A novel mechanism for electrical currents inducing ventricular fibrillation: The three-fold way to fibrillation.

It has been long recognized that there are 2 methods for inducing VF (ventricular fibrillation) with electrical currents‥ These are: (1) delivering a high-charge shock into the cardiac T-wave, and (2) delivering lower level currents for 1-5 seconds. Present electrical safety standards are based on this understanding. We present new data showing a 3(rd) mechanism of inducing VF which involves the steps of delivering sufficient current to cause high-rate cardiac capture, causing cardiac output collapse, leading to ischemia, for sufficiently long duration, which then lowers the VFT (VF threshold) to the level of the current, which finally results in VF.

Cardiac effects of varying pulse charge and polarity of TASER conducted electrical weapons.

The TASER(R) CEW (Conducted Electrical Weapon) is rapidly replacing the club in the English-speaking world for assisting in the arrest of resistant subjects and is now used by the majority of law enforcement agencies in the USA, Canada, and the UK. Animal safety studies of the CEW have focused on the risk of VF. We sought to determine the difference in cardiac capture and VF risk between the approximately 102 +/- 8 microC of the ubiquitous X26 and a me-tered 72 microC charge from an experimental device.