Latacz Paweł, Rostoff Paweł, Gutowska Olga, Kondys Marek, Buszman Paweł, Piwowarska Wiesława
Klinika Choroby Wieńcowej, Instytut Kardiologii Collegium Medicum UJ, Krakowski Szpital Specjalistyczny im. Jana Pawla II, ul. Pradnicka 80, 31-202 Kraków.
Kardiol Pol. 2007 Jun;65(6):691-6; discussion 696-7.
A case of a 69-year-old woman with non-ST-segment elevation myocardial infarction (NSTEMI) complicated by cardiogenic shock and in-hospital cardiac arrest is presented. During prolonged (60 min) cardiopulmonary resuscitation successful complex coronary angioplasty with stenting of the left anterior descending coronary artery was performed, after which the patient recovered completely. The total time of cardiac arrest was 60 min, including the approximately 45-minute period of asystole. Post-resuscitation course was uneventful and neurological examination was normal. The patient, free of cardiovascular, respiratory and neurological symptoms, was discharged from hospital after 16 days.
本文报告了一例69岁女性患者,患有非ST段抬高型心肌梗死(NSTEMI),并发心源性休克及院内心脏骤停。在长时间(60分钟)心肺复苏过程中,成功进行了复杂的冠状动脉成形术,并对左前降支冠状动脉进行了支架置入,术后患者完全康复。心脏骤停总时长为60分钟,其中包括约45分钟的心脏停搏期。复苏后病程平稳,神经学检查正常。患者无心血管、呼吸及神经症状,于16天后出院。