Open AccessCARDIAC ARREST AFTER INTRA-CORONARY NICORANDIL: A CATH LAB NIGHTMARE
Author(s) -
Manish Ruhela,
Rakesh Kumar Ola,
Rajeev Bagarhatta
Publication year - 2022
Publication title -
international journal of advanced research
Language(s) - English
Resource type - Journals
ISSN - 2320-5407
DOI - 10.21474/ijar01/14083
Subject(s) - medicine , nicorandil , cardiology , myocardial infarction , percutaneous coronary intervention , cardiopulmonary resuscitation , thrombus , resuscitation , anesthesia
Primary percutaneous coronary intervention (PPCI) is the most effective therapy for patients with an acute ST-segment elevation myocardial infarction (STEMI). However, up to half of STEMI patients suffer from coronary microvascular dysfunction, presenting as the slow flow or no-flow phenomenon. A 50 years male patient admitted with acute anterior wall myocardial infarction, PPCI was performed on the patient. After thrombus aspiration, a stent was placed in the proximal LAD. As coronary angiography showed slow flow in LAD, 6mg nicorandil was administrated intra-coronary. Immediately, cardiac arrest occurred and cardiopulmonary resuscitation (CPR) was performed.