Interv Akut Kardiol. 2021;20(1):33-36 | DOI: 10.36290/kar.2021.006

Sudden cardiac arrest requiring cardiopulmonary resuscitation during downhill skiing

Lucia Masárová^{1, 2, 3}, Jiří Seménka^{1, 2}, Roman Panovský^{1, 2}, Lukáš Opatřil^{1, 2, 3}

¹ I. interní kardio-angiologická klinika, Fakultní nemocnice u sv. Anny, Brno

² Mezinárodní centrum klinického výzkumu (ICRC), Fakultní nemocnice u sv. Anny, Brno

³ Lékařská fakulta, Masarykova univerzita, Brno

Despite advances in pharmacological and non-pharmacological treatment, cardiovascular diseases are a major cause of morbidity and mortality in developed countries. This case report introduces a case of a 41-year-old female patient who suffered a sudden cardiac arrest during skiing, which required cardiopulmonary resuscitation. Pulmonary embolism, aortic dissection, and cerebral hemorrhage were excluded by performing a computed tomography scan. Subsequently, a critical finding was observed on coronary angiography, necessitating a triple aortocoronary bypass surgery with good effect. In the next phase, familial hypercholesterolemia was diagnosed and combined hypolipidemic treatment was given with only a partial effect on the lipid profile; therefore, the patient was indicated to treatment with subtilisin/kexin-type proprotein convertase. The article also deals with the incidence, prevalence, and causes of sudden cardiac arrest and familiare hypercholesterolemia.

Keywords: sudden cardiac arrest, familiare hypercholesterolemia.

Received: December 15, 2020; Revised: February 11, 2021; Accepted: February 12, 2021; Prepublished online: February 12, 2021; Published: April 29, 2021  Show citation