Thank you @tfeldman, you are right it is unlikely for CPR to succeed if 30 minutes passed.
This patient had chest infection with adrenal insufficiency as she is known case of Eosinophilic polyangitits (Shurge Straus Syndrome) and on steroid, she didn't increase the dose with the new infection rather she missed some doses. But we corrected the metabolic acidosis nicely her ABG normalized and her Blood pressure was fine when i saw her before half an hour of arrest. She is also a known case of CHF but that was controlled and we was careful with re-hydration under Cardio team supervision. She is Asthmatic but chest was clear, no Wheezing and we didn't give any medication that could cause brochoconstrition.
Thank you fore commenting my friend, feels good to share this case with you
By the way Congrats for the new job, sorry to miss that, i had stessful 24 hour oncall, wish you the best Doc
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Thank you! Wow, I have never seen eosinophilc polyangitis, but remember learning about it. I think I learned about it when studying the kidney....although, the cardiovascular effects are the most serious. If she was stable, there was nothing you would have done differently. Sorry that it happened.
Eosinophilic Granulomatosis with Polyangiitis is just a fancy new name for Churg Strauss Syndrome.
I think you are right, most likely the arrest from cardiac origin, her LVEF was 25%, which is DCMP by definition. No fluid overload for sure but as you said Arrhythmia is a possibility, actually most doctors accused cardiac arrhythmia for this arrest