Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2006     Volumen 31     Number 3
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UDK: 616.12-008.315-083.98  ISBN 0350-2899, 31(2006) 3 p.83-88
Case report

Case Report - One Successful CPR in the Emergency Department - Is Everything always what it Seems to Be?

Aleksandar Jolić
Zdravstveni centar Zaječar, Služba hitne medicinske pomoći



SCD (Sudden Coronary Death) is the most commonly described form of sudden and unexpected death in younger people. An undetected CAD is most often described as a primary cause of SCD, but it is not rare that SCD is depicted without looking for its pathological explanation, or it is impossible to be identified due to different medical or social barriers.
In this case report we presented a case of VF in 38 years old patient with a subsequent short and successful CPR and defibrillation. It would have been described as another SCD, but fortunately this did not happen owing to the fact that the patient was “on the right place at a right time”. The aim of this report is firstly to emphasize the original atypicality and even absence of CAD symptoms in this patient and later on proved background of SCD following a more thorough analysis of the anamnestic data obtained at the Internal Medicine Ward and consequential methods of additional examination; secondly to show the need to set minimum requirements for observation of seemingly asymptomatic patients with hypertension and CAD in the Emergency Department.
The report itself was made out of retrospective data analysis of Emergency Service patient protocols, and of hospital data of the Internal Medicine Ward.
By analysing the aforementioned data we came to the fact we featured in the title - that, as taught at the medical studies, nothing is typical in medicine, but sometimes everything is just as typical as it seems. In this case, it is proving the existence of major ischaemic CAD with originally asymptomatic young patient, as it seemed at first.
These “atypical” patients should in principle set standards in observation in emergency services in line with certain conditions and a more serious regard of seemingly asymptomatic younger patients because of an evident lowering of the age limit for ischaemic CAD and its complications such as SCD.
Key words: resuscitation, emergency service, fibrillation, sudden coronary death

: kompletan tekst rada na srpskom jeziku
Note: full text in Serbian
  Corresponding Address:
Aleksandar Jolić
Ljube Nešića 149a/1, 19 000 Zaječar

Paper received: 25.09.2006.
Paper accepted: 05.10.2006.
Published online: 26.10.2006
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