scholarly journals Repeated Cardiac Arrest Following Emergency Carotid Artery Stenting.- A Case Report.

2021 ◽  
Author(s):  
Qinqin Wang ◽  
Huihui Wu ◽  
Bin Hou
Keyword(s):  
Cardiac Arrest ◽  
Carotid Sinus ◽  
Blood Pressure Reduction ◽  
Coronary Intervention ◽  
Arterial Stenosis ◽  
Neurological Deficits ◽  
Carotid Stent ◽  
Severe Stenosis ◽  
Persistent Symptoms ◽  
Percutaneous Coronary

Abstract Background: Due to carotid sinus response, blood pressure reduction and bradycardia during and after carotid stent implantation was reported frequently, in contrast, repeated cardiac arrest is rare but fatal unless the heart can be started quickly. Case introduction: A 61-year-old male presented with severe left hemiplegia, aphasia, central facial palsy and gaze. Emergency surgery under general anesthesia was finally scheduled in view of possible severe cerebral arterial stenosis. The patient underwent ipsilateral ICA stenting after balloon dilatation and was transferred to intensive care unit(ICU). His heart rate tended to decrease sharply and then cardiac arrest was noted on electrocardiograph(ECG) monitor. Emergency cardiopulmonary resuscitation(CPR) was started and repeated three times due to persistent symptoms. Coronary angiography was postponed for 15 days until neurological recovery. Multivessel disease with severe stenosis one of them was confirmed and percutaneous coronary intervention (PCI) was performed. The patient was discharged on the 20th day of admission with only slight neurological deficits. Conclusion: We tend to attribute the causes of repeated cardiac arrest in this case to carotid sinus response induced by stenting and serious coronary stenosis.

scholarly journals TRENDS, PREDICTORS, AND OUTCOMES OF PERCUTANEOUS CORONARY INTERVENTION COMPLICATED BY IN-HOSPITAL CARDIAC ARREST

2021 ◽  
Vol 77 (18) ◽  
pp. 203
Author(s):  
Temidayo Abe ◽  
Titilope Olanipekun ◽  
Valery S. Effoe ◽  
Joseph Igwe ◽  
Obiora Egbuche ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Cardiac Arrest ◽  
Coronary Intervention ◽  
Percutaneous Coronary ◽  
Hospital Cardiac Arrest

Gender disparities in percutaneous coronary intervention in out-of-hospital cardiac arrest

2019 ◽  
Vol 37 (4) ◽  
pp. 632-638 ◽  
Author(s):  
Jin Seop Jeong ◽  
So Yeon Kong ◽  
Sang Do Shin ◽  
Young Sun Ro ◽  
Kyoung Jun Song ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Cardiac Arrest ◽  
Coronary Intervention ◽  
Gender Disparities ◽  
Percutaneous Coronary ◽  
Hospital Cardiac Arrest

Abstract 11324: Immediate Percutaneous Coronary Intervention in Patients with Refractory Out of Hospital Cardiac Arrest

Circulation ◽  
2021 ◽  
Vol 144 (Suppl_2) ◽  
Author(s):  
Daniel Rob ◽  
Jana Smalcova ◽  
Tomas Kovarnik ◽  
David Zemanek ◽  
Ales Kral ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Cardiac Arrest ◽  
Lower Risk ◽  
Coronary Intervention ◽  
Post Hoc Analysis ◽  
Risk Of Death ◽  
Coronary Syndrome ◽  
Percutaneous Coronary ◽  
Post Hoc ◽  
Hospital Cardiac Arrest

Background: An increasing number of cardiac centres are using immediate percutaneous coronary intervention (PCI) and extracorporeal cardiopulmonary resuscitation (ECPR) in patients with refractory out of hospital cardiac arrest (r-OHCA). Published evidence regarding PCI in OHCA has been mainly reporting to patients with early return of spontaneous circulation and the influence of PCI and ECPR on survival in the population of patients with r-OHCA and acute coronary syndrome (ACS) remains unclear. Methods: In this post hoc analysis of the randomized r-OHCA trial, all patients with ACS as a cause of r-OHCA were included. The effect of successful PCI and ECPR on 180-days survival was examined using Kaplan-Meier estimates and multivariable Cox regression. Results: In total, 256 patients were evaluated in Prague OHCA study and 127 (49.6 %) had ACS as the cause of r-OHCA constituting current study population. The mean age was 58 years (46.3-64) and duration of resuscitation was 52.5 minutes (36.5-68). ECPR was used in 51 (40.2 %) of patients. Immediate PCI was performed in 86 (67.7%) patients and TIMI flow 2 or 3 was achieved in 75 (87.2%) patients. The overall 180-days survival of patients with successful PCI was 40 % compared to 7.7 % with no or failed immediate PCI (log-rank p < 0.001). After adjustment for confounders, successful PCI was associated with a lower risk of death (HR 0.47, CI 0.24-0.93, p = 0.031). Likewise, ECPR was associated with a lower risk of death (HR 0.11, CI 0.05-0.24, p< 0.001). Conclusion: In this post hoc analysis of the randomized r-OHCA trial, successful immediate PCI as well as ECPR were associated with improved 180-days survival in patients with r-OHCA due to ACS.

Cardiac cephalalgia: severe, non-exertional headache presenting as unstable angina

2018 ◽  
Vol 19 (2) ◽  
pp. 173-175
Author(s):  
Jonathan Lazari ◽  
Andrew Money-Kyrle ◽  
Benjamin R Wakerley
Keyword(s):  
Clinical Characteristics ◽  
Troponin I ◽  
Coronary Intervention ◽  
Severe Stenosis ◽  
Exertional Headache ◽  
Percutaneous Coronary ◽  
History Of ◽  
St Elevation ◽  
Cardiac Cephalalgia

Cardiac cephalalgia is a migraine-like headache that occurs during episodes of myocardial ischaemia. Clinical characteristics of the headache vary widely but are often severe in intensity, worsen with reduced myocardial perfusion and resolve with reperfusion. It can present along with typical symptoms of angina pectoris, although not always. We present a 64-year-old man with a 6-month history of severe, non-exertional headaches occurring with increasing frequency. A resting ECG showed ST elevation in the inferior leads. His serum troponin I was not elevated. Coronary angiography showed severe stenosis of his right coronary artery, which was successfully stented by percutaneous coronary intervention. He remains headache free at 2-year follow-up.

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