Resuscitated out-of-hospital cardiac arrest with normal postresuscitation 12-lead electrocardiography

摘要

A 50-year-old man experienced ventricular fibrillation in the early morning. A 12-lead electrocardiogram obtained immediately after resuscitation showed normal findings. However, an emergent coronary angiogram revealed the acute thrombotic obstruction in the high lateral branch. Following emergent percutaneous coronary intervention was successfully implemented. During observation in the intensive care unit, the patient developed spontaneous prominent ST elevation in the inferior leads, third-degree atrioventricular block, and cardiogenic shock. Atropine and isosorbide dinitrate administration quickly resolved the ST elevation and atrioventricular block. The patient was able to be discharged without cerebral and cardiac dysfunction. The present case gives an important suggestion for the postresuscitation care strategy.