Adult respiratory syncytial virus infection and hypoxic cardiac arrest – Coexistent or causal?
Resuscitation
; 175:S33-S34, 2022.
Article
in English
| EMBASE | ID: covidwho-1996686
ABSTRACT
Purpose of the study Respiratory syncytial virus (RSV) is a wellknown pathogen in pediatric patients. (1) However, it also causes substantial morbidity and mortality in adults, posing a major healthcare problem. (2). Methods:
We reviewed a patient suffering from cardiac arrest (CA) and acute RSV infection who was admitted to the Department of Emergency Medicine, Medical University of Vienna, Austria.Results:
A 74-year-old male patient complained about dyspnea and later went into CA. Bystander BLS was conducted for 7 minutes, and arriving EMS performed advanced life support (ALS). The initial rhythm check showed pulseless electrical activity. After further 6 minutes of ALS, sustained return of spontaneous circulation (ROSC) was achieved, and the patient was transported to the emergency department (ED). At the ED, the ECG showed no ischemia-like patterns, and point-of-care ultrasound revealed a highly reduced left ventricular function. Laboratory results showed signs of inflammation, and a routine PCR turned out positive for RSV. Awhole body computed tomography revealed no acute pathology, and before a background of chronic pulmonary disease, the CA event was deemed as hypoxic caused by exacerbation of the chronic pulmonary pathologies either parallel to- or directly through an acute RSV infection.Conclusion:
An RSV infection should be considered during post- ROSC in adult patients with presumed hypoxic etiology of CA. From a public health perspective, an immune-naivety for RSV caused by the COVID-19 pandemic may potentially induce a rise in cases, morbidity, and mortality in the future.
adult; advanced life support; aged; Austria; case report; child; chronic lung disease; clinical article; computer assisted tomography; conference abstract; coronavirus disease 2019; disease exacerbation; dyspnea; electric activity; electrocardiogram; electrocardiography; emergency medicine; emergency ward; heart arrest; heart left ventricle function; human; inflammation; ischemia; lung disease; male; morbidity; mortality; pandemic; pediatric patient; point of care ultrasound; public health; respiratory syncytial virus infection; return of spontaneous circulation
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Language:
English
Journal:
Resuscitation
Year:
2022
Document Type:
Article
Similar
MEDLINE
...
LILACS
LIS