Estatísticas

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      "titulo" => "Congenital heart disease&#58; When simple becomes complex"
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    "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>"
    "titulo" => "Arterial waveform during extracorporeal cardiopulmonary resuscitation"
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        "autoresLista" => "Jo&#227;o Jo&#227;o Mendes, Ruben Ramos, Paulo Franco, Pedro Ponce"
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        "titulo" => "Curva de linha arterial durante ressuscita&#231;&#227;o cardiopulmonar"
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Electrocardiographic and arterial line waveforms during resuscitation&#46; &#40;a&#41; Pulseless electrical activity cardiac arrest with an almost flat arterial waveform at 0-5 mmHg and start of manual compression generating a pulsatile blood flow with a low mean arterial pressure&#59; &#40;b&#41; compressions using a chest compression system generating a pulsatile blood flow with a mean arterial pressure of 50 mmHg&#59; &#40;c&#41; arterial line waveform showing an almost flat arterial wave form with a mean arterial pressure of 60 mmHg during initial venoarterial extracorporeal membrane oxygenation&#59; &#40;d&#41; arterial line waveform showing recovery of pulsatile blood pressure with a pulse pressure of 10 mmHg after 5 min of venoarterial extracorporeal membrane oxygenation&#59; &#40;e&#41; arterial line waveform showing full recovery of pulsatile blood pressure after percutaneous coronary intervention&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Extracorporeal cardiopulmonary resuscitation &#40;ECPR&#41; is the implantation of venoarterial extracorporeal membrane oxygenation &#40;VA-ECMO&#41; in a patient experiencing a sudden and unexpected pulseless condition attributable to cessation of cardiac mechanical activity&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">A 57-year-old male presented to our hospital with an acute coronary syndrome&#46; A diagnostic coronary angiography was performed showing a critical lesion of the left main coronary artery&#44; with severely compromised left ventricular systolic function&#46; The patient was transferred to the intensive care unit awaiting coronary artery bypass grafting&#44; and a right radial arterial line was put in place&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">The patient complained of recurrent chest pain and rapidly evolved to cardiac arrest in pulseless electrical activity&#46; The advanced cardiac life support protocol was started promptly&#44; initially with manual compressions and then using an automatic chest compression system&#46; Expeditiously the ECMO team cannulated and connected the patient to the ECMO machine&#46; An emergent percutaneous coronary intervention &#40;angioplasty and stent placement&#41; of the left main coronary artery was performed&#46; Arterial line waveform recordings were obtained during all stages of resuscitation &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">ECPR is on its way to transforming patient outcomes after cardiac arrest&#44; and arterial waveform interpretation is essential in the technical management of VA-ECMO&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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