Naslov
Sudden Cardiac Death as the First Manifestation of Acute Stent Thrombosis After Successful Primary Percutaneous Coronary Intervention

Autori
Lončarić, Antun ; Lacković, Alojzije ; Kršić, Valentina ; Židan, David ; Bačić, Gordana ; Smoljan, Ivana ; Tomulić, Vjekoslav ; Zaninović Jurjević, Teodora

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, ostalo

Izvornik
Abstract book- 4th Congress of Emergency Medicine with International Participation / - Rijeka, 2019, /-/

Skup
4th Congress of Emergency Medicine with International Participation

Mjesto i datum
Rijeka, Hrvatska, 29.03.2019. - 31.03.2019

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Podatak o recenziji nije dostupan

Ključne riječi
Myocardial infarction ; Percutaneous coronary intervention ; Sudden cardiac death ; Ventricular fibrillation

Sažetak
INTRODUCTION: Sudden cardiac death (SCD) is any non-traumatic, unexpected death from a cardiac cause occurring within an hour of symptom onset in an apparently healthy subject. The most common etiologies of SCD are ischemic heart disease, cardiomyopathies and primary electrophysiology disorders. CASE REPORT: 61-year-old patient was admitted to the emergency department (ED) with a chest pain that had lasted for an hour. The initial electrocardiogram (ECG) demonstrated an anteroseptal myocardial infarction. At the entrance of the ED patient had experienced an episode of ventricular fibrillation (VF) and was defibrillated once. Prior to hospital admission, and in the ED patient received all the necessary therapy. Emergency coronary angiography showed total occlusion of the proximal left anterior descending artery and according to findings, drug-eluting stent was implanted into occluded lesion with an optimal flow after the procedure. After the procedure, patient was admitted to the coronary care unit (CCU) fully conscious and hemodynamically stable. Half an hour upon admission to the CCU, patient experienced a cardiac arrest due to refractory VF. During 10 minutes of resuscitation patient was orotracheally intubated and defibrillated several times, with the use of a drug therapy according to algorithm. After return of spontaneous circulation patient was analgosedated, mechanically ventilated and underwent repeated coronary angiography that revealed the thrombotic masses in the previously implanted stent, which were successfully removed with an aspiration catheter. In the CCU, patient was hemodynamically stable, with no heart rhythm abnormalities and received all the necessary therapy. With an improvement of clinical condition and laboratory test parameters, patient was discharged 10 days later. CONCLUSION: Nowadays, in percutaneous coronary intervention (PCI) era, acute stent thrombosis is an important and seroius complication of PCI. Acute stent thrombosis should be considered as the possible cause of persisting malignant ventricular arrhythmias after successful PCI.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA