Successful resuscitation using aminophylline in refractory cardiac arrest with asystole.
Adenosine antagonists may have therapeutic potential in cardiopulmonary resuscitation. Aminophylline, a widely available adenosine antagonist, is not included in the Guidelines for Advanced Life Support by the European Resuscitation Council or the American Heart Association. This report addresses a case of out-of-hospital cardiac arrest caused by inferior wall myocardial infarction in which effective circulation was restored subsequent to aminophylline administration, after prolonged conventional resuscitation had resulted in asystole.
Perouansky
M
M
Department of Anesthesiology and Critical Care Medicine, Hadassah Medical Center and The Hebrew University-Hadassah Medical School, Jerusalem, Israel. Peroua@mail.hadassah.org.il
Shamir
M
M
Hershkowitz
E
E
Donchin
Y
Y
D000368:Aged; D000628:Aminophylline / Q000627:therapeutic use*; D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D002316:Cardiotonic Agents / Q000627:therapeutic use*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D004562:Electrocardiography; D005260:Female; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy*; D006801:Humans; D006973:Hypertension / Q000150:complications; D009203:Myocardial Infarction / Q000150:complications / Q000628:therapy
D002316:Cardiotonic Agents; D000628:Aminophylline