PMC2729248_01
Electrocardiography of the presented case recorded by the automated external defibrillator (AED). (a) The initial heart rhythm was ventricular fibrillation (VF). (b)Successful defibrillation using 200 joules (arrow). VF was converted to asystole. (c) Spontaneous heart rhythm was recognized among the waves by chest compressions. (d) The patient's heart started beating irregularly.
CRM2009-375676.001.jpg
PMC2729248_01_CRM2009-375676.001.jpg
fig1
Later analysis of the AED record revealed that her initial heart rhythm was ventricular fibrillation (Figure 1).
A head CT scan of the presented case. A head CT scan showed subarachnoid hemorrhage in the supracella cistern with hematoma in the fourth ventricle. Cerebral edema with sulcal effacement is also recognized.
CRM2009-375676.002.jpg
PMC2729248_01_CRM2009-375676.002.jpg
fig2
Since there was no evidence of cardiogenic cardiac arrest, a head CT scan was performed and revealed diffuse high density in the subarachnoid space (Figure 2). SAH was considered the cause of OHCA.