Atherothrombotic out-of hospital cardiac arrest: watch out for a second train
| Autor: | Laura Petruescu, Fabien Picard, Olivier Varenne, Alain Cariou |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Electric Countershock Coronary Vasospasm Unusual Association of Diseases/Symptoms 030204 cardiovascular system & hematology Coronary Angiography Out of hospital cardiac arrest law.invention 03 medical and health sciences 0302 clinical medicine law Internal medicine medicine.artery medicine Humans Methylergonovine cardiovascular diseases 030212 general & internal medicine Asystole Rupture Spontaneous Interventional cardiology business.industry Coronary Thrombosis Stent General Medicine Middle Aged medicine.disease Intensive care unit Cardiopulmonary Resuscitation Defibrillators Implantable medicine.anatomical_structure Coronary Occlusion Right coronary artery Cardiology business Out-of-Hospital Cardiac Arrest Artery |
| Zdroj: | BMJ Case Reports. :bcr-2017 |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2017-223529 |
| Popis: | A 63-year-old man presented with an out-of-hospital cardiac arrest. The coronary angiogram with intravascular imaging was performed and showed a mid-left anterior descending artery atherosclerotic cap rupture with thrombus burden treated with drug-eluting stent (DES) implantation. During the hospitalisation in the intensive care unit, the patient experienced recurrent ventricular fibrillations and asystole with transient ST-segment elevation in the inferior leads with normal coronary angiography. A methylergonovine provocative test was therefore performed and showed an occlusive right coronary artery (RCA) spasm. Due to recurrent RCA spasm, the patient was treated with DES implantation with favourable results at 3-month follow-up. |
| Databáze: | OpenAIRE |
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