Cardiac Arrest in Acute Myocardial Infarction: Concept of Circulatory Support With Mechanical Chest Compression and Impella to Facilitate Percutaneous Coronary Intervention

2017 ◽  
Vol 26 (8) ◽  
pp. e37-e40
Author(s):  
Kaleab N. Asrress ◽  
Maciej Marciniak ◽  
Natalia Briceno ◽  
Divaka Perera
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Percutaneous Coronary Intervention ◽  
Cardiac Arrest ◽  
Chest Compression ◽  
Coronary Intervention ◽  
Circulatory Support ◽  
Mechanical Chest Compression ◽  
Percutaneous Coronary

scholarly journals Automated mechanical chest compression as a bridge to primary percutaneous coronary intervention: Case report

2020 ◽  
Vol 16 (2) ◽  
Author(s):  
Bebiana Faria ◽  
Marina Fernandes ◽  
Silvia Ribeiro ◽  
António Lourenço
Keyword(s):  
Myocardial Infarction ◽  
Percutaneous Coronary Intervention ◽  
Cardiogenic Shock ◽  
Chest Compression ◽  
Primary Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Therapeutic Options ◽  
Circulatory Support ◽  
Mechanical Chest Compression ◽  
Percutaneous Coronary

In a peripheral hospital without primary percutaneous coronary intervention or mechanical circulatory support, therapeutic options in patients with myocardial infarction complicated with cardiogenic shock or refractory cardiopulmonary arrest are very limited. We report a case of a 59-year-old man with acute myocardial infarction with ST-segment elevation complicated by cardiogenic shock and refractory cardiac arrest, transported with ongoing fibrinolysis to another hospital for rescue percutaneous coronary intervention in cardiopulmonary resuscitation with automated mechanical chest compression. This case underlines the difficulty in managing these critically ill patients in peripheral hospitals without advanced resources and discusses some therapeutic options, highlighting automated mechanical chest compression as a bridge to a percutaneous revascularization procedure.

scholarly journals Cardiopulmonary Resuscitation With Mechanical Chest Compression Device During Percutaneous Coronary Intervention. A Case Report

2021 ◽  
Vol 8 ◽  
Author(s):  
Dóra Ujvárosy ◽  
Veronika Sebestyén ◽  
Tamás Ötvös ◽  
Balázs Ratku ◽  
István Lorincz ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Percutaneous Coronary Intervention ◽  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Chest Compression ◽  
Coronary Intervention ◽  
Chest Compressions ◽  
Compression Device ◽  
Mechanical Chest Compression ◽  
Percutaneous Coronary

Sudden cardiac death is a leading cause of death worldwide, whereby myocardial infarction is considered the most frequent underlying condition. Percutaneous coronary intervention (PCI) is an important component of post-resuscitation care, while uninterrupted high-quality chest compressions are key determinants in cardiopulmonary resuscitation (CPR). In our paper, we evaluate a case of a female patient who suffered aborted cardiac arrest due to myocardial infarction. The ambulance crew providing prehospital care for sudden cardiac arrest used a mechanical chest compression device during advanced CPR, which enabled them to deliver ongoing resuscitation during transfer to the PCI laboratory located 20 km away from the scene. Mechanical chest compressions were continued during the primary coronary intervention. The resuscitation, carried out for 2 h and 35 min, and the coronary intervention were successful, as evidenced by the return of spontaneous circulation and by the fact that, after a short rehabilitation, the patient was discharged home with a favorable neurological outcome. Our case can serve as an example for the effective and safe use of a mechanical compression device during primary coronary intervention.

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