Cardiac thrombus formation during cardiopulmonary resuscitation for cardiac arrest: Is it time for ultrasound-enhanced algorithms?

被引：3

作者：

de Gregorio, Cesare ^{[1
]}

Stanzione, Alessio ^{[1
]}

机构：

[1] Univ Hosp G Martino, Postgrad Residency Sch Cardiovasc Dis, Cardiol Unit, Dept Clin & Expt Med, Messina, Italy

来源：

JOURNAL OF CARDIOVASCULAR ECHOGRAPHY | 2019年 / 29卷 / 04期

关键词：

Cardiac arrest; cardiac thrombus; cardiopulmonary resuscitation; echocardiography; emergency ultrasound; ECHOCARDIOGRAPHY;

D O I：

10.4103/jcecho.jcecho_16_19

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Current guidelines consider thrombosis as a potential (and reversible) cause of cardiorespiratory arrest (CA). However, cardiac thrombus formation (TF) is likely to be the consequence of the forward blood flow ceasing during cardiac standstill. We present the case of a young man who was hospitalized for infective endocarditis, complicated by multiorgan disease and sudden CA on the 5th day. Prompt cardiopulmonary resuscitation (CPR) warranted a return of spontaneous circulation in 16 min but, unexpectedly, a TF was recognized in the right atrium at echocardiography. The blood clot resolved with rapid administration of endovenous heparin and continued chest compressions. Even though cardiac ultrasound is not ready for a routine use during CPR, the present study confirms a key role in the management of CA patients.

引用

页码：169 / 171

页数：3

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