Cardiology Letters 2019, 28(1):41-45

Bystander CPR and successful Primary Percutaneous Coronary Intervention

Bulíková T^{1, 2}, Cmorej PCH³, $4

¹ Katedra urgentnej zdravotnej starostlivosti Slovenskej zdravotníckej univerzity Bratislava

² ZZS Life Star Emergency, Limbach, Slovenská republika

³ Zdravotnická záchranná služba Ústeckého kraje, p. o., Ústí nad Labem

⁴ Univerzita Jana Evangelisty Purkyně, Fakulta zdravotnických studií, Ústí nad Labem, Česká republika

The authors present a commented case report of out-of-hospital cardiac arrest with initial defibrill­ ated rhythm as a deterioration of acute myocardial infarction. Early detection of STEMI and initialisation of rapid transport to PCI depends on several factors, such as the early start of lay CPR provided by bystanders, early defibrillation and achieving of ROSC by the EMS crew, and 12 leads ECG provided soon after ROSC. The outcome is higher if the time between call to Emergency Medical Dispatching and handover in the hospital is less than 90 minutes.

Keywords: out-of-hospital cardiac arrest; first aid; early defibrillation; STEMI; primary percutaneous

Published: January 1, 2019  Show citation