Ventricular Fibrillation Induced by Conducted Sinus or Supraventricular Beat

Author:

SAKAMOTO TOHRU1,YAMADA TAKASHI1,HIEJIMA KAZUMASA1

Affiliation:

1. From the First Departments of Surgery and Medicine, School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan.

Abstract

We report a case of a 35-year-old housewife who had a repetitive ventricular fibrillation following cardiac surgery. This arrhythmia was induced by sinus or supraventricular ectopic beats conducted to the ventricles and interrupting the preceding T or T+U wave during incomplete A-V dissociation. The cycle length (Q-Q) and the Q-Q/Q-T ratio of the beats preceding fibrillation were significantly shorter than the Q-Q and Q-Q/Q-T ratio of the beats not preceding fibrillation. These findings suggest that ventricular fibrillation is more likely to occur when the supraventricular impulse is conducted to the ventricles early in the cycle and interrupts the T or T+U wave.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference9 articles.

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2. Ventricular fibrillation due to single, localized induction and condenser shocks applied during the vulnerable phase of ventricular systole;Amer J Physiol,1940

3. A myocardial syndrome

4. Ventricular fibrillation

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