PMID- 23648161
OWN - NLM
STAT- MEDLINE
DCOM- 20150516
LR  - 20130507
IS  - 2095-4352 (Print)
VI  - 25
IP  - 2
DP  - 2013 Feb
TI  - [The effect of ventricular fibrillation time and NYHA classification on 
      defibrillation in intensive care unit patients].
PG  - 99-101
LID - 10.3760/cma.j.issn.2095-4352.2013.02.012 [doi]
AB  - OBJECTIVE: To investigate whether the sequence of defibrillation (DF) and 
      cardiopulmonary resuscitation (CPR), duration of ventricular fibrillation (VF), 
      and New York Heart Association (NYHA) classification would affect DF result in 
      intensive care unit. METHODS: Ninety-three cases needing instantaneous DF were 
      divided into three groups according to VF lasting time: <4 minute group (n=53), 4 
      - 8 minute group (n=24), >8 minute group (n=16), and each group was randomly 
      divided into two sub-groups according to time sequence: the prior DF group or the 
      prior CPR for five cycles followed by DF group (prior CPR group). The effect of 
      VF time, the sequence of DF and CPR, and NYHA classification on success rate of 
      DF were observed. RESULTS: With prolonging VF time, success rate of DF obviously 
      lowered [success rate of DF for VF<4 minute, 4 - 8 minute, and >8 minute groups 
      were 83.0% (44/53), 62.5% (15/24), and 25.0% (4/16), respectively, all P<0.01]. 
      When VF time lasted less than 4 minutes, success rate of DF in the prior DF group 
      was obviously higher than that in the prior CPR group [88.9% (24/27) vs. 76.9% 
      (20/26), P<0.05]. When VF time lasted for 4 - 8 minutes, the prior DF group had 
      slightly higher success rate of DF compared with the prior CPR group [66.7% 
      (8/12) vs. 58.3% (7/12), P=0.09]. When VF time lasted longer than 8 minutes, the 
      success rate of DF in the prior CPR group was obviously higher than that in the 
      prior DF group [37.5% (3/8) vs. 12.5% (1/8), P<0.01]. The success rate of DF was 
      lowered in higher NYHA classification [success rate of DF for NYHA classification 
      I-IV was 96.4% (27/28), 80.0% (20/25), 47.8% (11/23), 29.4% (5/17), respectively, 
      P<0.05 or P<0.01]. CONCLUSIONS: VF lasting time and NYHA classification are key 
      factors to success rate of DF, and the choice of sequence of DF and CPR depends 
      on the lasting time of VF. For cases with the high NYHA classification, we should 
      make some judgement beforehand and prepare some preventive measures.
FAU - Shi, Zong-hua
AU  - Shi ZH
AD  - Department of Critical Care Medicine, the Fifth Affiliated Hospital of Zhengzhou 
      University, Zhengzhou, Henan, China.
FAU - Gao, Chuan-yu
AU  - Gao CY
FAU - Liu, Lin-gang
AU  - Liu LG
FAU - Zhang, Rao-rao
AU  - Zhang RR
FAU - Xu, Rui-hua
AU  - Xu RH
LA  - chi
PT  - English Abstract
PT  - Journal Article
PL  - China
TA  - Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
JT  - Zhonghua wei zhong bing ji jiu yi xue
JID - 101604552
SB  - IM
MH  - American Heart Association
MH  - Cardiopulmonary Resuscitation/*methods
MH  - *Critical Care
MH  - Electric Countershock/*classification
MH  - Humans
MH  - Intensive Care Units
MH  - New York
MH  - Time Factors
MH  - United States
MH  - *Ventricular Fibrillation
EDAT- 2013/05/08 06:00
MHDA- 2015/05/20 06:00
CRDT- 2013/05/08 06:00
PHST- 2013/05/08 06:00 [entrez]
PHST- 2013/05/08 06:00 [pubmed]
PHST- 2015/05/20 06:00 [medline]
AID - 10.3760/cma.j.issn.2095-4352.2013.02.012 [doi]
PST - ppublish
SO  - Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2013 Feb;25(2):99-101. doi: 
      10.3760/cma.j.issn.2095-4352.2013.02.012.