Cardiophile MD Archive

Multiple spikes within the QRS is known as fragmented QRS (f-QRS). Morita et al, from Okayama, Japan has found an association between f-QRS and ventricular fibrillation in Brugada Syndrome (Circulation. 2008;118:1697-1704). 115 patients were evaluated – 13 resuscitated from ventricular fibrillation, 28 with syncope and 74 asymptomatic. 43% of them had f-QRS. The highest occurrence [...]

Electrical storm: Recurrent unstable VT / VF requiring more than three DC shocks per day Beta blocker is the single most effective therapy for recurrent VT unless the person is in shock There should be a low threshold for inserting IABP in those with electrical storm Hypothermia has been shown to suppress electrical storms in [...]