Ventricular Fibrillation

Ventricular fibrillation (V-fib) is a serious and life-threatening heart rhythm disorder that occurs when the ventricles of the heart beat too quickly and irregularly, preventing the heart from pumping blood effectively.

Causes and Risk Factors

Ventricular fibrillation can be caused by various factors, including:

  • Severe heart attack or myocardial infarction
  • Electrical shock or lightning strike
  • Certain medications, such as anti-arrhythmic drugs
  • Underlying heart conditions, such as cardiomyopathy or coronary artery disease
  • Genetic disorders, such as long QT syndrome

Symptoms

The symptoms of ventricular fibrillation may include:

  • Sudden loss of consciousness or collapse
  • No pulse or a very weak pulse
  • No breathing or abnormal breathing
  • Chest pain or discomfort
  • Shortness of breath

Diagnosis

Ventricular fibrillation is typically diagnosed using:

  • Electrocardiogram (ECG or EKG) to measure the heart's electrical activity
  • Defibrillator or cardiac monitor to detect abnormal heart rhythms
  • Medical history and physical examination to identify underlying causes

Treatment

The treatment for ventricular fibrillation typically involves:

  • Cardiopulmonary resuscitation (CPR) to maintain blood circulation and breathing
  • Defibrillation using a defibrillator or automated external defibrillator (AED) to restore a normal heart rhythm
  • Medications, such as anti-arrhythmic drugs or vasopressors, to stabilize the heart rhythm and blood pressure
  • Implantable cardioverter-defibrillator (ICD) to prevent future episodes of ventricular fibrillation

Prognosis

The prognosis for ventricular fibrillation depends on various factors, including:

  • Promptness and effectiveness of treatment
  • Underlying cause of the condition
  • Presence of other medical conditions or comorbidities

With prompt and effective treatment, it is possible to restore a normal heart rhythm and prevent long-term damage. However, ventricular fibrillation can be fatal if left untreated or if treatment is delayed.

Article last updated on: 6th June 2025.
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