Rhabdomyolysis and acute renal failure following cardioversion and cardiopulmonary resuscitation

被引:10
作者
Hojs, R [1 ]
Sinkovic, A [1 ]
HojsFabjan, T [1 ]
机构
[1] UNIV LJUBLJANA,FAC MED,TEACHING HOSP,GEN HOSP MARIBOR,DEPT NEPHROL,MARIBOR,SLOVENIA
关键词
Acute renal failure; Cardiopulmonary resuscitation; Cardioversion; Ventricular fibrillation;
D O I
10.3109/08860229509037645
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
A 39-year-old male suffered a myocardial infarction at work and cardiopulmonary resuscitation was initiated immediately. After 15 cardioversions, ventricular fibrillation converted to sinus rhythm. Rhabdomyolysis with a 100-fold increase of serum creatine kinase level and myoglobinuria with acute renal failure ensued, requiring hemodialysis treatment. The patient died and autopsy revealed acute posterior myocardial infarction. Prolonged cardiopulmonary resuscitation involving repeated cardioversion may predispose to myoglobinuric renal failure.
引用
收藏
页码:765 / 768
页数:4
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