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December 12, 1977JAMA72 citations

Ventricular Fibrillation in a Medically Supervised Cardiac Exercise Program

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GFGerald F. Fletcher

Key Result

Five patients with ischemic heart disease experienced unpredictable ventricular fibrillation during a medically supervised exercise program and were successfully resuscitated.

Study Design

Type

Case Report (n=5)

Structured PICO

P
Population
5 patients with ischemic heart disease who were resuscitated after experiencing ventricular fibrillation in a medically supervised exercise program.
E
Exposure
Medically supervised cardiac exercise program
O
Outcome
Resuscitation success and subsequent clinical course (revascularization, return to exercise)hard clinical

Ventricular fibrillation can occur unpredictably during cardiac rehabilitation, emphasizing the critical need for medical supervision and immediate availability of defibrillators and appropriate drugs in exercise fitness centers.

Abstract

Five patients with ischemic heart disease were resuscitated after experiencing ventricular fibrillation in a medically supervised exercise program. Four subsequently had successful myocardial revascularization (three prior to hospital discharge), and three have returned to an exercise prescription of reduced intensity. Multivessel operative coronary disease is common in patients experiencing ventricular fibrillation. Ventricular fibrillation may occur unpredictably (two to 48 months) in duration of exercise. Exercise fitness centers for such patients should be medically supervised and equipped with a defibrillator and appropriate drugs.

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Cite This Study

Gerald F. Fletcher (1977) conducted a case report in Ischemic heart disease (n=5). Medically supervised cardiac exercise program was evaluated on Ventricular fibrillation. Five patients with ischemic heart disease experienced unpredictable ventricular fibrillation during a medically supervised exercise program and were successfully resuscitated.

synapsesocial.com/papers/6a23bbd6f11d41932608e202https://doi.org/10.1001/jama.1977.03280250053023
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