Document Detail


Spontaneous defibrillation after cessation of resuscitation in out-of-hospital cardiac arrest: a case of Lazarus phenomenon.
MedLine Citation:
PMID:  17629389     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This report describes a case of out-of-hospital cardiac arrest with spontaneous defibrillation and subsequent return of circulation after cessation of resuscitative efforts. A 47-year-old man was found in cardiac arrest and resuscitation was initiated. As no response was achieved, the efforts were withdrawn and final registered cardiac rhythm was ventricular fibrillation. Fifteen minutes later the patient was found to be normotensive and breathing spontaneously. The patient made a poor neurological recovery and died 3 months after the arrest. The authors are unable to give an explanation to the event, but suspect the effect of adrenaline combined with mild hypothermia to have contributed to the self-defibrillation of the myocardium.
Authors:
Antti Kämäräinen; Ilkka Virkkunen; Leevi Holopainen; Elja-Pekka Erkkilä; Arvi Yli-Hankala; Jyrki Tenhunen
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-07-12
Journal Detail:
Title:  Resuscitation     Volume:  75     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-12     Completed Date:  2008-03-07     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  543-6     Citation Subset:  IM    
Affiliation:
Medical School, University of Tampere, Tampere, Finland. antti.kamarainen@uta.fi
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MeSH Terms
Descriptor/Qualifier:
Cardiopulmonary Resuscitation*
Emergency Medical Services / methods*
Heart Arrest / physiopathology*,  therapy*
Humans
Male
Middle Aged
Recovery of Function*
Time Factors
Ventricular Fibrillation / therapy
Withholding Treatment

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


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