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September 1, 1988Pacing and Clinical Electrophysiology

Influence of Ventricular Fibrillation Duration on Defibrillation Energy in Dogs Using Bidirectional Pulse Discharges

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Key result

Increasing ventricular fibrillation duration from 5 to 30 seconds significantly increased the energy required for 90% successful internal defibrillation in dogs (41 vs 27 J; p<0.01).

Why the study?

Does the duration of ventricular fibrillation affect the energy required for successful internal defibrillation in dogs?

Population

15 closed chest dogs with internal electrodes

Comparison

Ventricular fibrillation durations of 5, 15, and… vs Comparison between the different durations

Design

Preclinical

Authors

DEDebra S. EchtJon Peddie ResearchJBJean T. BarbeyTulane UniversityJBJames N. BlackBaylor Medical Center at Garland

Discussion

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Overview

May warrant minimizing VF duration before defibrillation; leaves open translation to human practice.

Structured PICO

Does the duration of ventricular fibrillation affect the energy required for successful internal defibrillation in dogs?

P
Population
15 closed chest dogs with internal electrodes subjected to varying durations of ventricular fibrillation.
I
Intervention
Ventricular fibrillation durations of 5, 15, and 30 seconds
C
Comparator
Comparison between the different durations (5 vs 15 vs 30 seconds)
O
Outcome
Energy requirements for successful internal defibrillation (ED90 and ED50)surrogate

Main Result

Absolute Event Rate: 41% vs 27%

p-value: p=<0.01

Longer durations of ventricular fibrillation increase the energy required for successful internal defibrillation in a canine model.

Cite This Study

Echt et al. (1988) studied Ventricular fibrillation (n=15). Ventricular fibrillation duration vs. Shorter duration (5 seconds) was evaluated on 90% successful energy dose (ED90) (p=<0.01). Increasing ventricular fibrillation duration from 5 to 30 seconds significantly increased the energy required for 90% successful internal defibrillation in dogs (41 vs 27 J; p<0.01).

synapsesocial.com/papers/6a9d96ccef6cfb4b18fcf351https://doi.org/10.1111/j.1540-8159.1988.tb03994.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Influence of time and therapy on ventricular defibrillation in dogs1980 · 167 citations
  2. 2Feasibility and Effectiveness of Low-Energy Catheter Defibrillation in Man1973 · 150 citations
  3. 3Clinical experience, complications, and survival in 70 patients with the automatic implantable cardioverter/defibrillator.1985 · 452 citations
  4. 4The relationship between successful defibrillation and delivered energy in open-chest dogs: Reappraisal of the “defibrillation threshold” concept1987 · 217 citations
  5. 5Measurement of cardioversion/defibrillation thresholds in man by a truncated exponential waveform and an apical patch-superior vena caval spring electrode configuration.1984 · 109 citations