Ventricular fibrillation (VFib) is a chaotic rhythm originating in the ventricles, resulting in no cardiac output. Coarse VFib is noted when the amplitude (height) of the rhythm is equal to or more than 3 mm. Fine VFib is less than 3 mm in height and signifies less electrical energy within the myocardium - less opportunity for a successful defibrillation.
It is very easy to differentiate as the ECG wave frequency is chaotic showing disorganized contraction of the ventricles.
Emergency treatment is defibrillation. This will reverse the arrhythmia and return the heart rhythm to normal. If defibrillation is not possible, then CPR should be performed to maintain the cycle and stabilize the arrhythmia.
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