N(alpha)-histogram analysis of the ventricular fibrillation ECG-signal as predictor of countershock success

Previous work has suggested that the heart in ventricular fibrillation can be defibrillated more easily if the ECG shows higher mean-frequencies or hi gher absolute voltages. We investigated whether information on defibrillati on success is encoded in the random behaviour of the EGG-signals during fib rillation in a porcine model of cardiac arrest. To estimate the degree of r andomness we used N(alpha)-histograms, which have been used to characterize turbulent flows or to denoise astrophysical data. We found that width of N (alpha)-histograms can serve as predictors for defibrillation success. The width decreases the more random the EGG-signal behaves. In our setting, the probability to find values alpha(i) > 2.5 is dramatically increased by app lication of the vasopressor vasopressin (and conversely decreased for value s alpha(i) < 2.5). Even 10-12 min after fibrillation, vasopressin returns N (alpha)-histograms to the form they show 40 s after initiation of ventricul ar fibrillation. (C) 2000 Elsevier Science Ltd. All rights reserved.