-hospital ventricular fibrillation (VF) is a critical event impacting patient outcomes.
  • Understanding the prognosis of VF based on underlying cardiac conditions is essential for clinical management.

Purpose of the Study:

  • To evaluate the in-hospital and long-term prognosis of patients experiencing in-hospital VF.
  • To compare outcomes among patients with acute myocardial infarction (MI), ischemic heart disease (IHD) without MI, and no signs of IHD.

Main Methods:

  • Retrospective analysis of 520 patients with in-hospital VF.
  • Statistical analysis including logistic regression and proportional hazard models.
  • Categorization of patients based on the presence of MI, IHD without MI, or no IHD.

Main Results:

  • In-hospital mortality was 51% for MI, 52% for IHD without MI, and 27% for no IHD.
  • Heart failure and cardiogenic shock were significant risk factors for in-hospital death in IHD patients.
  • Five-year survival rates varied: 51% (MI), 25% (IHD without MI), 54% (no IHD). MI was associated with reduced long-term mortality risk (RR=0.58) in IHD patients.

Conclusions:

  • Patients with known IHD suffering in-hospital VF without AMI have a very poor short- and long-term prognosis.
  • These high-risk patients necessitate comprehensive cardiac examinations for timely intervention.

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