A 34-year-old member asked:
is there a p wave in ventricular fibrillation?
3 doctor answers

Dr. Jason Rubenstein answered
20 years experience Cardiology
Not visibly. : There is usually atrial activity, either the occasional retrograde atrial activation, or just the normal sinus rate progressing along unaffected by the vf. However, with the continuous ventricular activity in vf, it would typically be impossible to make out a P wave on the surface ekg. When we have catheters in the heart (during an ep study) we see the atrial activity in vf.
Answered on Feb 18, 2015
2
2 thanks

Dr. Sue Ferranti answered
29 years experience Internal Medicine
No...: There is no organized rhythmn in ventricular fibrillation so no P wave is present. There is also no qrs complex present. There is no blood flow as the heart is quivering so the patient is clinically dead. The heart needs to be shocked as quickly as possible to hopefully restore a normal rhythmn.
Answered on Feb 18, 2015

Dr. Volkan Tuzcu answered
31 years experience Pediatric Cardiology
Vf: they are masked by extremely rapid electrical storm in the heart, so can't see them in ECG
Answered on Jul 19, 2015
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