- 期刊
Coronary Vasospasm-Induced Pulseless Electrical Activity Managed Using Extracorporeal Membrane Oxygenation: A Case Report
摘要
We describe the case of a 46-year-old woman who was initially diagnosed with ST-elevation myocardial infarction. After percutaneous coronary intervention, she sustained cardiac arrests due to recurrent pulseless electrical activity and required repeated cardiopulmonary resuscitation. Venoarterial extracorporeal membrane oxygenation was initiated for hemodynamic stabilization while the cause was being investigated. A complete electrocardiogram later suggested coronary vasospasm as the most likely cause, and the patient was treated accordingly. After treatment, the patient recovered without adverse sequelae.
延伸閱讀
- Liu, K. L., & Hsiao, C. Y. (2019). An Ideal Vascular Access in a Patient with Acute Coronary Syndrome and Cardiogenic Shock: The Arterial Cannula of Veno-Arterial Extracorporeal Membrane Oxygenation. Acta Cardiologica Sinica, 35(6), 652-654. https://doi.org/10.6515/ACS.201911_35(6).20190712A
- Wu, G. C., Perng, W. C., Huang, K. L., Chen, C. W., Su, W. L., Peng, C. K., & Chian, C. F. (2009). Resuscitation Using Extracorporeal Membrane Oxygenation for Fat Embolism Syndrome-A Case Report and Literature Review. 胸腔醫學, 24(2), 122-126. https://doi.org/10.29806/TM.200904.0008
- Chou, M. T., Cheng, C. C., Chen, Z. C., & Huang, T. Y. (1998). Myocardial Infarction and Urinary Tract Infection with Transient Occluded Coronary Artery During Coronary Angiography：A Case Report. 中華民國急救加護醫學會雜誌, 9(2), 72-77. https://doi.org/10.30018/JECCM.199806.0005
- Lin, W. H., Yang, M. S., Wang, K. T., Cheng, H. Y., & Chen, Y. C. (2014). Transcatheter Coil Embolization for Bilateral Coronary-Pulmonary Artery Fistula with Large Saccular Aneurysm: A Case Report. Journal of Radiological Science, 39(2), 43-49. https://doi.org/10.6698/JRS.201406_3902.03
- Ko, R. C., Liao, M. T., Lin, L., Hsieh, M. Y., Lin, P. S., Tsai, K. C., Chao, C. L., & Wu, C. C. (2015). Feasibility and Safety of Coronary Procedures via an Arteriovenous Graft Approach in Patients on Maintenance Hemodialysis. Acta Cardiologica Sinica, 31(6), 550-556. https://doi.org/10.6515/ACS20150520A