Cardiogenic Shock due to Pulseless Electrical Activity Arrest Associated with Severe Coronary Artery Spasm

A 75-year-old man was admitted to our hospital for follow-up coronary angiography. Just after starting coronary angiography, his electrocardiogram showed ST-segment elevation in the V1-6, I, II, and aVF leads, and he fell into catastrophic cardiogenic shock. His left coronary arteriogram showed prox...

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Detalles Bibliográficos
Autores principales: Sueda, Shozo, Fujimoto, Kaori, Sasaki, Yasuhiro, Habara, Hirokazu, Kohno, Hiroaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207832/
https://www.ncbi.nlm.nih.gov/pubmed/29780109
http://dx.doi.org/10.2169/internalmedicine.0196-17
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author Sueda, Shozo
Fujimoto, Kaori
Sasaki, Yasuhiro
Habara, Hirokazu
Kohno, Hiroaki
author_facet Sueda, Shozo
Fujimoto, Kaori
Sasaki, Yasuhiro
Habara, Hirokazu
Kohno, Hiroaki
author_sort Sueda, Shozo
collection PubMed
description A 75-year-old man was admitted to our hospital for follow-up coronary angiography. Just after starting coronary angiography, his electrocardiogram showed ST-segment elevation in the V1-6, I, II, and aVF leads, and he fell into catastrophic cardiogenic shock. His left coronary arteriogram showed proximal total obstruction in the left anterior descending artery and proximal subtotal occlusion in the left circumflex artery. Because pulseless electrical activity arrest was recognized, cardiopulmonary support was started. After more than 15 minutes’ cardiac massage, his blood pressure gradually returned to baseline. During the cardiogenic shock due to pulseless electrical activity arrest, neither ventricular fibrillation nor ventricular tachycardia was recognized.
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spelling pubmed-62078322018-10-31 Cardiogenic Shock due to Pulseless Electrical Activity Arrest Associated with Severe Coronary Artery Spasm Sueda, Shozo Fujimoto, Kaori Sasaki, Yasuhiro Habara, Hirokazu Kohno, Hiroaki Intern Med Case Report A 75-year-old man was admitted to our hospital for follow-up coronary angiography. Just after starting coronary angiography, his electrocardiogram showed ST-segment elevation in the V1-6, I, II, and aVF leads, and he fell into catastrophic cardiogenic shock. His left coronary arteriogram showed proximal total obstruction in the left anterior descending artery and proximal subtotal occlusion in the left circumflex artery. Because pulseless electrical activity arrest was recognized, cardiopulmonary support was started. After more than 15 minutes’ cardiac massage, his blood pressure gradually returned to baseline. During the cardiogenic shock due to pulseless electrical activity arrest, neither ventricular fibrillation nor ventricular tachycardia was recognized. The Japanese Society of Internal Medicine 2018-05-18 2018-10-01 /pmc/articles/PMC6207832/ /pubmed/29780109 http://dx.doi.org/10.2169/internalmedicine.0196-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Sueda, Shozo
Fujimoto, Kaori
Sasaki, Yasuhiro
Habara, Hirokazu
Kohno, Hiroaki
Cardiogenic Shock due to Pulseless Electrical Activity Arrest Associated with Severe Coronary Artery Spasm
title Cardiogenic Shock due to Pulseless Electrical Activity Arrest Associated with Severe Coronary Artery Spasm
title_full Cardiogenic Shock due to Pulseless Electrical Activity Arrest Associated with Severe Coronary Artery Spasm
title_fullStr Cardiogenic Shock due to Pulseless Electrical Activity Arrest Associated with Severe Coronary Artery Spasm
title_full_unstemmed Cardiogenic Shock due to Pulseless Electrical Activity Arrest Associated with Severe Coronary Artery Spasm
title_short Cardiogenic Shock due to Pulseless Electrical Activity Arrest Associated with Severe Coronary Artery Spasm
title_sort cardiogenic shock due to pulseless electrical activity arrest associated with severe coronary artery spasm
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207832/
https://www.ncbi.nlm.nih.gov/pubmed/29780109
http://dx.doi.org/10.2169/internalmedicine.0196-17
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