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A 10 years review of the characteristics of in-hospital ventricular fibrillation victim in a single center
Ist Teil von
Chung-hua nei kʿo tsa chih, 2009-03, Vol.48 (3), p.201
Ort / Verlag
China
Erscheinungsjahr
2009
Quelle
MEDLINE
Beschreibungen/Notizen
To study the factors influencing the outcome of patients suffering from in-hospital ventricular fibrillation (IHVF), as there have been few studies focusing on this topic.
Patients with IHVF collected in a single cardiac center were classified into a successful group and a failure group. Data relevant to the predicting factors of the two groups were compared.
There were 206 events in the analysis. The most common underlining disease was coronary artery disease (CAD), especially acute myocardial infarction (AMI). On multiple logistic regression analysis, it was shown that the independent predictors for failure of defibrillation were higher NYHA class (OR 1.7, 95% CI 1.3 - 2.2, P < 0.001), higher blood potassium level (OR 2.9, 95% CI 1.9 - 4.3, P = 0.007) and adrenaline usage (OR 25.0, 95% CI 11.5 - 55.1, P < 0.001). In a AMI sub-group, 56.9% of the IHVF events occurred within the first day of AMI, and the occurrence descended with time going on within 2 weeks. Before the occurrence of IHVF, the patients with r