April 14, 2024 2:38 pm
Saving a life: how 45 minutes of patient resuscitation revived someone in cardiac arrest

A 39-year-old man in Ho Chi Minh City collapsed and suffered a cardiac arrest while using his chest to block a ball. Doctors at Gia Dinh People’s Hospital resuscitated him for 45 minutes with 10 electric shocks and then performed ECMO to save his life.

Upon arrival at the hospital, the patient’s pulse could not be detected, blood pressure could not be measured, and he was experiencing continuous ventricular tachycardia. Despite non-stop heart massages and electric shocks, his heart did not respond. The medical team persevered in resuscitation efforts for 45 minutes before the patient showed signs of recovery, but experienced severe hypotension and pulmonary edema.

Doctors utilized hypothermia and ECMO to protect the patient’s brain and support his heart and lungs. With a combination of interventions and continuous dialysis over 48 hours, the patient regained consciousness, was able to come off ECMO after 72 hours, ventilation support after 4 days, and was discharged from the ICU after 6 days.

Genetic testing revealed a mutation in the MYPN gene, which is linked to dilated cardiomyopathy and sudden death. The patient had a defibrillator implanted to prevent future sudden deaths and will undergo cardiovascular rehabilitation before resuming normal activities. It is recommended that individuals engaging in sports know their cardiovascular health, especially if there is a family history of sudden cardiac death, and seek medical attention if symptoms arise during physical activity.

In conclusion, this case underscores the importance of understanding one’s cardiovascular health and seeking appropriate care when faced with medical emergencies or family history of cardiac issues.

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