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Dr. Andrew Rynne

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Can Respiratory Arrest Lead To VT?

hi i am doing an assignment. i have to do a differential diagnosis. my topic is a 61 year old female with a PHx of hypertension & asthma. no allergies, and is found unconscious & not breathing, the monitor shows up VT. I think i have 2 options or diagnosis, the first being hypertension leading to cardiac arrest, second being severe asthma attach leading to respiratory arrest, leading to cardiac arrest (VT). to go with my second option, i need to clarify that respiratory arrest can lead to VT? Please help me out
Mon, 29 Apr 2013
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

You need more information - for proper suggestion...Either can be right! / there could even be a third unrelated event!

Hypertension may have resulted in Myocardial Infarction or Aortic dissection
Asthma might have resulted in Tension Pneumothorax...

In VT, the priority is to treat - even without a diagnosis, which of course is being evaluated simultaneously...

Take care
Wishing speedy recovery
God bless
Good luck
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Orthopaedic Surgeon Dr. Sunil Kumar Srivastava's  Response
She needs to be on ventilation support and simultaneous treatment in ICCU for VT,if she has responsive pupils to light, then her brain could be revived out of coma after cardio-pulmonic resuscitation which I am sure must have been tried by now.Severe hypertension can lead to hemorrhage in brain so immediate ct-scan of brain must also be performed along with cardiac monitoring, also BP could have damaged the ventricle So trop-T,ECHO should also be done immediately
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Allergist and Immunologist Dr. Suman Kumar's  Response
It is cardiac effect
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Can Respiratory Arrest Lead To VT?

Hi friend, Welcome to Health Care Magic You need more information - for proper suggestion...Either can be right! / there could even be a third unrelated event! Hypertension may have resulted in Myocardial Infarction or Aortic dissection Asthma might have resulted in Tension Pneumothorax... In VT, the priority is to treat - even without a diagnosis, which of course is being evaluated simultaneously... Take care Wishing speedy recovery God bless Good luck