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

  • 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.

Abstract

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.

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Published
2020-09-04
Info
Issue
Section
Case Reports
Keywords:
Acute coronary syndrome, cardiogenic shock, cardiac arrest, automated mechanical chest compression
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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