Key result
Prolonged active resuscitation for 69 minutes during ventricular fibrillation arrest followed by percutaneous coronary intervention resulted in survival with intact neurological function.
Why the study?
Can prolonged resuscitation combined with concurrent primary PCI lead to neurologically intact survival in a patient with prolonged ventricular fibrillation arrest due to acute myocardial infarction?
Case Report (n=1)
Can prolonged resuscitation combined with concurrent primary PCI lead to neurologically intact survival in a patient with prolonged ventricular fibrillation arrest due to acute myocardial infarction?
Prolonged active resuscitation combined with concurrent primary PCI can result in neurologically intact survival in patients with refractory ventricular fibrillation arrest due to acute myocardial infarction.
May support extended resuscitation with PCI in select refractory VF arrests; hypothesis-generating and should not yet change practice.
A 67-year-old man presented to the emergency department with symptoms of acute myocardial infarction. Electrocardiogram showed ST segment elevations in leads II, III, and AVF. While waiting for cardiac catheterization, he developed prolonged ventricular fibrillation lasting for 69 minutes, throughout which he was resuscitated as per the 2010 Advanced Cardiac Life Support protocol. The patient was transferred to the catheterization lab while undergoing active resuscitation, where a stent was placed in his right coronary artery. He was neurologically intact postcatheterization and discharged home on the sixth day of admission.
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Harmouche et al. (2013) conducted a case report in Acute myocardial infarction with prolonged ventricular fibrillation arrest (n=1). Prolonged resuscitation (ACLS protocol) and percutaneous coronary intervention was evaluated on Survival and neurological outcome. Prolonged active resuscitation for 69 minutes during ventricular fibrillation arrest followed by percutaneous coronary intervention resulted in survival with intact neurological function.
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