[Cardiac arrest in a 17-year-old boy--a case report].
Cardiac arrest (CA) refers to abrupt cessation of cardiac pump function. Most sudden deaths in young people are of cardiac origin, at the same time most patients have unrecognised prior heart disease. We report a case of a 17-year-old boy with cardiac arrest induced by ventricular fibrillation. Sinus rhythm was restored after one hour's resuscitation. Based upon elevated necrotic markers, ECG changes and echocardiographic examinations the diagnosis of anterolateral myocardial infarction was established. Coronary angiography revealed only a small myocardial bridge. The patient in a poor general and unconscious state was transferred to the Coronary Care Unit of the Department of Coronary Disease. The patient improved after treatment and without neurological deficit or circulatory insufficiency continued cardiac rehabilitation in a spa hospital. The paper reviews differential diagnosis of cardiac arrest, treatment modalities and describes the course of hospitalisation.
Nessler
Jadwiga
J
Klinika Choroby Wieńcowej Instytutu, Kardiologii Collegium Medicum, Uniwersytetu Jagiellońskiego, Krakowie.
Libionka
Anna
A
Konduracka
Ewa
E
Nessler
Bohdan
B
Pietrucha
Artur
A
Piwowarska
Wiesława
W
Trusz-Gluza
Maria
M
D000293:Adolescent; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006323:Heart Arrest / Q000209:etiology*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000097:blood / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology; D012151:Resuscitation; D016896:Treatment Outcome; D014463:Ultrasonography; D014693:Ventricular Fibrillation / Q000150:complications*