Case Report of the Patient with Acute Myocardial Infarction: "From Flatline to Stent Implantation" - - - Prikaz bolesnika sa akutnim infarktom miokarda „od ravne linije do ugradnje stenta“
Journal Title: Acta Facultatis Medicae Naissensis - Year 2017, Vol 34, Issue 4
Abstract
Asystole is a rare primary manifestation in the development of sudden cardiac death (SCD), and survival during cardiac arrest as the consequence of asystole is extremely low. The aim of our paper is to illustrate successful cardiopulmonary resuscitation (CPR) in patients with acute myocardial infarction (AMI) and rare and severe form of cardiac arrest - asystole. A very short time between cardiac arrest in acute myocardial infarction, which was manifested by asystole, and the adequate CPR measures that have been taken are of great importance for the survival of our patient. After successful reanimation, the diagnosis of anterior wall AMI with ST segment elevation was established. The right therapeutic strategy is certainly the early primary percutaneous coronary intervention (PPCI). In less than two hours, after recording the "flatline" and successful reanimation, the patient was in the catheterization laboratory, where a successful PPCI of LAD was performed, after emergency coronary angiography. In the further treatment course of the patient, the majority of risk factors were corrected, except for smoking, which may be the reason for newly discovered lung tumor disease. Early recognition and properly applied treatment of CPR can produce higher rates of survival. - - - Asistolija je ređa primarna manifestacija kod nastanaka iznenadne srčane smrti (ISS), a preživljavanje kod srčanog zastoja usled asistolije je veoma nisko. Cilj našeg prikaza bio je uspešna kardiopulmonalna reanimacija (KPR) kod bolesnika sa akutnim infarktom miokarda (AIM) i ređim, a težim oblikom srčanog zastoja – asistolijom. Veoma kratko vreme između srčanog zastoja u akutnom infarktu miokarda, koji se manifestovao asitolijom, i preduzetih adekvatnih mera KPR-a, uslov je preživljavanja našeg bolesnika. Nakon uspešne reanimacije, postavljena je dijagnoza AIM anterione lokalizacije sa elevacijom ST segmenta. Prava terapijska strategija je sigurno rana primarna perkutana koronarna intervencija (PPCI). Za manje od 2 h nakon registrovanja „ravne linije“ i uspešne reanimacije, bolesnik je bio u Sali za kateterizaciju, gde mu je nakon urgentne koronarografije, urađena i uspešna pPCI na LAD. U daljem lečenju bolesnika korigovana je većina faktora rizika, osim pušenja, što je možda i razlog novootkrivene bolesti tumora pluća. Rаno prepoznаvаnje i prаvilno primenjene mere KPR-а u velikoj meri doprinose smаnjenju smrtnosti i uspešnom oporаvku ovаkvih bolesnika.
Authors and Affiliations
Dejan Petrović, Marina Deljanin-Ilić, Bojan Ilić, Sanja Sojanović, Milovan Stojanović
Keywords
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- EP ID EP348930
- DOI 10.1515/afmnai-2017-0036
- Views 72
- Downloads 0
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