A Life saved in the ER!
Successful revival & treatment of a patient who underwent Cardiac arrest in the ER
A 61-year old male patient came to the ER of KD Hospital with a complaint of left-side chest & shoulder pain since half an hour. Investigative ECG showed ST Elevation from V1-V3 indicating Anteroseptal Myocardial infarction & the 2D Echo showed LVEF (Left ventricular ejection fraction) of 10-15%. An ejection fraction below 40 % indicates a failing heart.
Suddenly, the patient went into cardiac arrest in the ER itself. The medical team under the guidance of Dr Vivek Nanda, Consultant Emergency Medicine, rushed to revive the patient with the help of continuous CPR and shock (electrical cardioversion), by 360J unsynchronized current. With electrical cardioversion, a high-energy shock is sent to the heart to reset a normal rhythm.
Later, the return of spontaneous circulation (ROSC) was achieved & the patient was then admitted under the care of Dr. Abhishek Rajpopat, Consultant Cardiology for further management. A Coronary angiography diagnosed the patient with Acute coronary syndrome, Double vessel disease, Acute anterior wall myocardial infarction, Cardiogenic shock & Severe LV dysfunction.
Understanding the urgency & delicate condition of the patient, the Cardiologist performed Percutaneous transluminal coronary Angioplasty (PTCA) in the left anterior descending artery (LAD) on intra-aortic balloon pump (IABP) support.
An intra-aortic balloon pump (IABP) is a type of therapeutic device, that helps the heart pump more blood. IABP therapy is used to treat Cardiogenic shock.
Later the patient was stabilised in the ICU and was sent home walking after a stay of just 5 days.