The efficacy and safety of two kinds of defibrillation electric conduction medium for patients with ventricular fibrillation during primary percutaneous coronary intervention
ZHU Xueqing
HE Fang
YUAN Sheng
CHE Xiangyang
ZHAO Yanwei
Abstract：Objective To evaluate the efficacy and safety of two kinds of defibrillation electric conduction medium for patients with ventricular fibrillation during primary percutaneous coronary intervention.Methods 80 patients diagnosed as acute myocardial infarction with ventricular fibrillation during primary PCI from Jan 2010 to Dec 2016 ,were randomly divided into two groups (40 patients in each group): control group received electrical defibrillation using ultrasound couplant as conducting medium, and experimental group received electrical defibrillation using gauzes soaked in normal saline as conducting medium. The outcomes were success rate of first defibrillation, the average time of defibrillation, the incidence and severity of cutaneous burns.Results The success rate of first defibrillation had no statistical significance between 2 groups (60％vs. 50％,P>0.05). The average time of defibrillation was shortened significantly in experimental group (0.80±0.49 minvs. 1.86±0.79 min,P<0.05).The incidence and severity of cutaneous burns was lower significantly in experimental group (5％vs. 35％,P<0.05). Conclusion Compared with traditional ultrasound couplant, using gauzes soaked in normal saline as conducting medium showed better efficacy and safety, which seemed more suitable for patients with ventricular fibrillation during primary PCI.
Keywords：Acute myocardial infarctionPrimary percutaneous coronary interventionVentricular fibrillationDefibrillationConducting medium
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 988-990 )