Cardiogenic Shock due to Pulseless Electrical Activity Arrest Associated with Severe Coronary Artery Spasm
| Autor: | Shozo Sueda, Kaori Fujimoto, Hirokazu Habara, Hiroaki Kohno, Yasuhiro Sasaki |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty pulseless electrical activity arrest Shock Cardiogenic Coronary Vasospasm Case Report 030204 cardiovascular system & hematology Ventricular tachycardia Coronary Angiography aborted sudden cardiac death 03 medical and health sciences Electrocardiography 0302 clinical medicine Internal medicine Internal Medicine medicine Humans 030212 general & internal medicine cardiovascular diseases Aged medicine.diagnostic_test business.industry Cardiogenic shock cardiogenic shock General Medicine medicine.disease coronary spasm Heart Arrest Hospitalization Blood pressure medicine.anatomical_structure Coronary vasospasm Pulseless electrical activity Ventricular fibrillation Cardiology cardiovascular system business Artery |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 |
| Popis: | A 75-year-old man was admitted to our hospital for follow-up coronary angiography. Just after starting coronary angiography, his electrocardiogram showed ST-segment elevation in the V1-6, I, II, and aVF leads, and he fell into catastrophic cardiogenic shock. His left coronary arteriogram showed proximal total obstruction in the left anterior descending artery and proximal subtotal occlusion in the left circumflex artery. Because pulseless electrical activity arrest was recognized, cardiopulmonary support was started. After more than 15 minutes' cardiac massage, his blood pressure gradually returned to baseline. During the cardiogenic shock due to pulseless electrical activity arrest, neither ventricular fibrillation nor ventricular tachycardia was recognized. |
| Databáze: | OpenAIRE |
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