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Ventricular Fibrillation Scholarly Journals | Open Access Journals
Epilepsy Journal

Epilepsy Journal

ISSN: 2472-0895

Open Access

Ventricular Fibrillation Scholarly Journals

Refractory ventricular fibrillation encountered during cardiac arrest has a mortality rate of 97% .1 In accordance with advanced guidelines for cardiac support (ACLS), the algorithm for managing ventricular fibrillation includes chest compressions, epinephrine, defibrillation and antiarrhythmics 2. have been reports describing the use of selective rapid-acting beta-blocker, esmolol, and double sequential defibrillation in the management of standard ACLS-refractory ventricular fibrillation. We present the case of a 24-year-old man who suffered a cardiac arrest outside the hospital, with refractory ventricular fibrillation despite high quality cardiopulmonary resuscitation (CPR) and management of ACLS. In addition to the standard ACLS, triple sequential defibrillation was used to obtain the return of spontaneous circulation (ROSC) after 82 minutes of stopping. An electrocardiogram (ECG) after ROSC showed a ST elevated myocardial infarction (MI), and the patient underwent angiography showing 100% occlusion of his left anterior descending artery. After taking charge of his coronary artery disease, he was discharged from the hospital 16 days later and was neurologically intact.

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