1. Shock After Successful Primary Percutaneous Coronary Intervention for Ventricular Fibrillation
- Author
-
Tatsuhiko Hirao, Yasunori Arai, Takamichi Miyamoto, Tomoyuki Umemoto, Tohru Obayashi, Junji Yamaguchi, Shinichiro Suzaki, and Yasuteru Yamauchi
- Subjects
ST depression ,Male ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,ST elevation ,Vital signs ,Shock, Cardiogenic ,Percutaneous coronary intervention ,Emergency department ,Middle Aged ,medicine.disease ,Percutaneous Coronary Intervention ,Physiology (medical) ,Internal medicine ,Ventricular fibrillation ,Ventricular Fibrillation ,Cardiology ,Medicine ,Humans ,Sinus rhythm ,Cardiopulmonary resuscitation ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business - Abstract
A 63-year-old man was admitted to our emergency department with an episode of sudden cardiopulmonary arrest attributable to ventricular fibrillation (Figure 1). Before admission, cardiopulmonary resuscitation by a bystander and emergency personnel with two 200-J direct-current shocks was conducted; thereafter, spontaneous circulation returned. The patient’s vital signs and level of consciousness were normal at admission. ECG at admission revealed a sinus rhythm with ST elevation in leads aVR and V1, and ST depression in leads II, III, aVF, and V3 through 6. Echocardiography …
- Published
- 2015