Ventricular Fibrillation

WHAT IS IT?

Ventricular fibrillation refers to a cardiac condition characterized by a disordered and rapid depolarization of the ventricles. 

WHAT CAUSES IT?

 

WHY IS IT CONCERNING MEDICALLY?

This disordered and rapid depolarization of the cardiac ventricles results in a cardiac output that essentially becomes zero, which makes this condition life threatening and rapidly fatal if untreated. 

WHAT IS THE INTIAL PRESENTATION?

Patient Chief Complaints:

  • Temporary loss of consciousness (syncope)

Detected Medical Problems:

  • Hypotension
  • Pulselessness 
WHAT ARE IMPORTANT ELEMENTS OF THE MEDICAL HISTORY?

Risk Factors:

  • Coronary artery disease
  • Myocardial infarction

Medical History:

 

WHAT ARE IMPORTANT FEATURES OF THE PHYSICAL EXAM?

Vital Signs:

  • Pulselessness
  • Hypotension 

Other:

 

CLINICAL WORKUP: SERUM STUDIES

 

CLINICAL WORKUP: IMAGING

 

CLINICAL WORKUP: ELECTROCARDIOGRAM

This condition is characterized by a completely erratic EKG tracing:

 

HOW DO WE NARROW THE DIFFERENTIAL?

Conditions that present similarly and how to exclude them:

 

WHAT IS OUR THRESHOLD FOR DIAGNOSING THIS CONDITION?

 

PATIENT MANAGMENT: SYMPTOM RELEIF

 

PATIENT MANAGEMENT: DISEASE TREATMENT

Cardiopulmonary Resuscitation (CPR):

Electrical  Defibrillation: 

PATIENT MANAGEMENT: PROPHYLACTIC MEASURES

 

COULD THIS HAVE BEEN PREVENTED?

 

ARCHIVE OF STANDARDIZED EXAM QUESTIONS 

This archive compiles standardized exam questions that relate to this topic.

 

Page Updated: 02.15.2017