Ventricular fibrillation

From WikiMD

Other names: VF; Fibrillation - ventricular; Arrhythmia - VF; Abnormal heart rhythm - VF; Cardiac arrest - VF; Defibrillator - VF; Cardioversion - VF; Defibrillate - VF

Ventricular fibrillation (VF) is a severely abnormal heart rhythm (arrhythmia) that is life threatening.

De-Rhythm ventricular fibrillation (CardioNetworks ECGpedia).png

Cause

The heart pumps blood to the lungs, brain, and other organs. If the heartbeat is interrupted, even for a few seconds, it can lead to fainting (syncope) or cardiac arrest.

Fibrillation is an uncontrolled twitching or quivering of muscle fibers (fibrils). When it occurs in the lower chambers of the heart, it is called VF. During VF, blood is not pumped from the heart. Sudden cardiac death results.

Cause

The most common cause of VF is a heart attack. However, VF can occur whenever the heart muscle does not get enough oxygen. Conditions that can lead to VF include:

  • Electrocution accidents or injury to the heart
  • Heart attack or angina
  • Heart disease that is present at birth (congenital)
  • Heart muscle disease in which the heart muscle becomes weakened and stretched or thickened
  • Heart surgery
  • Sudden cardiac death (commotio cordis); most often occurs in athletes who have had a sudden blow to the area directly over the heart
  • Medicines
  • Very high or very low potassium levels in the blood
  • Most people with VF have no history of heart disease. However, they often have heart disease risk factors, such as smoking, high blood pressure, and diabetes.

Symptoms

A person who has a VF episode can suddenly collapse or become unconscious. This happens because the brain and muscles are not receiving blood from the heart.

The following symptoms may occur within minutes to 1 hour before the collapse:

  • Chest pain
  • Dizziness
  • Nausea
  • Rapid or irregular heartbeat (palpitations)
  • Shortness of breath

Diagnosis

A cardiac monitor will show a very disorganized ("chaotic") heart rhythm. Tests will be done to look for the cause of the VF.

Treatment

VF is a medical emergency. It must be treated immediately to save a person's life. While waiting for help, place the person's head and neck in line with the rest of the body to help make breathing easier. Start CPR by doing chest compressions in the center of the chest ("push hard and push fast"). Compressions should be delivered at the rate of 100 to 120 times per minute. Compressions should be done to a depth of at least 2 inches (5 cm) but no more than 2 ¼ inches (6 cm). Continue to do this until the person becomes alert or help arrives. VF is treated by delivering a quick electric shock through the chest. It is done using a device called an external defibrillator. The electric shock can immediately restore the heartbeat to a normal rhythm, and should be done as quickly as possible. Many public places now have these machines.

Medicines may be given to control the heartbeat and heart function.

An implantable cardioverter defibrillator (ICD) is a device that can be implanted in the chest wall of people who are at risk for this serious rhythm disorder The ICD detects the dangerous heart rhythm and quickly sends a shock to correct it. It is a good idea for family members and friends of people who have had VF and heart disease to take a CPR course.

Prognosis

VF will lead to death within a few minutes unless it is treated quickly and properly. Even then, long-term survival for people who live through a VF attack outside of the hospital is low.

Rare Diseases

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