Cor Vasa 2019, 61(5):481-483 | DOI: 10.33678/cor.2019.032
Successful prolonged cardiopulmonary resuscitation for circulatory arrest followed by implantation of two mechanical cardiac support devices
- Cardiology Department, Institute for Clinical and Experimental Medicine, Prague
Acute heart failure caused by decompensation of chronic cardiac insufficiency is a life-threatening condition. Cardiac arrest in inpatient health facilities occurs at a frequency of approximately one in five cases for every 1,000 admitted patients. The likelihood of survival following release from hospital is only 17.6%.1
In many resuscitated patients, neurological disorders occur a few minutes after cardiopulmonary resuscitation (CPR),2 especially if a serious myocardial disease is indicated in the patient's case history. However, early treatment of shock in combination with high-quality CPR3 can significantly improve such an outcome.
Our case history presents the successful prolonged CPR of a young woman, who suffered an in-hospital circulatory arrest caused by cardiogenic shock. CPR lasting 115 minutes was supplemented by the implantation of two mechanical cardiac support devices - a percutaneous short-term mechanical cardiac support device as a bridge to decision and a long-term cardiac support device as a bridge to transplantation.4
Keywords: Acute heart failure, Cardiogenic shock, Cardiopulmonary resuscitation, Mechanical heart support device
Accepted: June 23, 2018; Published: October 20, 2019 Show citation
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