Ineffectiveness of precordial thump for cardioversion of malignant XXXX .

@entity1 @entity1165 @entity591 @entity2224 @entity943
BACKGROUND: The Precordial Thump (PT) is commonly used for cardiopulmonary resuscitations both in and out of hospitals. However, the support for its efficiency relies mainly on sporadic cases. In this current prospective large study, we tested the effectiveness and safety of PT in a wide range of malignant @entity1165 . METHODS: The study included 80 @entity1 who underwent electrophysiological study and/or implantation of a cardiodefibrillator device. During these procedures, once a malignant @entity1165 was induced, PT was used as the first treatment option. If the PT failed, other means were used to discontinue the @entity943 . RESULTS: Polymorphic @entity1165 occurred in 32 (40%) @entity1 , @entity2224 in 28 (35%) @entity1 , and 20 (25%) @entity1 had sustained monomorphic @entity1165 . Except in one @entity1 with monomorphic @entity1165 , the PT was unsuccessful in terminating any of the other @entity591 was eventually required in all other 79 (99%) @entity1 . The PT was not associated with any damage either to the sternal bone, ribs, or to the cardiodefibrillator device. CONCLUSIONS: PT is not effective in terminating malignant @entity1165 and should be reserved to a situation in which a defibrillator is not available.
