Successful Treatment of a Patient with Cardiac Arrest Due to Hyperkalemia by Prolonged Cardiopulmonary Resuscitation along with Hemodialysis: A Case Report and Review of the Literature

Severe hyperkalemia is a potentially life threatening cardiac emergency, especially in patients with renal failure, and can lead to fatal arrhythmias such as ventricular fibrillation or asystole, leading to cardiac arrest. We report a case of a 39-year-old woman who developed sudden cardiac arrest s...

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Main Authors: Nuri Kose, Ferruh Bilgin
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/57/8/810
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spelling doaj-1f6d6ccf03d44b6499cc5ac59ed1765a2021-08-26T14:02:57ZengMDPI AGMedicina1010-660X1648-91442021-08-015781081010.3390/medicina57080810Successful Treatment of a Patient with Cardiac Arrest Due to Hyperkalemia by Prolonged Cardiopulmonary Resuscitation along with Hemodialysis: A Case Report and Review of the LiteratureNuri Kose0Ferruh Bilgin1Department of Cardiology, Yucelen Hospital, Mugla 48000, TurkeyDepartment of Anesthesiology and Reanimation, Yucelen Hospital, Mugla 48000, TurkeySevere hyperkalemia is a potentially life threatening cardiac emergency, especially in patients with renal failure, and can lead to fatal arrhythmias such as ventricular fibrillation or asystole, leading to cardiac arrest. We report a case of a 39-year-old woman who developed sudden cardiac arrest secondary to hyperkalemia (9.95 mEq/L) with renal insufficiency. Despite 20 min of cardiopulmonary resuscitation (CPR) and conventional treatment for hyperkalemia, the cardiac arrest persisted. Hemodialysis was then initiated via the right femoral vein during CPR, and the patient restored spontaneous heartbeat 40 min later. Hemodialysis should be considered in the course of CPR in severe hyperkalemia induced cardiac arrest if conventional therapies fail.https://www.mdpi.com/1648-9144/57/8/810hyperkalemiakidney failurecardiac arresthemodialysis
collection DOAJ
language English
format Article
sources DOAJ
author Nuri Kose
Ferruh Bilgin
spellingShingle Nuri Kose
Ferruh Bilgin
Successful Treatment of a Patient with Cardiac Arrest Due to Hyperkalemia by Prolonged Cardiopulmonary Resuscitation along with Hemodialysis: A Case Report and Review of the Literature
Medicina
hyperkalemia
kidney failure
cardiac arrest
hemodialysis
author_facet Nuri Kose
Ferruh Bilgin
author_sort Nuri Kose
title Successful Treatment of a Patient with Cardiac Arrest Due to Hyperkalemia by Prolonged Cardiopulmonary Resuscitation along with Hemodialysis: A Case Report and Review of the Literature
title_short Successful Treatment of a Patient with Cardiac Arrest Due to Hyperkalemia by Prolonged Cardiopulmonary Resuscitation along with Hemodialysis: A Case Report and Review of the Literature
title_full Successful Treatment of a Patient with Cardiac Arrest Due to Hyperkalemia by Prolonged Cardiopulmonary Resuscitation along with Hemodialysis: A Case Report and Review of the Literature
title_fullStr Successful Treatment of a Patient with Cardiac Arrest Due to Hyperkalemia by Prolonged Cardiopulmonary Resuscitation along with Hemodialysis: A Case Report and Review of the Literature
title_full_unstemmed Successful Treatment of a Patient with Cardiac Arrest Due to Hyperkalemia by Prolonged Cardiopulmonary Resuscitation along with Hemodialysis: A Case Report and Review of the Literature
title_sort successful treatment of a patient with cardiac arrest due to hyperkalemia by prolonged cardiopulmonary resuscitation along with hemodialysis: a case report and review of the literature
publisher MDPI AG
series Medicina
issn 1010-660X
1648-9144
publishDate 2021-08-01
description Severe hyperkalemia is a potentially life threatening cardiac emergency, especially in patients with renal failure, and can lead to fatal arrhythmias such as ventricular fibrillation or asystole, leading to cardiac arrest. We report a case of a 39-year-old woman who developed sudden cardiac arrest secondary to hyperkalemia (9.95 mEq/L) with renal insufficiency. Despite 20 min of cardiopulmonary resuscitation (CPR) and conventional treatment for hyperkalemia, the cardiac arrest persisted. Hemodialysis was then initiated via the right femoral vein during CPR, and the patient restored spontaneous heartbeat 40 min later. Hemodialysis should be considered in the course of CPR in severe hyperkalemia induced cardiac arrest if conventional therapies fail.
topic hyperkalemia
kidney failure
cardiac arrest
hemodialysis
url https://www.mdpi.com/1648-9144/57/8/810
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