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okay this is ventricle fibrillation ventricular ventricular fibrillation we see this tachycardia and goes to fibrillation ventricular fibrillation this is ventricular fibrillation okay you see this so you see two vents ectopic beads yes ventricular of course and then starting with ventricular tachycardia goes to ventricular ventricular fibrillation we see ventricular fibrillation as a complication of acute myocardial infarction electric disturbances so this ventricular fibrillation ventricular fibrillation occurs in 5 to 12 percent of patients during the first 24 hours 24 24 hours after my cardio deflection usually within first uh six hours late ventricular fibrillation usually indicates continued or recurrent myocardial ischemia and when compared by hemodynamic hemodynamic deterioration is a very very poor prognostic sign so of course we treat this uh fibrillation with which immediate unsynchronized cardioversion so vertical tachycardia will retreat with cardioversion synchronized and