Active substances: Ciprofloxacin
The rhythm had become a wide QRS tachycardia with pulse and the victim recovered spontaneous breathing. Partial consciousness was recovered Glasgow Coma Score: 11.
The patient was transferred to an emergency department.
Half an hour later, as he recovered consciousness fully, he complained of chest pain. Laboratorial tests showed cardiac troponine I 0.
A coronary angiography performed urgently, disclosed significant left main plus three vessel — coronary artery disease. Left anterior descending artery LAD was occluded, with late retrograde flow. Eighteen hours after the CA, a quadruple coronary artery bypass grafting operation was undertaken.
During surgery, a fresh thrombus was removed from the proximal LAD.
Post-operative course was uneventful and the patient was discharged on day 7 after the procedure. Sixteen months later, he remains asymptomatic. Conclusion This case illustrates the possibility of a happy end after an episode of sudden CA, in an old patient with undiagnosed severe coronary artery disease and presumable acute coronary syndrome.
Although ALS was started nine minutes after the witnessed collapse, return of spontaneous circulation after the first defibrillation and prompt breathing recovery contributed to the success of the resuscitation maneuvers.
The fact that CA occurred in a health care facility allowed prompt BLS, which contributed to the recovery. Furthermore, the speed in the detection and treatment of the acute reversible cause myocardial ischemia in this case was crucial for long-term prognosis.
Antunes 1. Dias 2.
Carneiro 1. Methods Analysis of a cohort of trauma admitted in the emergency room in a 6 years period, using the prospective registry that uses TRISS methodology for severity analysis.