HENTI JANTUNG MENDADAK PADA PASIEN PPOK DENGAN TB PARU : LAPORAN KASUS

Abstract

Chronic obstructive pulmonary disease (COPD) is the third leading cause of death globally. Moreover, half of the deaths of COPD patients are caused by cardiovascular disease. COPD is one of the risk factors for sudden cardiac arrest, especially more than 5 years after being diagnosed with COPD, and frequent exacerbations. Active pulmonary TB or a history of pulmonary TB is a risk factor for COPD causes, especially in developing countries. Pulmonary TB can be treated but can cause complications up to death. This article reports on the case of a 65-year-old male patient who was suddenly unconscious with a history of COPD and pulmonary TB. When he came breathing looks shallow and short, the radial pulsation is palpable weak and rapid. When oxygen will be given via NRM, the patient suddenly stops breathing accompanied by carotid pulsations that are not palpable. Cardiopulmonary resuscitation efforts are carried out for 15 minutes, given epinephrine 2 times without defibrillation until return of spontaneous circulation. 30 minutes later the patient's condition worsened until he was pronounced dead. COPD, pulmonary TB, and sudden cardiac arrest can be interconnected where COPD can cause sudden cardiac arrest, while active pulmonary TB or a history of pulmonary TB can cause COPD, pulmonary TB can also cause sudden cardiac arrest due to pulmonary or extrapulmonary complications.