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Shock After Successful Primary Percutaneous Coronary Intervention for Ventricular Fibrillation
Author(s) -
Junji Yamaguchi,
Takamichi Miyamoto,
Yasunori Arai,
Tatsuhiko Hirao,
Tomoyuki Umemoto,
Yasuteru Yamauchi,
Shinichiro Suzaki,
Tohru Obayashi
Publication year - 2015
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.115.017080
Subject(s) - medicine , emergency department , cardiology , interventional cardiology , medical emergency , emergency medicine , general surgery , nursing
A 63-year-old man was admitted to our emergency department with an episode of sudden cardiopulmonary arrest attributable to ventricular fibrillation (Figure 1). Before admission, cardiopulmonary resuscitation by a bystander and emergency personnel with two 200-J direct-current shocks was conducted; thereafter, spontaneous circulation returned. The patient’s vital signs and level of consciousness were normal at admission. ECG at admission revealed a sinus rhythm with ST elevation in leads aVR and V1, and ST depression in leads II, III, aVF, and V3 through 6. Echocardiography …

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