On June 19, Nam Can Tho University Hospital announced that its medical team had successfully resuscitated a patient in critical condition caused by acute myocardial infarction, complicated by cardiogenic shock and severe arrhythmias.
The patient, identified as Ms. N.T.K.O, 45 years old, was admitted in a state of extreme fatigue, dyspnea, profuse sweating, cold extremities, a severely reduced heart rate of 48 beats per minute, and critically low blood pressure at 80/50 mmHg.
Clinicians promptly diagnosed her with cardiogenic shock resulting from acute myocardial infarction, complicated by severe arrhythmias and third-degree atrioventricular (AV) block — a life-threatening condition with imminent risk of cardiac arrest.
Given the urgency of the case, the medical team activated the emergency percutaneous coronary intervention (PCI) protocol, racing against time to restore coronary perfusion. Coronary angiography revealed complete occlusion of the right coronary artery (RCA), which was particularly critical as the patient's cardiac anatomy demonstrated right-dominant circulation.
The interventional team immediately deployed a stent to the occluded RCA, successfully restoring full myocardial perfusion. Within 15 minutes from vascular access to completion of the procedure, the patient’s heart rate recovered to 80 beats per minute, and her blood pressure stabilized, pulling her out of the life-threatening state.
The medical staff at Nam Can Tho University Hospital emphasized that this case serves as a stark reminder: myocardial infarction can occur suddenly, not only in elderly individuals or those with underlying medical conditions, but also in individuals who appear otherwise healthy.
Source: thanhnien.vn