A previously fit marathon-running 54 year old man was admitted as an emergency having collapsed with chest pain caused by an acute transmural anterior myocardial infarction. He was initially resuscitated by his general practitioner then had recurrent episodes of ventricular flutter and fibrillation requiring continuing cardiopulmonary resuscitation and repeated defibrillation. During ambulance ...

BACKGROUND Percutaneous coronary intervention with stenting in patients with coronary atheromatous stenosis carry an inherent risk of affecting the baroreflex-mediated regulation of hemodynamic alterations, especially for heart rate and blood pressure. To the best of our knowledge, the vagal baroreflex activation associated with acute coronary stent thrombosis in patients who have undergone per...

BACKGROUND The use of Intra-aortic counterpulsation is a well established supportive therapy for patients in cardiac failure or after cardiac surgery. Blood pressure variations induced by counterpulsation are transmitted to the cerebral arteries, challenging cerebral autoregulatory mechanisms in order to maintain a stable cerebral blood flow. This study aims to assess the effects on cerebral au...

Coronary vasospasm is still a devastating complication during cardiac surgery. We report on a case of intractable coronary vasospasm in a 45-year-old male during coronary bypass surgery refractory to drugs and intra-aortic balloon pumping (IABP). Under cardiopulmonary bypass (CPB) support, the aorta was again cross-clamped and the aortic root was compulsorily perfused with pump blood using a sm...

Nurses are accountable for their care. Understanding the physiology and process behind any intervention improves patient care, while also increasing nursing satisfaction and skill and IABP is no exception. An awareness of IABP will facilitate sound nursing care, ensure early identification of possible complications or patient compromise, and lead to patient and relative satisfaction. It will al...

Several new CPR techniques and devices have been developed and tested since the first report of manual closed-chested cardiopulmonary resuscitation (CPR) nearly four decades ago. These devices and techniques include vest CPR, interposed abdominal counterpulation CPR, active compression-decompression CPR, an impedance threshold valve, intra-aortic balloon pump and phased thoracic-abdominal count...

background: there are some conflicting results with conventional coronary artery bypass grafts (ccabg) with arrested heart in coronary high-risk patients. moreover, performing off-pump cabg in these cases may be associated with serious complications. the objective of this study is to evaluate the efficacy of the on-pump beating cabg (opbcabg) in coronary high-risk patients in comparison with th...