great question, I've seen patients presenting with massive anterior MI and occluded large LAD fly through the cath lab and discharged in 2-3 days, while others with occluded small diagonal or OM have recurrent VF and a poor outcome, hope we can identify the ones at greatest risk.
Umm... VF is common during reperfusion as well as when you have a large chunk of your heart already dead! Come on, man. This isn't mystical or fate, and it's not ignorance. Dead hearts don't beat. There are hundreds of things that can cause VF during an AMI... there is no break-through. We know what causes reperfusion arrhythmia, and any infarct can cause a fatal rhythm by physiological means that we already know about.
VF during ischemia is most likely a combination of many factors with chance playing a large role. Some are likely genetic variability but it is my impression that all ischemic events of sufficient size and duration create a temporal period of stochastic risk. Spontaneous reperfusion is unlikely a major player.
nice clip..............good work
ankurmontu 7 months ago in playlist nursing 13
great question, I've seen patients presenting with massive anterior MI and occluded large LAD fly through the cath lab and discharged in 2-3 days, while others with occluded small diagonal or OM have recurrent VF and a poor outcome, hope we can identify the ones at greatest risk.
kaloya379 1 year ago
dr.venkatesan,
i would like to meet you if you are in chennai.
thnx for the informative &educative vidos
sairocket 2 years ago
Umm... VF is common during reperfusion as well as when you have a large chunk of your heart already dead! Come on, man. This isn't mystical or fate, and it's not ignorance. Dead hearts don't beat. There are hundreds of things that can cause VF during an AMI... there is no break-through. We know what causes reperfusion arrhythmia, and any infarct can cause a fatal rhythm by physiological means that we already know about.
jdmorgan23 3 years ago
VF during ischemia is most likely a combination of many factors with chance playing a large role. Some are likely genetic variability but it is my impression that all ischemic events of sufficient size and duration create a temporal period of stochastic risk. Spontaneous reperfusion is unlikely a major player.
doc911sc 3 years ago
maybe going into v-fib could loosen the clot via mechanical agitation?
protovack 3 years ago