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European Heart Journal 1989 10(10):892-895;
Copyright © 1989 by the European Society of Cardiology.
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© 1889 The European Society of Cardiology

Ventricular fibrillation in coronary angiography: what is the role of contrast medium?

S. J. ARMSTRONG, K. P. MURPHY, P. WILDE and G. G. HARTNELL

Department of Radiodiagnosis, Bristol Royal Infirmary Bristol, U.K.

Received 10 October 1988; revised 21 February 1989; .

Address for correspondence: Dr S. J. Armstrong, Department of Radiodiagnosis, Bristol Royal Infirmary, Bristol BS2 8HW, U.K.

Abstract

A retrospective review of patients with coronary angiography was undertaken to establish the incidence of ventricular fibrillation and other serious arrhythmias and to identify possible causative factors, in particular whether the use of non-ionic contrast medium increased the risk of a serious arrhythmia.

Out of 3660 patients reviewed there were 10 cases of ventricular fibrillation. In all cases, there were identifiable technical factors thought to have accounted for the arrhythmia. There were no cases of ventricular fibrillation complicating a technically satisfactory injection of ionic or non-ionic contrast medium. There was no significant difference in the incidence of serious arrhythmias between patients given ionic and those given non-ionic contrast medium.

Key Words: Coronary angiography • ventricular fibrillation • contrast media • iopamidol • diatrizoate • catheter technique


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