Ventricular fibrillation

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Symptoms

By Mayo Clinic staff

Loss of consciousness or fainting is the most common sign of ventricular fibrillation.

Early ventricular fibrillation symptoms
It's possible that you may have other signs and symptoms that start about an hour before your heart goes into ventricular fibrillation and you faint. These include:

  • Chest pain
  • Rapid heartbeat (tachycardia)
  • Dizziness
  • Nausea
  • Shortness of breath

When to see a doctor
If you or someone else is having signs and symptoms of ventricular fibrillation, seek emergency medical help immediately. Follow these steps:

  • Call 911 or the emergency number in your area.
  • Begin cardiopulmonary resuscitation (CPR) to help maintain blood flow to the organs until an electrical shock (defibrillation) can be given. Push hard and fast on the person's chest — about 100 compressions a minute. It's not necessary to check the person's airway or deliver rescue breaths unless you've been trained in CPR. If you are trained, check the airway and then deliver rescue breaths after every 30 compressions.

Portable automated external defibrillators (AEDs), which can deliver an electric shock that may restart heartbeats, are available in an increasing number of places, such as in airplanes, police cars and shopping malls. They can even be purchased for your home. Portable defibrillators come with built-in instructions for their use. They're programmed to allow a shock only when appropriate.

References
  1. Ventricular fibrillation. American Heart Association. http://www.heart.org/HEARTORG/Conditions/Arrhythmia/AboutArrhythmia/Ventricular-Fibrillation_UCM_324063_Article.jsp. Accessed Aug. 17, 2011.
  2. Olgin JE, et al. Specific arrhythmias: Diagnosis and treatment. In: Bonow RO, et al. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-1-4377-0398-6..C2009-0-59734-6--TOP&isbn=978-1-4377-0398-6&about=true&uniqId=236798031-10. Accessed Aug. 17, 2011.
  3. ACC/AHA/ESC 2006 guidelines for management of patients with ventricular arrhythmias: A prevention of sudden cardiac death — Executive summary. Circulation. 2006;117:e350.
  4. Srivathsan K, et al. Ventricular tachycardia and ventricular fibrillation. Expert Reviews in Cardiovascular Therapy. 2009;7:801.
  5. Automated external defibrillator. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/aed/aed_all.html. Accessed Aug. 18, 2011.
  6. Field JM, et al. Part 1: Executive summary - 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122(suppl):S640.
  7. How the heart works. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/hhw/hhw_all.html. Accessed Aug. 17, 2011.
DS01158 Nov. 1, 2011

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