title: Refractory ventricular fibrillation managed by coronary revascularisation performed during ongoing manual cardiac resuscitation lasting 1½ h.
abstract: Myocardial infarction is the most common cause of ventricular arrhythmias. Although there have been several improvements and refinements in coronary catheterisation with percutaneous intervention over the years, this intervention is still rarely considered during active ongoing resuscitation of patients, especially in cases of persistent ventricular arrhythmias. We present a case of refractory ventricular fibrillations due to in-stent thrombosis that was managed by emergent coronary angiogram and stent placement during ongoing cardiopulmonary resuscitation in a code that lasted about 1½ h. The patient subsequently made an excellent recovery and was discharged home 13 days later.
authors.affiliation: Department of Internal Medicine, University of Missouri-Kansas City, Kansas City, Missouri, USA.
authors.forename: Udit Bhaskar
authors.initials: UB
authors.lastname: Bhatnagar
authors.affiliation: Department of Internal Medicine, University of Missouri-Kansas City, Kansas City, Missouri, USA.
authors.forename: Ata
authors.initials: A
authors.lastname: Bajwa
authors.affiliation: Department of Cardiology, University of Missouri-Kansas City, Kansas City, Missouri, USA.
authors.forename: Amit
authors.initials: A
authors.lastname: Sharma
authors.affiliation: Department of Cardiology, Truman Medical Center, Kansas City, Missouri, USA.
authors.forename: Paramdeep
authors.initials: P
authors.lastname: Baweja
mesh_terms: D016887:Cardiopulmonary Resuscitation; D017023:Coronary Angiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000628:therapy; D015607:Stents; D013927:Thrombosis / Q000150:complications / Q000628:therapy; D014693:Ventricular Fibrillation / Q000209:etiology / Q000628:therapy*