Key result
A 22-year-old woman who suffered a cardiac arrest on an aircraft was found to have a prolonged QT-interval and complete atrioventricular block on her initial ECG.
Case Report (n=1)
This case highlights the presentation and initial workup of a young adult experiencing sudden cardiac arrest with prolonged QT and complete AV block.
Prompts consideration of long QT with AV block in young cardiac arrest survivors; extends sparse case reports on this presentation.
We present the case of a young woman who was resuscitated on an aircraft shortly before take-off.The initial ECG showed a prolonged QT-interval along with a complete atrioventricular block. Case presentationA 22-year-old student was admitted to our hospital after she had been resuscitated in an airplane at the local airport.According to the emergency personnel, the patient was found unconscious shortly before takeoff.Upon arrival, the paramedics initiated cardiopulmonary resuscitation.Figure 1 shows the initial rhythm documentation.The patient had no known diseases or family history of sudden cardiac death (SCD) and had never had an ECG taken before.She took no medications and used no illicit drugs.Coronary angiography was performed, due to initially reduced left ventricular ejection fraction (LVEF 35%), and revealed normal coronary arteries.Cardiac MRI showed no signs of myocarditis.
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Marcus Mutschelknauss (2010) conducted a case report in Cardiac arrest (n=1). Cardiopulmonary resuscitation was evaluated. A 22-year-old woman who suffered a cardiac arrest on an aircraft was found to have a prolonged QT-interval and complete atrioventricular block on her initial ECG.
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