Automated mechanical chest compression as a bridge to primary percutaneous coronary intervention: Case report

• Main Authors: Bebiana Faria, Marina Fernandes, Silvia Ribeiro, António Lourenço
• Format: Article
• Language: English
• Published: PAGEPress Publications 2020-09-01
• Series: Emergency Care Journal
• Subjects: Acute coronary syndrome; cardiogenic shock; cardiac arrest; automated mechanical chest compression
• Online Access: https://www.pagepressjournals.org/index.php/ecj/article/view/8636

In a peripheral hospital without primary percutaneous coronary intervention or mechanical circulatory support, therapeutic options in patients with myocardial infarction complicated with cardiogenic shock or refractory cardiopulmonary arrest are very limited. We report a case of a 59-year-old man with acute myocardial infarction with ST-segment elevation complicated by cardiogenic shock and refractory cardiac arrest, transported with ongoing fibrinolysis to another hospital for rescue percutaneous coronary intervention in cardiopulmonary resuscitation with automated mechanical chest compression. This case underlines the difficulty in managing these critically ill patients in peripheral hospitals without advanced resources and discusses some therapeutic options, highlighting automated mechanical chest compression as a bridge to a percutaneous revascularization procedure.