The aim of this study was to evaluate mortality and morbidity in patients referred to our emergency department with cardiac arrest and whom emergency coronary catheterization was performed. Between 2012-2015, patients who were referred to the emergency department of Eskisehir Osmangazi University Medical Center, Eskisehir, TURKEY with cardiac arrest and on whom emergency catheterization was performed after return of spontaneous circulation following cardiopulmonary resuscitation and with determined pathology on ECG were analyzed. A total of 15 patients (11 males) were included. The average duration of cardiopulmonary resuscitation was 18,60 minutes. Post-resuscitation ECG revealed ST segment elevaiton in 10 patients, ST-T changes in 4 patients, and nodal rhythm in 1 patient. Mean door-to-balloon time was 60,73 minutes (min: 27, max: 110). Following treatment, 9 patients were discharged while the remaining 6 were declared as exitus. Emergency coronary catheterization increases survival in patients who were referred to the emergency department following cardiopulmonary resuscitation. In patients referred to the emergency department with cardiac arest and in whom management is performed in accordance with related algorithms and return of spontaneous circulation, Emergency physicians should evaluate ECG rather quickly. Joint protocols of the Emergency and Cardiology Departments is important in terms of decreased mortality and morbidity for emergency coronary invasive treatment in patients with abnormal ECG findings
Myasthenic crisis is respiratory failure from myasthenic weakness. Due to the involvement of respiratory muscles, hypoventilation can occur and subsequently lead to hypoxia and hypercapnia. This paper presents a 82-year-old patient with a past medical history of myasthenia gravis who presented to the emergency department with complaints of asthenia and shortness of breath. Why should an emergency physician be aware of this: In patients presenting to a hospital due to shortness of breath, blood gas and D-dimer test results should be evaluated carefully. PE should be suspected in myasthenia gravis patients with hypocapnia and high D-dimer results. The patient was diagnosed with pulmonary embolism given the high value of D-dimer and hypocapnic blood gas.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.