Description of Event or Problem · 1
NSTEMI COMPLICATED BY VT ARREST. CORONARY ANGIOGRAM DEMONSTRATED SEVERE MULTIVESSEL DISEASE. IABP PLACED. ON (B)(6) 2021, PATIENT EXPERIENCED LABILE BLOOD PRESSURES AND AT 7 PM REQUIRED INCREASING VASOPRESSORS. ONSET OF AFIB WITH INCREASING ECTOPY (PAC'S, PVC'S. IABP BEGAN TO ALARM WITH MESSAGES: CHECK CATHETER POSITION" AND "AUTO R WAVE DEFLATION." CPR WAS INITIATED. AT END OF CPR, SMALL AMOUNT OF BLOOD NOTED IN HELIUM LINE. PATIENT IN PULSELESS VT DESPITE ON-GOING EFFORTS AND FAMILY CONSULTED. DECISION MADE TO TRANSITION TO COMFORT MEASURES ONLY AND RESUSCITATION DISCONTINUED. UPON REMOVAL OF CATHETER/BALLOON, SMALL HOLE IN BALLOON NOTED. THE PATIENT PRESENTED URGENTLY WITH NSTEMI, ELEVATION IN CARDIAC BIOMARKERS AND CONTINUING SYMPTOMS DESPITE AGGRESSIVE ANTI-ANGINAL THERAPY.