Key result
Cardiopulmonary resuscitation and medical treatment in a 16-year-old male with cardiac arrest led to shortening of initially wide QRS complexes and revelation of a specific ECG pattern.
Case Report (n=1)
This case report describes a 16-year-old male presenting with cardiopulmonary arrest and a highly abnormal ECG that evolved after treatment.
This ECG evolution in adolescent arrest warrants clinical recognition; leaves open its etiology and optimal management pending further reports.
We present the case of a 16-year-old male patient with a history of anxiety disorder who presented with a cardiopulmonary arrest at his home. The first cardiac rhythm (+0) was remarkable for irregular and very wide, aberrated QRS complexes (320 ms) without identifiable atrial activity. Cardiopulmonary resuscitation manoeuvres were initiated. He was intubated and transferred to the acute cardiac care unit. In the immediate ECG (+2 hours) irregular, very wide (320 ms), aberrated and right-bundle-branch-like morphology QRS complexes persisted, but after several hours of treatment (+15 hours) a sinusal activity started, QRS complexes shortened (160 ms) and a specific ECG pattern was noted on right precordial …
No takes yet. Share an insight, caveat, or question.
Marcos‐Garcés et al. (2021) conducted a case report in Cardiac arrest (n=1). Cardiopulmonary resuscitation and medical treatment was evaluated. Cardiopulmonary resuscitation and medical treatment in a 16-year-old male with cardiac arrest led to shortening of initially wide QRS complexes and revelation of a specific ECG pattern.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: