Ventricular fibrillation risk factors
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2]
Overview
Common risk factors associated with the developmant of ventricular fibrillation (especially in the setting of myocardial infarction) include younger age (<60 years old), family history of sudden cardiac death, absence of preinfarction angina, history of atrial fibrillation, and heavy alcohol use.
Risk Factors
Risk factors for the development of ventricular fibrillation especially in the setting of acute myocardial infarction include:[1][2][3]
- Family history of sudden death
- Cumulative ST elevation
- Left coronary artery lesions leading to myocardial infarction
- Absence of preinfarction angina
In one nationwide study, ventricular fibrillation in the setting of acute myocardial infarction was associated with following risk factors:[4]
- Age < 60 years old
- Absence of preinfarction angina
- Family history of sudden death
- Use of statins
- History of atrial fibrillation
- Alcohol intake >7 units per week
References
- ↑ Gheeraert PJ, Henriques JP, De Buyzere ML, Voet J, Calle P, Taeymans Y, Zijlstra F (January 2000). "Out-of-hospital ventricular fibrillation in patients with acute myocardial infarction: coronary angiographic determinants". J. Am. Coll. Cardiol. 35 (1): 144–50. doi:10.1016/s0735-1097(99)00490-8. PMID 10636272.
- ↑ Dekker LR, Bezzina CR, Henriques JP, Tanck MW, Koch KT, Alings MW, Arnold AE, de Boer MJ, Gorgels AP, Michels HR, Verkerk A, Verheugt FW, Zijlstra F, Wilde AA (September 2006). "Familial sudden death is an important risk factor for primary ventricular fibrillation: a case-control study in acute myocardial infarction patients". Circulation. 114 (11): 1140–5. doi:10.1161/CIRCULATIONAHA.105.606145. PMID 16940195.
- ↑ Gheeraert PJ, Henriques JP, De Buyzere ML, De Pauw M, Taeymans Y, Zijlstra F (November 2001). "Preinfarction angina protects against out-of-hospital ventricular fibrillation in patients with acute occlusion of the left coronary artery". J. Am. Coll. Cardiol. 38 (5): 1369–74. doi:10.1016/s0735-1097(01)01561-3. PMID 11691510.
- ↑ Jabbari R, Engstrøm T, Glinge C, Risgaard B, Jabbari J, Winkel BG, Terkelsen CJ, Tilsted HH, Jensen LO, Hougaard M, Chiuve SE, Pedersen F, Svendsen JH, Haunsø S, Albert CM, Tfelt-Hansen J (January 2015). "Incidence and risk factors of ventricular fibrillation before primary angioplasty in patients with first ST-elevation myocardial infarction: a nationwide study in Denmark". J Am Heart Assoc. 4 (1): e001399. doi:10.1161/JAHA.114.001399. PMC 4330064. PMID 25559012.