Abstract
The management of refractory cardiac arrest during invasive coronary procedures has substantial logistical challenges and is typically associated with disappointing outcomes. We describe the case of a young woman with recalcitrant ventricular fibrillation due to acute anterior ST-elevation myocardial infarction caused by occlusion of her proximal left anterior descending artery. Survival without neurological deficit or organ failure was achieved following primary percutaneous reperfusion and a total of 52 min of intra-procedural chest compression support, made possible by the use of an automated chest compression device.
Keywords:
cardiopulmonary resuscitation; myocardial infarction; percutaneous coronary intervention; ventricular fibrillation.
© 2014 Wiley Periodicals, Inc.
MeSH terms
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Adult
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Anterior Wall Myocardial Infarction / diagnosis
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Anterior Wall Myocardial Infarction / etiology
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Anterior Wall Myocardial Infarction / physiopathology
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Anterior Wall Myocardial Infarction / therapy*
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Automation
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Cardiopulmonary Resuscitation / instrumentation*
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Coronary Angiography
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Coronary Occlusion / complications
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Coronary Occlusion / diagnosis
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Coronary Occlusion / physiopathology
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Coronary Occlusion / therapy*
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Equipment Design
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Female
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Heart Arrest / diagnosis
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Heart Arrest / etiology
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Heart Arrest / physiopathology
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Heart Arrest / therapy*
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Humans
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Nervous System / physiopathology*
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Percutaneous Coronary Intervention*
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Recovery of Function
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Time Factors
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Treatment Outcome
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Ventricular Fibrillation / diagnosis
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Ventricular Fibrillation / etiology
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Ventricular Fibrillation / physiopathology
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Ventricular Fibrillation / therapy*