Cardiogenic Shock due to Pulseless Electrical Activity Arrest Associated with Severe Coronary Artery Spasm
A 75-year-old man was admitted to our hospital for follow-up coronary angiography. Just after starting coronary angiography, his electrocardiogram showed ST-segment elevation in the V1-6, I, II, and aVF leads, and he fell into catastrophic cardiogenic shock. His left coronary arteriogram showed prox...
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| Veröffentlicht in: | Internal Medicine 2018/10/01, Vol.57(19), pp.2853-2857 |
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| creator | Sueda, Shozo Fujimoto, Kaori Sasaki, Yasuhiro Habara, Hirokazu Kohno, Hiroaki |
| description | A 75-year-old man was admitted to our hospital for follow-up coronary angiography. Just after starting coronary angiography, his electrocardiogram showed ST-segment elevation in the V1-6, I, II, and aVF leads, and he fell into catastrophic cardiogenic shock. His left coronary arteriogram showed proximal total obstruction in the left anterior descending artery and proximal subtotal occlusion in the left circumflex artery. Because pulseless electrical activity arrest was recognized, cardiopulmonary support was started. After more than 15 minutes' cardiac massage, his blood pressure gradually returned to baseline. During the cardiogenic shock due to pulseless electrical activity arrest, neither ventricular fibrillation nor ventricular tachycardia was recognized. |
| doi_str_mv | 10.2169/internalmedicine.0196-17 |
| format | Article |
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Just after starting coronary angiography, his electrocardiogram showed ST-segment elevation in the V1-6, I, II, and aVF leads, and he fell into catastrophic cardiogenic shock. His left coronary arteriogram showed proximal total obstruction in the left anterior descending artery and proximal subtotal occlusion in the left circumflex artery. Because pulseless electrical activity arrest was recognized, cardiopulmonary support was started. After more than 15 minutes' cardiac massage, his blood pressure gradually returned to baseline. During the cardiogenic shock due to pulseless electrical activity arrest, neither ventricular fibrillation nor ventricular tachycardia was recognized.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.0196-17</identifier><identifier>PMID: 29780109</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>aborted sudden cardiac death ; Aged ; Angiography ; Blood pressure ; cardiogenic shock ; Cardiopulmonary resuscitation ; Case Report ; Coronary Angiography ; Coronary artery ; coronary spasm ; Coronary Vasospasm - complications ; Coronary Vasospasm - diagnosis ; Coronary Vasospasm - therapy ; CPR ; EKG ; Electrocardiography ; Elevation ; Fibrillation ; Heart Arrest - complications ; Heart Arrest - diagnosis ; Heart Arrest - therapy ; Hospitalization ; Humans ; Internal medicine ; Male ; Medical imaging ; Occlusion ; pulseless electrical activity arrest ; Shock, Cardiogenic - diagnosis ; Shock, Cardiogenic - etiology ; Shock, Cardiogenic - therapy ; Tachycardia ; Veins & arteries ; Ventricle</subject><ispartof>Internal Medicine, 2018/10/01, Vol.57(19), pp.2853-2857</ispartof><rights>2018 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2018</rights><rights>Copyright © 2018 by The Japanese Society of Internal Medicine 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c610t-7af77ca61a335bc5b218f56d238b31cfa89404543485c0c3a1862c91cfd5a0973</citedby><cites>FETCH-LOGICAL-c610t-7af77ca61a335bc5b218f56d238b31cfa89404543485c0c3a1862c91cfd5a0973</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207832/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207832/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,1877,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29780109$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sueda, Shozo</creatorcontrib><creatorcontrib>Fujimoto, Kaori</creatorcontrib><creatorcontrib>Sasaki, Yasuhiro</creatorcontrib><creatorcontrib>Habara, Hirokazu</creatorcontrib><creatorcontrib>Kohno, Hiroaki</creatorcontrib><title>Cardiogenic Shock due to Pulseless Electrical Activity Arrest Associated with Severe Coronary Artery Spasm</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>A 75-year-old man was admitted to our hospital for follow-up coronary angiography. Just after starting coronary angiography, his electrocardiogram showed ST-segment elevation in the V1-6, I, II, and aVF leads, and he fell into catastrophic cardiogenic shock. His left coronary arteriogram showed proximal total obstruction in the left anterior descending artery and proximal subtotal occlusion in the left circumflex artery. Because pulseless electrical activity arrest was recognized, cardiopulmonary support was started. After more than 15 minutes' cardiac massage, his blood pressure gradually returned to baseline. During the cardiogenic shock due to pulseless electrical activity arrest, neither ventricular fibrillation nor ventricular tachycardia was recognized.