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.
Department of Anesthesiology and Critical Care Medicine, Hadassah Medical Center and The Hebrew University-Hadassah Medical School, Jerusalem, Israel. Peroua@mail.hadassah.org.il
M
M
Perouansky
M
M
Shamir
E
E
Hershkowitz
Y
Y
Donchin
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