A Case of Sudden Cardiac Death Thought to be Caused by Coronary Vasospasm Resulting from Superacute Myocardial Eosinophilic Change.
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概要
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A 50-year-old man visited a local clinic at 8:40 am complaining of continuous chest discomfort since 7:00 am. Acute myocardial infarction was strongly suspected, and the patient lost consciousness while being transported to a critical care medical center. An ECG showed VF; rescue personnel repeatedly applied DC cardioversion, but the patient experienced cardiac arrest immediately before arrival at the hospital. During CPR, percutaneous cardiopulmonary support (PCPS) was introduced. A CAG showed a 75-90% narrowing of the right coronary artery and poor distal flow; the left coronary artery was normal. Upon admission to the ICU, the patient developed decerebrate rigidity. He died at 2:30 pm. An autopsy was performed, but both of the coronary arteries showed no signs of significant stenosis. This case of sudden cardiac death was suspected to have been caused by coronary vasospasm.
- 一般社団法人 日本救急医学会の論文
一般社団法人 日本救急医学会 | 論文
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