Case repors Acute myocardial infarction complicated by cardiogenic shock. Difficult decision concerning long-distance transportation to a tertiary centre – a case report

Abstract

A case of a 60-year-old female with acute myocardial infarction complicated by cardiogenic shock is presented. The patient received thrombolytic therapy, however, developed cardiogenic shock and required resuscitation with intubation, mechanical ventilation and repeated defibrillation due to recurrent ventricular fibrillation. The patient was transported by air to the tertiary centre with catheterisation laboratory (distance – 120 km), where successful angioplasty with stent implantation in the right coronary artery was performed. Difficulties in transportation of patients with fully-developed cardiogenic shock are discussed.