Avtor/Urednik		Kovač, Miha; Petrovič-Koren, Nedeljka
Naslov		Zgodnja defibrilacija bolnika z ventrikularno fibrilacijo ob akutnem miokardnem infarktu - prikaz dveh primerov
Prevedeni naslov		Early defibrillation of the patient with ventricular fibrillation at acute myocardial infarction - two case reports
Tip		članek
Vir		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 6. Zbornik 7. mednarodni simpozij o urgentni medicini; 2000 jun 14-17; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Leto izdaje		2000
Obseg		str. 403-5
Jezik		slo
Abstrakt		On October 7th, 1999 the patient with the suspected acute myocardial infarction was transported to the Emergency department and during the transport occured ventricular fibrillation. Up to the moment he was circulatory stable, oriented, eupnoic and he spoke normally; suddely he lost consciousness, he became cianotic, he was seized with cramps in his hands and legs, similarly to the grand mal epileptic attack. On the monitor we have noticed a short multifocal ventricular tachycardia (torsades de pointes) followed by the ventricular fibrillation. The patient was immediatelly defibrillated by 200 Joules. In the following seconds he regained consciousness and began to breathe normally. We have stated that it occured an acute myocardial infarction of the anterior wall. The neighbours of the patient who suffered for some hours a persistend pain in the chest that didn't diminish after the consuption of two linguets of the nytroglicerin requested medical help. Our therapy (Nitrolingual, Aspirin direkt, Morphium) didn't bring essential improvement. During the transport he suddenly lost consciousness and stopped breathing. On the monitor we saw the ventricular fibrillation. He was immediatelly defibrillated by 200 Joules. He began breathing, he regained consciousness and the pain lessened. When we handed him over to the Emergemcy Department was totally oriented but unconscious of the event. The suspect that it occured an acute myocardial infarction of the anterior wall was confirmed. The described cases confirm the statements that were confirmed by many studies: 1 . The most dangerous acute complication of the myocardial infarction is VF. 2. VF is the most frequently stated rythm (80%) with the patients with the primary heart attack. 3. If medical aid with the full equipment for resuscitation comes to the patient in short time, the patient with VF has good possibilities to survive. 4. (Abstract truncated at 2000 characters)
Deskriptorji		MYOCARDIAL INFARCTION VENTRICULAR FIBRILLATION ELECTRIC COUNTERSHOCK AMBULANCES