https://doi.org/10.4081/ecj.2020.8636

Automated mechanical chest compression as a bridge to primary percutaneous coronary intervention: Case report

Vol. 16 No. 2 (2020)
Submitted: 21 October 2019
Accepted: 18 May 2020
Published: 4 September 2020
Acute coronary syndrome, cardiogenic shock, cardiac arrest, automated mechanical chest compression
Abstract Views: 536
PDF: 305
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Bebiana Faria
bebianafaria@gmail.com
Hospital Senhora da Oliveira, Guimarães, Portugal.
Marina Fernandes
Hospital Senhora da Oliveira, Guimarães, Portugal.
Silvia Ribeiro
Hospital Senhora da Oliveira, Guimarães, Portugal.
António Lourenço
Hospital Senhora da Oliveira, Guimarães, Portugal.

In a peripheral hospital without primary percutaneous coronary intervention or mechanical circulatory support, therapeutic options in patients with myocardial infarction complicated with cardiogenic shock or refractory cardiopulmonary arrest are very limited. We report a case of a 59-year-old man with acute myocardial infarction with ST-segment elevation complicated by cardiogenic shock and refractory cardiac arrest, transported with ongoing fibrinolysis to another hospital for rescue percutaneous coronary intervention in cardiopulmonary resuscitation with automated mechanical chest compression. This case underlines the difficulty in managing these critically ill patients in peripheral hospitals without advanced resources and discusses some therapeutic options, highlighting automated mechanical chest compression as a bridge to a percutaneous revascularization procedure.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
Nikolaoua N, Arntz HR, Bellou A et al. European Resuscitation Council Guidelines for Resuscitation 2015 Section 8. Initial management of acute coronary syndromes. Resuscitation. 2015; 264–277. DOI: https://doi.org/10.1016/j.resuscitation.2015.07.030
Ibanez B, James S, Agewall S et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. European Heart Journal, 2018; 39, 119–177.
Bernoche C, Timerman S, Polastri T et al. Atualização da Diretriz de Ressuscitação Cardiopulmonar e Cuidados Cardiovasculares de Emergência da Sociedade Brasileira de Cardiologia – 2019. Arq Bras Cardiol. 2019; 113(3):449-663. DOI: https://doi.org/10.5935/abc.20190203
Böttiger BW, Arntz HR, Chamberlain DA, Bluhmki E, Belmans A, Danays T, et al. Thrombolysis during resuscitation for out-of-hospital cardiac arrest. N Engl J Med. 2008;359(25):2651-62. DOI: https://doi.org/10.1056/NEJMoa070570
Soar J, Nolan J, Böttiger B et al. European Resuscitation Council Guidelines for Resuscitation 2015 Section 3. Adult advanced life support. Resuscitation, 2015; 100–147. DOI: https://doi.org/10.1016/j.resuscitation.2015.07.016
Lafuente-Lafuente C, Melero-Bascones M. Active chest compressiondecompression for cardiopulmonary resuscitation. Cochrane Database Syst Rev. 2013 Sep;(9):CD002751. DOI: https://doi.org/10.1002/14651858.CD002751.pub3
Truhlár A, Deakinc C, Soar J et al. European Resuscitation Council Guidelines for Resuscitation 2015 Section 4. Cardiac arrest in special circumstances. Resuscitation, 2015; 148–201.

How to Cite

Faria, B., Fernandes, M., Ribeiro, S., & Lourenço, A. (2020). Automated mechanical chest compression as a bridge to primary percutaneous coronary intervention: Case report. Emergency Care Journal, 16(2). https://doi.org/10.4081/ecj.2020.8636

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.