Mr. NCL (58 years old, Thu Duc City, Ho Chi Minh City) has just experienced death due to an acute myocardial infarction. Before that, Mr. L suddenly fainted at home, then regained consciousness and was hospitalized by his family at the Emergency Department of Thu Duc City Hospital with left chest pain and severe difficulty breathing.
At the Emergency Department, the patient suddenly had continuous cardiac arrest and doctors immediately performed chest compressions, then received electric shocks to defibrillate the heart several times to get the heart to beat again.
Here, the patient's heart stopped multiple times and two parallel teams performed both chest compressions and electric shock to destroy defibrillation, performed blood vessel puncture and coronary angiography to determine that the patient had a proximal blockage of the right coronary artery. The team treated the thrombus blocking the artery, placed a pacemaker and quickly placed a coronary stent to re-open the flow.
BSCKII. Le Duy Lac - Head of the Department of Cardiovascular Resuscitation, who directly performed coronary intervention for the patient - said: "At that time, we only knew how to concentrate highly on the case, the resuscitation process was very methodical, and especially we I pressed the heart and inserted the guide wire into the coronary artery to suction out the thrombus and place a stent to re-circulate the patient's blood flow."
After more than 30 minutes of non-stop efforts from the team, the patient's coronary flow was restored and his heart beat again. He was transferred to the Cardiovascular Intensive Care Department for treatment in a coma on a ventilator, with low blood pressure. and receive intensive resuscitation with a ventilator, resuscitation for kidney failure, liver failure and other medical treatment. After 2 days of resuscitation, the patient gradually regained consciousness and was able to breathe on his own, his liver and kidney function gradually recovered and was extubated to breathe natural air.
BSCKI. Nguyen Tien Nhan - Department of Cardiovascular Resuscitation, Thu Duc City Hospital - said that the most important thing is that the patient arrives at the hospital promptly, the doctors have identified the patient's situation, and performed emergency resuscitation. The cardiopulmonary system is effective right from the moment the heart stops, so there are no sequelae of brain damage.
According to experts, in cases of cardiac arrest due to myocardial infarction , time is no longer golden time but diamond time. It is necessary to make the most of the time and have the team work very methodically to have a chance. Society can bring patients back from the dead. The disease can attack anyone, so health checks and a healthy lifestyle are extremely necessary.
