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Case Report

Open Access

Refractory ventricular fibrillation with prolonged resuscitation in dialysis-sensitive dysrhythmic patient 


1,Department of Traumatology Medical University of Graz

2,Department of Anaesthesiology and Intensive Care Medicine Medical University of Graz

DOI: 10.22514/SV51.042010.7 Vol.5,Issue 1,April 2010 pp.44-46

Published: 27 April 2010

*Corresponding Author(s): PAUL PUCHWEIN E-mail:


Sudden cardiac death is a leading cause of death in chronic renal failure patients. We present a case of refractory ventricular fibrillation with successful prolonged resuscitation (> 1 hour) without neurological sequel in an outpatient dialysis centre. Implantation of a cardioverter-defibrillator is able to identify patients as dialysis-sensitive. Smoother potassium removal during hemodialysis could eliminate dysrhythmias. Prehospital (point-of-care) blood gas analysis can be helpful especially in prolonged resuscitation.


successful resuscitation, ventricular fibrillation, point-of-ca-re, blood gas analysis, potassium, hemodialysis, ICD

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PAUL PUCHWEIN,SYLVIA ARCHAN,GERNOT WILDNER,RAINER GUMPERT ,WILFRIED HARTWAGNER. Refractory ventricular fibrillation with prolonged resuscitation in dialysis-sensitive dysrhythmic patient . SignaVitae. 2010. 5(1);44-46.


01. Lafrance JP, Nolin L, Senécal L, Leblanc M. Predictors and outcome of cardiopulmonary resuscitation (CPR) calls in a large hemodialysis unit over a seven year period. Nephrol Dial Transplant 2006 Apr;21(4):1006-12.

02. Ostermann M. Cardiac arrests in hemodialysis patients: An ongoing challenge. Kidney Int 2008 Apr;73(8):907-8.

03. Davis TR, Young BA, Eisenberg MS, Rea TD, Copass MK, Cobb LA. Outcome of cardiac arrests attended by emergency medical services staff at community outpatient dialysis centers. Kidney Int 2008 Apr;73(8):933-9.

04. Bozbas H, Atar I, Yildirir A, Ozgul A, Uyar M, Ozdemir N, et al. Prevalence and predictors of arrhythmia in end stage renal disease patients on hemodialysis. Ren Fail 2007;29(3):331-9.

05. Voiculescu M, Ionescu C, Ismail G. Frequency and prognostic significance of QT prolongation in chronic renal failure patients. Rom J Intern Med 2006;44(4):407-17.

06. Herzog CA, Li S, Weinhandl ED, Strief JW, Collins AJ, Gilbertson DT. Survival of dialysis patients after cardiac arrest and the impact of implantable cardioverter defibrillators. Kidney Int 2005 Aug;68(2):818-25.

07. Robin J, Weinberg K, Tiongson J, Carnethon M, Reddy M, Ciaccio C, et al. Renal dialysis as a risk factor for appropriate therapies and mortality in implantable cardioverter-defibrillator recipients. Heart Rhythm 2006 Oct;3(10):1196-201.

08. Sakhuja R, Keebler M, Lai TS, McLaughlin Gavin C, Thakur R, Bhatt DL. Meta-analysis of mortality in dialysis patients with an implantable cardioverter defibrillator. Am J Cardiol 2009 Mar 1;103(5):735-41.

09. Santoro A, Mancini E, London G, Mercadal L, Fessy H, Perrone B, et al. Patients with complex arrhythmias during and after hemodialysis suffer from different regimens of potassium removal. Nephrol Dial Transplant 2008 Apr;23(4):1415-21.

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