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August 1, 1994Pacing and Clinical Electrophysiology

Idiopathic Ventricular Fibrillation in Out‐of‐Hospital Cardiac Arrest Survivors

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Why the study?

What are the diagnostic and therapeutic roles of electrophysiological testing and long-term clinical outcomes in survivors of out-of-hospital cardiac arrest due to idiopathic ventricular fibrillation?

Population

6 patients with out-of-hospital cardiac arrest due to idiopathic ventricular fibrillation, identified from…

Design

Case_series

Follow-up

mean 50 months

Key result

In 6 survivors of out-of-hospital cardiac arrest due to idiopathic ventricular fibrillation, all patients were alive at a mean follow-up of 50 months, though recurrent events were observed.

Authors

RTRobert TungWSWin-Kuang ShenSHSTEPHEN G. HAMMILL

Discussion

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Member takes

Overview

Supports ICD use for survival in rare IVF cases; leaves open EP testing utility and needs larger studies.

Study Design

Type

Observational (n=6)

Structured PICO

What are the diagnostic and therapeutic roles of electrophysiological testing and long-term clinical outcomes in survivors of out-of-hospital cardiac arrest due to idiopathic ventricular fibrillation?

P
Population
6 patients (4 male, 2 female) with out-of-hospital cardiac arrest due to idiopathic ventricular fibrillation, identified from 194 patients who underwent electrophysiological study after out-of-hospital cardiac arrest not associated with acute myocardial infarction.
I
Intervention
Electrophysiological testing and subsequent management (4 received implantable cardioverter defibrillators, 1 received a beta-adrenergic blocker, 1 received no treatment)
O
Outcome
Long-term clinical outcome (survival and recurrence of ventricular arrhythmias)hard clinical

In a small series of survivors of out-of-hospital cardiac arrest due to idiopathic ventricular fibrillation, long-term survival was excellent, though recurrences occurred and were treated by ICDs.

Cite This Study

Tung et al. (1994) conducted an observational in Idiopathic ventricular fibrillation in out-of-hospital cardiac arrest survivors (n=6). Electrophysiological testing and various treatments (ICD, beta-blocker, or none) was evaluated on Long-term clinical outcome (survival and recurrence). In 6 survivors of out-of-hospital cardiac arrest due to idiopathic ventricular fibrillation, all patients were alive at a mean follow-up of 50 months, though recurrent events were observed.

synapsesocial.com/papers/6a0cfbc4b31ab1d6e01e76b4https://doi.org/10.1111/j.1540-8159.1994.tb02460.x
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