title: Survival with good neurological outcome in a patient with prolonged ischemic cardiac arrest--utility of automated chest compression systems in the cardiac catheterization laboratory.
abstract: The management of refractory cardiac arrest during invasive coronary procedures has substantial logistical challenges and is typically associated with disappointing outcomes. We describe the case of a young woman with recalcitrant ventricular fibrillation due to acute anterior ST-elevation myocardial infarction caused by occlusion of her proximal left anterior descending artery. Survival without neurological deficit or organ failure was achieved following primary percutaneous reperfusion and a total of 52 min of intra-procedural chest compression support, made possible by the use of an automated chest compression device.
authors.affiliation: MonashHeart, Monash Medical Centre, Clayton, Victoria, Australia.
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Psaltis
authors.forename: Ian T
authors.initials: IT
authors.lastname: Meredith
authors.forename: Walid
authors.initials: W
authors.lastname: Ahmar
mesh_terms: D000328:Adult; D056988:Anterior Wall Myocardial Infarction / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D001331:Automation; D016887:Cardiopulmonary Resuscitation / Q000295:instrumentation*; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D004867:Equipment Design; D005260:Female; D006323:Heart Arrest / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D009420:Nervous System / Q000503:physiopathology*; D062645:Percutaneous Coronary Intervention; D020127:Recovery of Function; D013997:Time Factors; D016896:Treatment Outcome; D014693:Ventricular Fibrillation / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*
keywords: cardiopulmonary resuscitation; myocardial infarction; percutaneous coronary intervention; ventricular fibrillation