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KMID : 0385919920030010085
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Journal of the Korean Society of Emergency Medicine
1992 Volume.3 No. 1 p.85 ~ p.91
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Successful Resuscitation of Prehospital Sudden Cardiac Death Induced by Variant Angina : a Case Report
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황성오
안무업/김영식/임경수/윤정한/박금수/최경훈
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Abstract
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In our contry, prehospital cardiac arrest means death because layman can not perform cardiopulmonary resuscitation (CPR) and there is no emergency medical technician and transport system for treating victims with prehospital cardiac arrest. And
many of
physicians usually do not try to perform CPR because they used to treat victims with prehospital cardiac arrest as the dead, so-called "death on arrival (DOA)".
Recently, we experienced a 52 year-old man who sustained from prehospital cardiac arrest induced presumably by variant angina initiated bout 20 minutes before hospital arrival. On hospital arrival, he had a fine ventricular fibrillation, but
spontneous
circulation was restored (ROSC) at 14 minutes after CPR strated. At 2 hours after ROSC, marked elevation of ST segment appeared and shortly, complete AV block developed. After sublingual and intravenous administration of nitroglycorin, ECG
changes
disappeared. Diffuse spasm of coronary artery with ST segment elevation was documented during coronary angiogram which showed no atherosclerotic change of coronary artery. He recovered good neurologic function (cerebral performance categories 1)
and
discharged on his foot.
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KEYWORD
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