Definition of "Ventricular fibrillation"

Last modified: 8 days



Ventricular fibrillation (V-fib, VF) is uncoordinated contraction of cardiac muscle of the ventricles (in the heart), making them quiver rather than contract properly.

Patient information

What is ventricular fibrillation?
The ventricular is the bottom part of the heart, the big pumps. It's where that part of the heart quiver, rather than pumping in it's usual way.

Dx
  • Palpating the major pulse points of the carotid and femoral arteries, although the lay person is usually unable to detect it
  • ECG, to confirm


Source: RNCeus

Patient information

How do you know if the bottom part of the heart is quivering, rather than pumping?
You can feel for the pulse. You can also do an ECG.

Complications
  • Asystole (flatline), if the arrhythmia continues for >few seconds. This causes cardiogenic shock, and cessation of effective blood circulation. Thus, sudden cardiac death will result in a matter of minutes
Prognosis
  • Medical emergency, that requires prompt advanced life support intervention
  • If the Pt is not revived after a sufficient period (within roughly 5 mins at room temperature), the Pt could sustain irreversible brain damage, and possibly become brain-dead, due to the effects of cerebral hypoxia
  • Death often occurs if sinus rhythm is not restored within 90 seconds of the onset of VF, especially if it has degenerated further into asystole
Epidemiology
  • Most common arrhythmia in cardiac arrest Pt's
See also
  • Arrhythmia (category)

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Definition of Ventricular fibrillation | Autoprac


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