Lund University Cardiac Arrest System and Percutaneous Coronary Intervention During Cardiac Arrest: Case Report and Review of Literature

Abstract

We present a case of a 45-year-old female who presented to a community hospital with an anterior STelevation myocardial infarction (STEMI) that subsequently developed prolonged ventricular fibrillation (VF) refractory to repeated defibrillation and antiarrhythmic medications. Primary percutaneous coronary intervention was performed in the patient with VF but supported only by the Lund University Cardiac Arrest System (LUCAS). Despite a total VF time of 127 minutes, the patient was eventually discharged neurologically intact with a normal left ventricular function. For the right patient, this case illustrates the utility of the LUCAS device, especially at community hospitals without immediate venoarterial extracorporeal membrane oxygenation or ventricular assist device capability.

Development and Validation of Questionnaire for Knowledge, Attitudes and Self-Efficacy on Adult Cardiopulmonary Resuscitation Among Healthcare Providers

“…In lieu of the increased prevalence of cardiac arrest each year in Malaysia, healthcare providers must always be ready to perform adequate resuscitation, especially those who work in out-of-hospital settings. Early chest compression, optimising ventilation and early defibrillation, as necessary, are the latest management for cardiac arrest in adults (6). Adequate knowledge, training, and experience in CPR increase awareness and self-efficacy in learning and performing CPR (7)(8)(9)(10).…”

Perceptions of nurses regarding quality of adult cardiopulmonary resuscitation in Ghana: a qualitative study

“…The American Heart Association and the American College of Cardiology define sudden cardiac arrest as the sudden cessation of cardiac activity in which victims become unresponsive, have no normal breathing and have no signs of circulation [3]. For any sudden cardiac arrest, patients have been classified as either suffering an in-hospital cardiac arrest (IHCA) or an out-of-hospital cardiac arrest (OHCA) based on the Utstein-style guidelines [3].…”

“…The American Heart Association and the American College of Cardiology define sudden cardiac arrest as the sudden cessation of cardiac activity in which victims become unresponsive, have no normal breathing and have no signs of circulation [3]. For any sudden cardiac arrest, patients have been classified as either suffering an in-hospital cardiac arrest (IHCA) or an out-of-hospital cardiac arrest (OHCA) based on the Utstein-style guidelines [3]. Sudden cardiac arrest is mainly triggered by underlying structural cardiac conditions (ischemic coronary disease, congestive heart failure, cardiac tamponade, left ventricular hypertrophy, coronary artery abnormalities) or nonstructural cardiac conditions (congenital long QT syndrome and Brugada syndrome).…”