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What could be the cause of ventricular fibrillation?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My 29-year-old brother had a pacemaker implanted three years ago after surviving a sudden cardiac arrest. Doctors determined the cause of the cardiac arrest to be ventricular fibrillation. Last week, he received a shock from his pacemaker for the first time, exactly three years after his initial episode. My question is whether we can identify the root cause of his ventricular fibrillation. What is the best treatment for his condition?

Please suggest.

Answered by Dr. Sagar Ramesh Makode

Education:

MBBS

Professional Bio:

Dr. Sagar Ramesh Makode is a Consultant Cardiologist dedicated to diagnosing and managing various heart conditions with precision and care. He focuses on improving cardiovascular health through advanced treatments and preventive strategies. With expertise in providing personalized care, he strives to support patients in achieving better heart health, enhancing their quality of life, and reducing the risk of future cardiac complications.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

Coronary artery disease is the most common cause of ventricular fibrillation. Other causes include dilated cardiomyopathy or reduced heart function. What is his ejection fraction? A low ejection fraction, whether due to coronary artery disease or other factors, can lead to ventricular tachycardia and fibrillation. He should undergo angiography and an echocardiogram if he has not already. His electrolyte levels should also be checked, as imbalances can be a significant trigger for ventricular fibrillation.

In terms of treatment, he may require Amiodarone and various other medications based on his echocardiogram and angiography results. Typically, patients are prescribed antiplatelet medications such as Aspirin and Clopidogrel, along with an ACE (angiotensin-converting enzyme) inhibitor like Ramipril and Spironolactone, in addition to other necessary treatments.

Feel free to upload any of his reports so that I can provide a more informed opinion on the cause.

I hope this information helps, and please reach out if you have any further questions.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At September 9, 2017
Reviewed At October 1, 2024

Education:

MBBS

Professional Bio:

Dr. Sagar Ramesh Makode is a Consultant Cardiologist dedicated to diagnosing and managing various heart conditions with precision and care. He focuses on improving cardiovascular health through advanced treatments and preventive strategies. With expertise in providing personalized care, he strives to support patients in achieving better heart health, enhancing their quality of life, and reducing the risk of future cardiac complications.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Sagar Ramesh Makode is a Consultant Cardiologist dedicated to diagnosing and managing various heart conditions with precision and care. He focuses on improving cardiovascular health through advanced treatments and preventive strategies. With expertise in providing personalized care, he strives to support patients in achieving better heart health, enhancing their quality of life, and reducing the risk of future cardiac complications.

This doctor is not available for online consultations on the platform anymore.

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