Ac arrest. Nonetheless, the impact of mechanical CPR versus manual CPR
Ac arrest. Nonetheless, the effect of mechanical CPR versus manual CPR is remained controversial. OBJECTIVESThis study aims to analyze the efficacy of mechanical CPR when compared with manual CPR on ROSC price through cardiac arrest. METHODSWe searched PubMed, MEDLINE, EBSCO, ProQuest, Science Direct, Clinical Crucial, and Cochrane database for potential RCTs that compare ROSC price of mechanical CPR and manual CPR in cardiac arrest sufferers. The metaanalysis was performed by RevMan . (randomeffects model) to supply a pooled estimate for odds ratio (OR) with confidence intervals (CIs). ResultsA total of randomized studies (Mechanical CPR in comparison to Typical CPR) met the criteria for this metaanalysis. The studies included adult cardiac arrest patients treated by mechanical CPR and individuals by manual CPR. There was no considerable variations discovered in rate of return of spontaneous circulation (ROSC) in between me
chanical CPR and manual CPR (odds ratio (OR) .; CI p.). ConclusionMechanical CPR is just not superior to manual CPR in enhancing ROSC rate in cardiac arrest patients. Having said that, these findings ought to be confirmed in huge randomized controlled clinical trials. Keywordmechanical CPR, normal CPR, ROSC, cardiac arrest.ASEAN Heart Journal Volno PP . Atypical AVNRT with bystander Septal APA Rare CaseIndy Mashfufah, Mohammad Iqbal, Maya Munigar Apandi, Chaerul Achmad, Beny Hartono, Augustine Purnomowati, Toni M ApramiAbstractspathway serve as a subtrate for reentry and triggered atrioventricular reenterant tachycardia (AVRT). Case IllustrationA years old boy with history of recurrent palpitation came to emergency department due to palpitation. He had been diagnosed with supraventricular tachycardia and got bisoprolol but palpitation still reoccurred. In physical examination, we found tachycardia, with hemodynamically steady and he had no other abnormality. Electrocardiographic (ECG) showed orthodromic AVRT which caractherized with narrow QRS complicated tachycardia with quick RP interval. Vagal maneuver and intravenous adenosine was failed for terminating the AVRT. Intravenous amidarone was administered to terminate the AVRT. Post PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/26296952 termination ECG revealed an intermittent ventricular preexcitation. Patient was discharge with therapy amiodarone amiodarone mg twice everyday and planed to EP study in referral hospital In our patient immediately after AVRT was terminate, resting ECG showed intermittent ventricular preexcitation. It was indicate that AVRT had mediated by accesory pathway. The mechanism of intermittent preexcitation has not clearly understood but is LY3039478 web probably related to the refractory period from the accessory pathway as well because the cellular connectivity inside the pathway. Intermittent ventricular preexcitation suggests poor antegrade conduction by means of the accessory connection. The locating of intermittent ventricular preexcitation indicates a long antegrade refectory period of the accessory pathway. Though threat of sudden death is low in intermittent ventricular preexcitation, it has been observed in some patients with cardiac arrest. Healthcare treatment is helpful but not addres the underlying trigger. blocker could be the 1st line therapy. Amiodarone, flecainide, and sotalol might be choiced if blocker is contraindicated or fails to manage tachycardia. Radiofrequency ablation must be considerd particularly in patient older than years old, specifically in our patient its due to reecurent AVRT. SummaryWe reported orthrodromic AVRT inside a youngster with intermitten ventricular.