Document Detail


Out-of-hospital cardiac arrest from air embolism during sexual intercourse: case report and review of the literature.
MedLine Citation:
PMID:  17291667     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the successful resuscitation of a 38-year-old woman in cardiac arrest following heterosexual intercourse 7 days after spontaneous abortion and an instrumental uterine evacuation. The collapse was thought to be due to venous air embolism (VAE). Her survival neurologically intact was attributed to appropriate first aid, pre-hospital and subsequent hospital intensive care. Neither a case of an out-of-hospital air embolism where the patient made a good recovery, nor a case of miscarriage followed by collapse from air embolism has been reported in the literature. Air embolism is a very infrequent cause of out-of-hospital cardiac arrest with a high mortality rate. Predominant causal reasons are severe penetrating neck or thoracic injuries and sexual activities in pregnancy, when air can pass into the damaged veins in the wall of the uterus and lead to total obstruction in the heart. Diagnostics and management techniques for venous air embolism are discussed. Air embolism should be included in the differential diagnosis for all young women in cardiac arrest, particularly when occurring during sexual activity. Instructions in risks of sexual intercourse during pregnancy and the puerperium should become part of pregnant women's education.
Authors:
Anatolij Truhlar; Vladimir Cerny; Pavel Dostal; Miroslav Solar; Renata Parizkova; Iva Hruba; Ladislav Zabka
Related Documents :
9031967 - Prolonged fetal pre-ejection period corrected for pr interval associated with cerebral ...
14707027 - Developmental control of titin isoform expression and passive stiffness in fetal and ne...
22430727 - Maternal smoking and fetal lung signals - an in utero mri investigation.
16157147 - Early fetal echocardiography--a reliable prenatal diagnosis tool.
11098787 - Fertility of mares after unilateral laparoscopic tubal ligation.
19907427 - Maternal obesity: the interplay between inflammation, mother and fetus.
Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2007-02-08
Journal Detail:
Title:  Resuscitation     Volume:  73     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-05-21     Completed Date:  2007-08-17     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  475-84     Citation Subset:  IM    
Affiliation:
Helicopter Emergency Medical Service Christoph 6 Hradec Kralove, Hradec Kralove Region Emergency Medical Services, Czech Republic. ATruhlar@seznam.cz
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Abortion, Spontaneous / surgery
Adult
Coitus / physiology*
Embolism, Air / complications*
Emergency Treatment
Female
Heart Arrest / etiology*,  therapy
Humans
Obstetric Surgical Procedures / adverse effects
Pregnancy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Different transcriptional strategies for ccn2/ctgf gene induction between human chondrocytic and bre...
Next Document:  When the storm passes unnoticed--a case series of thyroid storm.