Key result
Prompt cardioversion successfully reverted ventricular fibrillation to normal rhythm in 3 patients during and immediately after thrombolysis for acute myocardial infarction.
Case Report (n=3)
Prompt cardioversion is effective for reverting ventricular fibrillation that occurs during or immediately after thrombolysis in the setting of acute myocardial infarction.
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May support prompt cardioversion for VF during thrombolysis in AMI; hypothesis-generating case data requiring prospective validation.
Ventricular fibrillation (VF) may be coarse or fine rapid, fibrillary movements of the ventricular muscle, Factors that commonly precipitate cardiac arrhythmias include hypoxia, electrolyte disturbance, myocardial ischemia and certain drugs. Symptoms during arrhythmia may be syncope, palpitation, breathlessness and sudden loss of consciousness. Approximately 10% of patients with AMI develop VT that degenerates into VF. This may occur in the settings of acute myocardial infarction (AMI) in thrombolytic patients. We present 3 cases of VF during and immediately after thrombolysis, which are reverted to normal with prompt cardioversion.
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Jayaraj et al. (2022) conducted a case report in Acute myocardial infarction with ventricular fibrillation (n=3). Prompt cardioversion was evaluated on Reversion to normal rhythm. Prompt cardioversion successfully reverted ventricular fibrillation to normal rhythm in 3 patients during and immediately after thrombolysis for acute myocardial infarction.
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