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NAGPUR: A 38-year-old man suffered a sudden heart attack on August 25, and there was no heartbeat for over an hour. But doctors managed to revive him, and after remaining in ICU for 45 days, he was discharged on October 13 following a miraculous recovery.
As per the American Heart Association, cardiopulmonary resuscitation (CPR) is stopped after 40 minutes if there is no return of spontaneous circulation (ROSC) or heartbeat. In this case, cardiologist Dr Rishi Lohiya chose to overshoot the 40 minute threshold because of the patient’s age and ventricular fibrillation seen on the monitor. CPR with defibrillation shocks continued till the heart function was restored.
According to hospital records, the man was given 45 minutes of CPR. Dr Lohiya said the first CPR continued for over 20 minutes when ROSC was recorded for 30 seconds but went undocumented because of the emergency situation. “If ventricular fibrillation is seen, defibrillation shocks are used along with cardiac massage. This helps in restarting the heart,” he said. Ribs are fractured due to prolonged CPR and repeated shocks cause skin burn. “This patient didn’t suffer any of these two side-effects because of good CPR,” Dr Lohiya added.
The man, working with an IT company, complained of burning sensation for 3-4 days and fell unconscious twice before reaching the KIMS-Kingsway Hospital early morning on August 25. He required ventilator support for 40 days, though he became responsive after the eighth day. The ICU team comprised nephrologist Dr Ashwini Khandekar and surgeon Dr Surjeet Hazra.
As per the American Heart Association, cardiopulmonary resuscitation (CPR) is stopped after 40 minutes if there is no return of spontaneous circulation (ROSC) or heartbeat. In this case, cardiologist Dr Rishi Lohiya chose to overshoot the 40 minute threshold because of the patient’s age and ventricular fibrillation seen on the monitor. CPR with defibrillation shocks continued till the heart function was restored.
According to hospital records, the man was given 45 minutes of CPR. Dr Lohiya said the first CPR continued for over 20 minutes when ROSC was recorded for 30 seconds but went undocumented because of the emergency situation. “If ventricular fibrillation is seen, defibrillation shocks are used along with cardiac massage. This helps in restarting the heart,” he said. Ribs are fractured due to prolonged CPR and repeated shocks cause skin burn. “This patient didn’t suffer any of these two side-effects because of good CPR,” Dr Lohiya added.
The man, working with an IT company, complained of burning sensation for 3-4 days and fell unconscious twice before reaching the KIMS-Kingsway Hospital early morning on August 25. He required ventilator support for 40 days, though he became responsive after the eighth day. The ICU team comprised nephrologist Dr Ashwini Khandekar and surgeon Dr Surjeet Hazra.
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