Document Detail


Bolus thrombolytic infusion during prolonged refractory cardiac arrest of undiagnosed cause.
MedLine Citation:
PMID:  16498143     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Acute myocardial infarction (AMI) and pulmonary embolism (PE) account for about 70% of cardiac arrest. Although thrombolytic therapy is an effective therapy for both AMI and PE, it is not routinely recommended during cardiopulmonary resuscitation (CPR) for fear of life threatening bleeding complications. Numerous case reports and retrospective studies have suggested a beneficial effect of thrombolytics in cardiac arrest secondary to AMI and PE; however, we present a case of successful use of bolus thrombolytics during CPR in a patient with undifferentiated cardiac arrest (undiagnosed cause) after prolonged conventional resuscitation without success.
Authors:
A Sheth; P Cullinan; V Vachharajani; S A Conrad
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Emergency medicine journal : EMJ     Volume:  23     ISSN:  1472-0213     ISO Abbreviation:  Emerg Med J     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-02-24     Completed Date:  2006-04-10     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  100963089     Medline TA:  Emerg Med J     Country:  England    
Other Details:
Languages:  eng     Pagination:  e19     Citation Subset:  IM    
Affiliation:
Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, LA 71130, USA. drankursheth@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Cardiopulmonary Resuscitation / methods
Female
Fibrinolytic Agents / administration & dosage*
Heart Arrest / drug therapy*
Humans
Injections
Tissue Plasminogen Activator / administration & dosage*
Chemical
Reg. No./Substance:
0/Fibrinolytic Agents; EC 3.4.21.68/Tissue Plasminogen Activator
Comments/Corrections

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