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Outcome of ventricular fibrillation developing during percutaneous coronary interventions in 19,497 patients without

Srinivas Addala1, Joel K Kahn, Thomas F Moccia

  • 1William Beaumont Hospital, Royal Oak, Michigan, USA.

The American Journal of Cardiology
|September 20, 2005
PubMed

Insights

Ventricular fibrillation (VF) outside the hospital has a poor survival rate. However, VF during percutaneous coronary intervention in a cath lab setting shows excellent prognosis with rapid defibrillation.

Area of Science:

  • Cardiology
  • Interventional Cardiology

Background:

  • Ventricular fibrillation (VF) outside of a hospital setting carries a survival rate below 50%.
  • Understanding the prognosis of VF in specific procedural contexts is crucial for patient outcomes.

Purpose of the Study:

  • To investigate the prognosis of ventricular fibrillation (VF) in patients undergoing percutaneous coronary intervention (PCI).

Main Methods:

  • Retrospective analysis of 19,497 patients undergoing PCI.
  • Identification of patients who experienced VF during the procedure (n=164).
  • Analysis of time to defibrillation and patient outcomes.

Main Results:

  • Ventricular fibrillation (VF) occurred in 0.84% of patients undergoing PCI.
  • The time to defibrillation was less than one minute for all identified cases.
  • All patients experiencing VF during PCI survived without any sequelae.

Conclusions:

  • Ventricular fibrillation (VF) occurring within the catheterization laboratory during PCI has a unique and favorable prognosis.
  • Rapid defibrillation is key to the excellent outcomes observed in this setting.

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