A Case of Neurologically Intact Survival after 2 hours and 50 minutes of Euthermic Cardiac Arrest Treated with Mechanical CPR and Intra-arrest Percutaneous Coronary Intervention

Abstract

We report a case of a 56 year old male in ventricular fibrillation (VF) cardiac arrest for a total of 2 hours and 50 minutes who was diagnosed with ST elevation myocardial infarction (STEMI) during a brief 10 min period of return of spontaneous circulation (ROSC). The patient underwent successful percutaneous coronary intervention (PCI) while receiving mechanical chest compressions for ongoing VF. Our case demonstrates the potential for neurologically intact survival in VF cardiac arrest patients despite prolonged periods of VF who are treated with mechanical CPR and intra-arrest PCI.

Percutaneous Coronary Intervention After Return of Spontaneous Circulation Reduces the In-Hospital Mortality in Patients with Acute Myocardial Infarction Complicated by Cardiac Arrest

“… 16 , 23 , 31 Some case reports have described that PCI can improve survival and neurological prognosis despite long-term cardiopulmonary resuscitation. 32 , 33 The success rate of PCI in this study was as high as 100%, which further confirms that PCI is effective and feasible in such patients. In this study, all patients who underwent PCI within 6 h of CA survived to discharge, suggesting that early PCI may be more beneficial to survival.…”