Emory Decatur Hospital, Decatur, Georgia, United States of America.
Christus Ochsner St. Patrick Hospital, Lake Charles, Louisiana, United States of America.
Pan Afr Med J. 2022 May 5;42:7. doi: 10.11604/pamj.2022.42.7.34446. eCollection 2022.
There is a paucity of detailed descriptions of echocardiographic features of the dying heart in the literature. A 64-year-old man on chronic hemodialysis presented with cardiac arrest after missing dialysis for three weeks. He received resuscitation efforts but died while his last heartbeats were fortuitously recorded by echocardiography. Rapid echo image acquisition during pulse check of a cardiopulmonary resuscitation attempt provided a unique opportunity for documenting the echocardiographic features of a dying heart. There was a rapid progressive dense echogenicity first in the left ventricular chamber and subsequently in all other chambers, which coincided with the final heartbeats. There is no prior documentation of this observation in the literature. We hereby illustrate and characterize this observation we term as Hemostatic Instantaneous Coagulation on Echo (HICE). HICE may be the defining feature of the dying heart and may guide the decision to discontinue resuscitation interventions.
关于濒死心脏的超声心动图特征，文献中鲜有详细描述。一名 64 岁男性，长期接受血液透析，因三周未透析而发生心脏骤停。他接受了复苏治疗，但在最后一次心跳被超声心动图偶然记录时死亡。在心肺复苏尝试的脉搏检查期间快速获取的超声心动图图像为记录濒死心脏的超声心动图特征提供了独特的机会。首先在左心室腔内，随后在所有其他腔室内迅速出现致密的回声增强，与最后一次心跳同时发生。文献中尚无对此观察结果的先前记录。我们在此说明并描述了我们称之为超声心动图即时止血（HICE）的观察结果。HICE 可能是濒死心脏的特征，并可能指导是否停止复苏干预的决策。
