| Prolonged asystolic hyperkalemic cardiac arrest with no neurologic sequelae. | |
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MedLine Citation:
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PMID: 8037399 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report the case of a 70-year-old man who developed cardiac arrest secondary to hyperkalemia that complicated severe chronic renal failure due to obstructive uropathy. The patient experienced electromechanical dissociation and approximately 26 minutes of asystole after which the resuscitation was suspended. However, 8 to 10 minutes after declaration of death, the patient was noted to have developed spontaneous return of circulation as the emergency department personnel were preparing to transport him to the morgue. The patient survived and was discharged without apparent neurologic sequelae. This case demonstrates the challenges facing physicians to predict the outcome of hyperkalemic cardiac arrest based on usual parameters. It also highlights the relative paucity of resuscitation guidelines to assist in the management of this medical emergency. |
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Authors:
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G Quick; B Bastani |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Annals of emergency medicine Volume: 24 ISSN: 0196-0644 ISO Abbreviation: Ann Emerg Med Publication Date: 1994 Aug |
Date Detail:
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Created Date: 1994-08-16 Completed Date: 1994-08-16 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 8002646 Medline TA: Ann Emerg Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 305-11 Citation Subset: AIM; IM |
Affiliation:
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Division of Emergency Medicine, St Louis University Medical Center, Missouri. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Death, Sudden, Cardiac Diagnostic Errors Heart Arrest / etiology* Humans Hyperkalemia / complications*, therapy Male |
| Comments/Corrections | |
Comment In:
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Ann Emerg Med. 1995 Apr;25(4):562-3
[PMID:
7755795
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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