Acute Myocardial Infarction Treated by Percutaneous Coronary Intervention with Repeated Electrical Storms：Medi-cal Experience and Reflection
ZHAO Qiana
JI Guangb
CHEN Xiaob
ZHI Shao-cea
WU Bina
LI Meng-fanga
LU Zhong-qiua
Abstract：Objective To explore the clinical manifestations of acute myocardial infarction with electrical storms in the process of percutaneous coronary intervention(PCI) treatment, analyze the causes and put forward preventive countermeas-ures and solutions. Methods Retrospective analysis of the clinical data of an acute myocardial infarction case undergoing PCI surgery, and suffering repeated electrical storms and pharynx posterior wall hemorrhage because of nursing error was made. Results The patient had sudden chest tightness for five hours, and was diagnosed with acute inferior myocardial infarction. During the emergency PCI surgery, electrical storms (ventricular fibrillation) occurred repeatedly. After cardio-pulmonary re-suscitation, and electric defibrillation, the patient regained normal heart rhythm and survived. But in the process of rescue, the patient bit a clinical thermometer in his mouth when unconscious. Subsequently, a large amount of blood flowed into air-way, oropharynx and the stomach tube. The bleeding was found from pharynx posterior wall through emergency endoscope and fiberoptic bronchoscopy examinations. After treatment of protecting the gastric mucosa, acid suppression, and anticoagulant, the patient was discharged with recovery on the 21st day. Since then the patient has been in a stable condition as the follow up showed. Conclusion Clinicians must be alert for the electrical storm which may occur in AMI patients, and timely and pru-dent measures can prevent adverse events.
Keywords：Inferior wall myocardial infarctionPercutaneous coronary interventionElectrical stormPharynx poste-rior wallHemorrhageNursing lapsus
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 70-73 )