Annals of Case Reports and Clinical Studies (ISSN: 2834-5673) | Volume 3, Issue 2 | Case Report | Open Access DOI
Francisco Javier González Ogallar*
Ogallar FJG*, García JN
Cardiovascular Intensive Care Unit, Hospital Clínico San Carlos, Comunidad de Madrid, Spain
*Correspondence to: Francisco Javier González Ogallar
Fulltext PDFThe incidence of refractory Ventricular Fibrillation (VF) in our environment is almost 25% of all Cardiopulmonary Arrests (CPR) and presents a high mortality rate [1]. It has been described that VF and pulseless Ventricular Tachycardia (VT) as the initial rhythm cause greater instability in patients with CPR, and special attention should be paid to the transient recovery of spontaneous circulation as a potential sign of reversibility [2]. A wide variety of structural abnormalities is associated with CPR. However, there is no evidence of structural heart disease in approximately 5% of sudden death victims, indicating that cardiac arrest in the absence of organic heart disease is more common than previously thought. The risk of recurrence and the long-term response to treatment are important questions, but unanswered. The data from the small series published so far have limited value due to the lack of uniform criteria to define and diagnose Idiopathic Ventricular Fibrillation (IVF) [3].
In recent years, the implementation of percutaneous veno-arterial Extracorporeal Membrane Oxygenation (ECMO) in patients with out-of-hospital cardiac arrest has been developed in our center. This has allowed the stabilization and diagnostic study of this type of patients in the initial moments of the CPR. This has involved a great effort and coordination with the out-of-hospital emergency services.
Ogallar FJG, García JN. Idiopathic Refractory Ventricular Fibrillation as a Cause of Cardiorespiratory Arrest (PCR) That Required Cardiopulmonary Resuscitation (RCP) Through Percutaneous Veno-Arterial Extracorporeal Membrane Oxygenation (ECMO). Could Caffeine be the Cause?. Ann Case Rep Clin Stud. 2024;3(2):1-4.