</description><subject>aborted sudden cardiac death</subject><subject>Aged</subject><subject>Angiography</subject><subject>Blood pressure</subject><subject>cardiogenic shock</subject><subject>Cardiopulmonary resuscitation</subject><subject>Case Report</subject><subject>Coronary Angiography</subject><subject>Coronary artery</subject><subject>coronary spasm</subject><subject>Coronary Vasospasm - complications</subject><subject>Coronary Vasospasm - diagnosis</subject><subject>Coronary Vasospasm - therapy</subject><subject>CPR</subject><subject>EKG</subject><subject>Electrocardiography</subject><subject>Elevation</subject><subject>Fibrillation</subject><subject>Heart Arrest - complications</subject><subject>Heart Arrest - diagnosis</subject><subject>Heart Arrest - therapy</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Occlusion</subject><subject>pulseless electrical activity arrest</subject><subject>Shock, Cardiogenic - diagnosis</subject><subject>Shock, Cardiogenic - etiology</subject><subject>Shock, Cardiogenic - therapy</subject><subject>Tachycardia</subject><subject>Veins & arteries</subject><subject>Ventricle</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkUtvEzEUhS0EoqHwF5AlNmym-DHjxwYpikpBqlSktGvL8dxJHCbjYHuC-u_rISGCsrle3M_H5_gghCm5YlToT37IEAfb76D1zg9wRagWFZUv0IzyWleS8eYlmhFNVcXKuEBvUtoSwpXU7DW6YFoqQomeoe3CxtaHNQze4eUmuB-4HQHngL-PfYIeUsLXPbgcvbM9nrvsDz4_4nmMkDKepxSctxla_MvnDV7CASLgRYhhsHHCitFHvNzbtHuLXnW2aL47nZfo4cv1_eJrdXt3820xv62coCRX0nZSOiuo5bxZuWbFqOoa0TKuVpy6zipdk7qpea0aRxy3VAnmdNm0jSVa8kv0-ai7H1flgxwMOdre7KPfFUsmWG_-3Qx-Y9bhYAQjUnFWBD6eBGL4OZaYZueTg763A4QxGUZqxrggShX0wzN0G8apmUKxWui6Fr8pdaRcDClF6M5mKDFToeZ5oWYq1NApzPu_w5wv_mmwAHdHYJuyXcMZsDF718P_yo00VE_z9MSZdBsbDQz8CVRSwJs</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Sueda, Shozo</creator><creator>Fujimoto, Kaori</creator><creator>Sasaki, Yasuhiro</creator><creator>Habara, Hirokazu</creator><creator>Kohno, Hiroaki</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20181001</creationdate><title>Cardiogenic Shock due to Pulseless Electrical Activity Arrest Associated with Severe Coronary Artery Spasm</title><author>Sueda, Shozo ; Fujimoto, Kaori ; Sasaki, Yasuhiro ; Habara, Hirokazu ; Kohno, Hiroaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c610t-7af77ca61a335bc5b218f56d238b31cfa89404543485c0c3a1862c91cfd5a0973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>aborted sudden cardiac death</topic><topic>Aged</topic><topic>Angiography</topic><topic>Blood pressure</topic><topic>cardiogenic shock</topic><topic>Cardiopulmonary resuscitation</topic><topic>Case Report</topic><topic>Coronary Angiography</topic><topic>Coronary artery</topic><topic>coronary spasm</topic><topic>Coronary Vasospasm - complications</topic><topic>Coronary Vasospasm - diagnosis</topic><topic>Coronary Vasospasm - therapy</topic><topic>CPR</topic><topic>EKG</topic><topic>Electrocardiography</topic><topic>Elevation</topic><topic>Fibrillation</topic><topic>Heart Arrest - complications</topic><topic>Heart Arrest - diagnosis</topic><topic>Heart Arrest - therapy</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Occlusion</topic><topic>pulseless electrical activity arrest</topic><topic>Shock, Cardiogenic - diagnosis</topic><topic>Shock, Cardiogenic - etiology</topic><topic>Shock, Cardiogenic - therapy</topic><topic>Tachycardia</topic><topic>Veins & arteries</topic><topic>Ventricle</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sueda, Shozo</creatorcontrib><creatorcontrib>Fujimoto, Kaori</creatorcontrib><creatorcontrib>Sasaki, Yasuhiro</creatorcontrib><creatorcontrib>Habara, Hirokazu</creatorcontrib><creatorcontrib>Kohno, Hiroaki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sueda, Shozo</au><au>Fujimoto, Kaori</au><au>Sasaki, Yasuhiro</au><au>Habara, Hirokazu</au><au>Kohno, Hiroaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiogenic Shock due to Pulseless Electrical Activity Arrest Associated with Severe Coronary Artery Spasm</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2018-10-01</date><risdate>2018</risdate><volume>57</volume><issue>19</issue><spage>2853</spage><epage>2857</epage><pages>2853-2857</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>A 75-year-old man was admitted to our hospital for follow-up coronary angiography. Just after starting coronary angiography, his electrocardiogram showed ST-segment elevation in the V1-6, I, II, and aVF leads, and he fell into catastrophic cardiogenic shock. His left coronary arteriogram showed proximal total obstruction in the left anterior descending artery and proximal subtotal occlusion in the left circumflex artery. Because pulseless electrical activity arrest was recognized, cardiopulmonary support was started. After more than 15 minutes' cardiac massage, his blood pressure gradually returned to baseline. During the cardiogenic shock due to pulseless electrical activity arrest, neither ventricular fibrillation nor ventricular tachycardia was recognized.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>29780109</pmid><doi>10.2169/internalmedicine.0196-17</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | aborted sudden cardiac death Aged Angiography Blood pressure cardiogenic shock Cardiopulmonary resuscitation Case Report Coronary Angiography Coronary artery coronary spasm Coronary Vasospasm - complications Coronary Vasospasm - diagnosis Coronary Vasospasm - therapy CPR EKG Electrocardiography Elevation Fibrillation Heart Arrest - complications Heart Arrest - diagnosis Heart Arrest - therapy Hospitalization Humans Internal medicine Male Medical imaging Occlusion pulseless electrical activity arrest Shock, Cardiogenic - diagnosis Shock, Cardiogenic - etiology Shock, Cardiogenic - therapy Tachycardia Veins & arteries Ventricle |
| title | Cardiogenic Shock due to Pulseless Electrical Activity Arrest Associated with Severe Coronary Artery Spasm |
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