Medizinische Universität Graz - Research portal
Selected Publication:
Klintschar, M; Darok, M; Radner, H.
Massive injury to the heart after attempted active compression-decompression cardiopulmonary resuscitation.
Int J Legal Med. 1998; 111(2):93-96
Doi: 10.1007/s004140050123
(- Case Report)
Web of Science
PubMed
FullText
FullText_MUG
- Leading authors Med Uni Graz
- Klintschar Michael
- Co-authors Med Uni Graz
- Darok Mario
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- 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.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Aged, 80 and over -
- Aortic Rupture - etiology
- Cardiopulmonary Resuscitation - adverse effects
- Female -
- Heart Rupture - etiology Heart Rupture - pathology
- Humans -
- Myocardium - pathology
- Rib Fractures - etiology
- Find related publications in this database (Keywords)
- Cardiopulmonary Resuscitation
- Active Compression-Decompression
- Complications
- Iatrogenic Injury
- Myocardial Rupture