A low-voltage (110 or 230 V), 50 or 60-Hz AC current through the chest for a fraction of a second may induce ventricular fibrillation at currents as low as 60 mA. With DC, 300 to 500 mA is required. If the current has a direct pathway to the heart (e.g., via a cardiac catheter or other kind of electrode), a much lower current of less than 1 mA, (AC or DC) can cause fibrillation. If not immediately treated by defibrillation, fibrillations are usually lethal because all the heart muscle cells move independently. Above 200 mA, muscle contractions are so strong that the heart muscles cannot move at all.