PMID: 9541859May 23, 1998Paper

Massive injury to the heart after attempted active compression-decompression cardiopulmonary resuscitation

International Journal of Legal Medicine
M KlintscharH Radner

Abstract

An 84-year-old woman was unsuccessfully resuscitated for 3 min using standard cardiopulmonary resuscitation (CPR), followed by 15 min of active compression-decompression (ACD). The autopsy revealed that death was due to myocardial infarction complicated by rupture of the infarcted area and pericardial tamponade was diagnosed. Furthermore, a series of rib fractures, a transverse fracture of the sternum, rupture of the pericardial sac, the right ventricle, both atria and lacerations of the ascending aorta, were found with no signs of a vital reaction. To our knowledge, such extensive cardiac injury after CPR has not been previously reported. It is suggested that the pre-existing pericardial tamponade, the age of the patient and the application of the ACD-device to incorrect areas of the chest contributed to the extent of the cardiac injury. This case further adds to the suspicion of an increased risk of cardiac injuries when using an ACD device for cardiac massage.

Citations

Sep 23, 2008·Intensive Care Medicine·Claas T Buschmann, Michael Tsokos
Aug 9, 2012·Forensic Science, Medicine, and Pathology·Claas BuschmannChristian Kleber
Aug 25, 1999·Resuscitation·M BaubinP Mair
Oct 27, 2009·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Marc De Leeuw, Werner Jacobs
Feb 27, 2014·Der Anaesthesist·M FischerJ-C Schewe
Apr 5, 2014·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Nikolaus A HaasKai Thorsten Laser
Oct 20, 2010·Resuscitation·Jerry P NolanUNKNOWN ERC Guidelines Writing Group
Feb 6, 2007·Legal Medicine·Yoshiaki HashimotoJunichi Furumiya
Oct 20, 2015·Resuscitation·Anatolij TruhlářUNKNOWN Cardiac arrest in special circumstances section Collaborators
Feb 16, 2002·Cardiology Clinics·Charles F Babbs
Apr 21, 2016·Resuscitation·Lucia Ihnát RudinskáIgor Dvořáček
Oct 1, 2017·International Journal of Legal Medicine·Martin KoloppLaurent Martrille
Feb 24, 2010·The American Journal of Forensic Medicine and Pathology·Brian L Peterson, Kimberly Rossi

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.