Case Report (n=1)
Highlights the diagnostic workup of sudden cardiac arrest in a young athlete, revealing a suspected anomalous left main coronary artery.
Bystander CPR enabled ROSC after exertional VF arrest; case report leaves open etiology and screening implications in young adults.
A 24-year-old previously healthy woman collapsed while running. This was witnessed by a pedestrian who initiated cardiopulmonary resuscitation (CPR) and called for emergency medical assistance. The patient was found to be in ventricular fibrillation, but achieved return of spontaneous circulation (ROSC) after desynchronised cardioversion. An ECG revealed ST segment depression in V4, V5 and V6 but was otherwise unremarkable, including a normal corrected QT interval. A bedside echocardiogram after the event revealed global hypokinesis with normal left ventricle thickness. She was taken to the catheterisation laboratory and underwent coronary angiography. This revealed a normal right circulation, but it was difficult to find the origin of the left main coronary artery (LMCA). The patient did not require therapeutic hypothermia as she appeared …
No takes yet. Share an insight, caveat, or question.
Talal Hilal (2015) conducted a case report in Sudden cardiac arrest (n=1). Cardiopulmonary resuscitation and cardioversion was evaluated.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: