Complete recovery from aneurysmal subarachnoid hemorrhage associated with out-of-hospital cardiopulmonary arrest

被引：17

作者：

Suzuki, Hidenori ^{[1
,2
]}

Sakurai, Masato ^{[3
]}

Fujimoto, Masashi ^{[4
]}

Tsuchiya, Takuro ^{[1
]}

Sakaida, Hiroshi ^{[4
]}

Taki, Waro ^{[1
,2
,4
]}

机构：

[1] Mie Univ, Dept Neurosurg, Grad Sch Med, Tsu, Mie 5148507, Japan

[2] Mie Univ, Grad Sch Med, Emergency Div, Tsu, Mie 5148507, Japan

[3] Mie Univ, Grad Sch Med, Intens Care Unit, Tsu, Mie 5148507, Japan

[4] Mie Univ, Grad Sch Med, Dept Innovat Neurointervent Radiol, Tsu, Mie 5148507, Japan

来源：

EUROPEAN JOURNAL OF EMERGENCY MEDICINE | 2010年 / 17卷 / 01期

关键词：

defibrillation; out-of-hospital cardiopulmonary arrest; subarachnoid hemorrhage; takotsubo cardiomyopathy; ventricular fibrillation; ACID-BINDING PROTEIN; CARDIOMYOPATHY; SURVIVAL; PATIENT;

D O I：

10.1097/MEJ.0b013e32832d3bde

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Out-of-hospital cardiopulmonary arrest (OHCPA) because of aneurysmal subarachnoid hemorrhage (SAH) is almost always fatal, because devastating SAH causes OHCPA and the brain damage is aggravated by OHCPA. We report a rare case of a 63-year-old female patient who survived SAH-induced ventricular fibrillation OHCPA without neurologic sequelae. Early brain computed tomography scans were needed for the diagnosis, as most of SAH seemingly disappeared within 7 h after the onset and was associated with acute coronary syndrome-like findings. This case shows that even less severe SAH can cause ventricular fibrillation OHCPA and takotsubo cardiomyopathy, and that early diagnosis and appropriate treatment following immediate, successful resuscitation may lead to a surprisingly favorable outcome. European Journal of Emergency Medicine 17:42-44 (C) 2010 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.

引用

页码：42 / 44

页数：3

共 10 条

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