Agonal Ventricular Fibrillation: 12-Lead ECG

Report:

Ventricular fibrillation 160/min

Comment:

It is instructive to compare the lead 2 rhythm strip at the bottom with the simultaneously recorded leads above. This demonstrates continuous undulating activity even where, in a single lead, there appears to be a ‘clean’ isoelectric line.

It is rarely mentioned that the rate of VF may be well below that of ventricular flutter, sometimes as low as 150/min92.

Thiopentone, anyone?

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