Document Detail

A cardiac arrest: When recommended mild therapeutic hypothermia reveals the mechanism.
MedLine Citation:
PMID:  22080634     Owner:  NLM     Status:  Publisher    
AIM:: Describe the interaction between the use of mild induced hypothermia and acute diffuse coronary spasm. METHODS:: We report the case of a 52-yr-old Caucasian woman resuscitated after initial cardiac arrest, with normal postresuscitation electrocardiogram, sufficient hemodynamic conditions, and decreased level of consciousness, who received mild induced hypothermia to reduce brain damage as suggested by cardiopulmonary resuscitation guidelines. RESULTS:: After the beginning of mild therapeutic hypothermia, the patient experienced malignant diffuse coronary artery spasm, so-called Prinzmetal's angina, leading to myocardial ischemia and ventricular tachycardia, which was only resolved by intracoronary vasodilator injection. CONCLUSION:: Mild induced hypothermia was apparently the trigger of a severe and diffuse coronary artery spasm.
Guillaume Mazières; Géraud Souteyrand; Romain Eschalier; Renaud Guérin; Pascal Motreff
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-10
Journal Detail:
Title:  Critical care medicine     Volume:  -     ISSN:  1530-0293     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0355501     Medline TA:  Crit Care Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
From the Departments of Cardiology and Intensive Cardiac Care (GM, SG, ER), Hôpital Universitaire, and Departments of Anesthesiology and Critical Care Medicine (GR, MP), Nouvel Hôpital Universitaire, Clermont-Ferrand, France.
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