| Coronary blood flow and perfusion pressure during coronary angiography in patients with ongoing mechanical chest compression: a report on 6 cases. | |
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MedLine Citation:
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PMID: 20227005 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Patients with pulseless electrical activity or refractory ventricular fibrillation have a very bad prognosis. Coronary angiography and angioplasty may be required to restore an effective circulation, but this must be performed whilst chest compressions are continued. The LUCAS chest compression device is suitable for this purpose. So far there are no reports on the effect of this device on coronary circulation in humans. We monitored the coronary perfusion pressure assessed invasively as the difference between the diastolic pressures at the coronary ostium and right atrium, and compared these pressures with coronary flow graded using the TIMI scale in 6 patients. In 4 out of 6 we found a satisfactory coronary artery perfusion pressure and TIMI grade 3 flow (normal) on coronary angiography. Two of these patients survived the first 24h. Two patients did not have a satisfactory perfusion pressure and adequate flow rate was not seen. |
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Authors:
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Alf Inge Larsen; Ashild Hj?rnevik; Vernon Bonarjee; St?le Barvik; Tor Melberg; Dennis Winston Nilsen |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Resuscitation Volume: 81 ISSN: 1873-1570 ISO Abbreviation: Resuscitation Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-03-15 Completed Date: 2010-06-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: Ireland |
Other Details:
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Languages: eng Pagination: 493-7 Citation Subset: IM |
Copyright Information:
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Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Department of Cardiology, Stavanger University Hospital, Stavanger, Norway; University of Bergen, Institute of Internal Medicine, Norway. alfil@broadpark.no |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged, 80 and over Cardiopulmonary Resuscitation* / instrumentation Coronary Angiography* Coronary Circulation / physiology* Humans Male Middle Aged |
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