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KMID : 0191120220370480334
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Journal of Korean Medical Science
2022 Volume.37 No. 48 p.334 ~ p.334
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Delayed Presentation of Spontaneous Shockable Rhythm After Death: Another Subtype of Lazarus Phenomenon?
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Kim Hyung-Il
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Abstract
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Lazarus phenomenon was defined as spontaneous circulatory restoration after death. It is important because survival discharge is possible. A 44-year-old woman developed traumatic cardiac arrest. She was declared dead after 30 minutes of resuscitation. Suddenly, pulseless ventricular tachycardia was shown after 6 minutes of death declaration. Resuscitation with epinephrine injection was resumed but was terminated after 7 minutes, and she was declared dead once more. A case where an electrocardiography appears spontaneously should be classified as a subtype of the Lazarus phenomenon. If the transition from asystole to spontaneous shockable rhythm follows a mechanism similar to that of the Lazarus phenomenon, active resuscitation and monitoring for a period of time following death declaration should be considered.
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KEYWORD
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Autoresuscitation, Lazarus Phenomenon, Out-of-Hospital Cardiac Arrest, Return of Spontaneous Circulation.
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