Cardiac arrest during pregnancy is an uncommon event, occurring only about once in every 30,000 late pregnancies. Survival from such an event is exceptional. This case involves sudden cardiac arrest of a 32 weeks pregnant woman. The patient was found at unresponsive state and transferred to emergency center by EMS. At arrival, her EKG rhythm was asystole and we had no patient information. Upon initiation of ACLS, abdominal ultrasonography was done and we detected a fetal heart beat. Timely emergency caesarean section delivery was done and the 1-minute APGAR score of neonate is 0. After endotracheal intubation and respiratory assist, 3-minute APGAR score was recoverd to 3 and neonate was admitted to neonate ICU. The mother did not responsed to resuscitation efforts. Physiologic and anatomic changes occur during normal pregnancy, necessitating a modification of standard BLS and ACLS methods for successful resuscitation. When arrest does occur during the latter part of pregnancy, perimortem caesarean delivery may improve the outcome for both the fetus and the pregnant woman.
Apgar Score ; Cardiopulmonary Resuscitation* ; Cesarean Section ; Death, Sudden, Cardiac ; Electrocardiography ; Emergencies* ; Female ; Fetal Heart ; Fetus ; Heart Arrest ; Humans ; Infant, Newborn ; Intubation, Intratracheal ; Mothers ; Pregnancy ; Pregnant Women* ; Resuscitation ; Ultrasonography

No abstract available.
Death, Sudden, Cardiac* ; Resuscitation*

No abstract available.
Death, Sudden, Cardiac*

No abstract available.
Death, Sudden, Cardiac*

No abstract available.
Autopsy* ; Death, Sudden, Cardiac*

No abstract available.
Death, Sudden, Cardiac

BACKGROUND: Supplier induced demand (SID) indicates the case when doctors increase the demand of the patients, following their (physicians') own best interests rather than patients'. This may occur when asymmetry of information exists between suppliers and consumers. This study aims to confirm whether SID exists in the Korean setting, particularly by dividing SID into both 'induced demand effect' and 'availability effect.' METHODS: Induced demand effect and availability effect are differentiated following Carlsen & Grytten's theoretical frame which divides doctor density regions into high and low ones. RESULTS: Positive correlation between doctors' density and utilization of their services was found, which could be interpreted as 'availability effect.' CONCLUSION: The result suggests that additional medical use for additional doctor, particularly in the area of low doctor density, can be interpreted to occur to meet the basic medical need of the people rather than as a result of unnecessary induced demand. It is important to make more medical doctors provided and to distribute them appropriately across the region in such a country like Korea where doctor's density is relatively low.
Humans ; Korea* ; Sudden Infant Death

OBJECTIVE: To estimate the significance of myocardial collagen I in the early acute myocardial ischemia of human. METHODS: The myocardial paraffin block had normal group, early myocardial ischemia group and myocardial infarction group. The myocardial collagen I was observed with immunohistochemical staining and analyzed by half-quantity. RESULTS: The similar expression of collagen I was observed in the cytoplasm and nucleolus in two groups. CONCLUSION The collagen I appeared in the myocardium of early acute myocardial ischemia of human. It may be an important index for postmortem diagnosis of the early acute myocardial ischemia.
Collagen Type I/metabolism* ; Death, Sudden, Cardiac ; Forensic Pathology ; Humans ; Myocardial Ischemia/metabolism* ; Postmortem Changes ; Time Factors

We describe here our experience with a neonate presenting with cyanosis, grunting, and cardiome galy, who was diagnosed with isolated left ventricular noncompaction (IVNC) by echocardiography. The patient had high levels of N-terminal pro-B-type natriuretic peptide (NT pro-BNP) and symptoms of heart failure including poor feeding and tachypnea. During the period in which NT pro-BNP levels steadily increased, the patient suffered sudden cardiac arrest despite heart failure management. Following cardiopulmonary resuscitation, cardiac arrest was resolved, NT pro-BNP levels decreased, and all symptoms showed improvement. We consider that assessment of NT pro-BNP with cardiac functional analysis using echocardiography could help in the prediction of disease progress in IVNC.
Brain ; Cardiopulmonary Resuscitation ; Cyanosis ; Death, Sudden, Cardiac ; Echocardiography ; Heart Arrest ; Heart Failure ; Humans ; Infant, Newborn ; Myocardium ; Tachypnea

The sudden cardiac death (SCD) is the primary cause of death in adults. 118 cases of sudden cardiac death from 1998 to 2005 in Shanxi area were studied. The results showed that there as 5.9 times of males as females. There were 55.1% coronary artery diseases, 17.8% myocarditis, 9.3% cardiomyopathy, 2.5% each of congenital heart diseases, valvular heart diseases, and rupture of dissecting aneurysm of aorta, and 4.55 of other diseases. The data indicate that SCD happened in males more often than in females and coronary artery disease was the most common disease. Myocardititis was more common in adolescents and cardiomyopathy was more prevalent in young adults resulting in SCD. The cardiac disease without abnormal structure changes might also be a serious threat to human health.
Adolescent ; Adult ; Aged ; Cadaver ; Cardiomyopathies/complications* ; Cause of Death ; Child ; Child, Preschool ; Coronary Disease/complications* ; Death, Sudden, Cardiac/pathology* ; Female ; Forensic Medicine ; Heart Diseases/complications* ; Humans ; Infant ; Male ; Middle Aged ; Myocarditis/complications* ; Retrospective Studies ; Risk Factors ; Sex Factors ; Young Adult