[Prolonged successful resuscitation with simultaneous complex angioplasty of the left anterior descending coronary artery in acute myocardial infarction complicated by cardiogenic shock--a case report].
A case of a 69-year-old woman with non-ST-segment elevation myocardial infarction (NSTEMI) complicated by cardiogenic shock and in-hospital cardiac arrest is presented. During prolonged (60 min) cardiopulmonary resuscitation successful complex coronary angioplasty with stenting of the left anterior descending coronary artery was performed, after which the patient recovered completely. The total time of cardiac arrest was 60 min, including the approximately 45-minute period of asystole. Post-resuscitation course was uneventful and neurological examination was normal. The patient, free of cardiovascular, respiratory and neurological symptoms, was discharged from hospital after 16 days.
Latacz
Paweł
P
Klinika Choroby Wieńcowej, Instytut Kardiologii Collegium Medicum UJ, Krakowski Szpital Specjalistyczny im. Jana Pawla II, ul. Pradnicka 80, 31-202 Kraków. platacz@poczta.onet.pl
Rostoff
Paweł
P
Gutowska
Olga
O
Kondys
Marek
M
Buszman
Paweł
P
Piwowarska
Wiesława
W
D022561:Advanced Cardiac Life Support; D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D003331:Coronary Vessels; D004562:Electrocardiography; D005260:Female; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy*; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications / Q000628:therapy*; D012770:Shock, Cardiogenic / Q000209:etiology / Q000628:therapy*; D013997:Time Factors; D016896:Treatment Outcome