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Sturm JT, Leachman CJ, Holub DA, et al. Late ventricular fibrillation following successful resuscitation from postinfarction cardiogenic shock with intraaortic balloon pumping. Cardiovasc Dis. 1980;7(1):83-89
Sturm, J. T., Leachman, C. J., Holub, D. A., & Norman, J. C. (1980). Late ventricular fibrillation following successful resuscitation from postinfarction cardiogenic shock with intraaortic balloon pumping. Cardiovascular diseases, 7(1), 83-89.
Sturm, James T., et al. "Late ventricular fibrillation following successful resuscitation from postinfarction cardiogenic shock with intraaortic balloon pumping." Cardiovascular diseases vol. 7,1 (1980): 83-89.
Sturm JT, Leachman CJ, Holub DA, Norman JC. Late ventricular fibrillation following successful resuscitation from postinfarction cardiogenic shock with intraaortic balloon pumping. Cardiovasc Dis. 1980 Mar;7(1):83-89. PMID: 15216286; PMCID: PMC287836.
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Cardiovasc Dis. 1980 Mar;7(1):83-89.

Late ventricular fibrillation following successful resuscitation from postinfarction cardiogenic shock with intraaortic balloon pumping.

Cardiovascular diseases

James T. Sturm, Catherine J. Leachman, Daniel A. Holub, John C. Norman

Affiliations

  1. Cardiovascular Surgical Research Laboratories of the Texas Heart Institute of St. Luke's Episcopal and Texas Children's Hospitals.

PMID: 15216286 PMCID: PMC287836

Abstract

Early ventricular fibrillation occurs in approximately 5% of patients admitted for acute myocardial infarction. Although late ventricular fibrillation (> 48 hours postinfarction) may occur in stable patients, it occurs more commonly when severe left ventricular power failure is present. We have encountered late ventricular fibrillation in three of 42 (7%) patients treated with intraaortic balloon pumping (IABP) for profound cardiogenic shock secondary to myocardial infarction. These patients progressed to our hemodynamic Class A prior to weaning, and were thought to be stable prior to IABP removal. They were the only ones who expired after achieving Class A status. The episodes of late ventricular fibrillation occurred after the patients had been successfully weaned from IABP and were free of arrhythmias. This experience suggests that prolonged antiarrhythmic therapy may be indicated for postinfarction patients who have had ventricular dysrhythmias during IABP support.

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