A few before.
FABRICE MUAMBA
2012
BAFETIMBI GOMIS
2018
MARC-VIVIEN FOE
2003
ANTONIO PUERTA
2007
CHEICK TIOTE
2017
MIKLOS FEHER
2004
https://www.reuters.com/world/china/...ch-2021-06-12/
https://www.trtworld.com/magazine/wh...-attacks-53621
And this is still a year old
As an experienced ICU RN…
To clarify, all accounts have noted he went into cardiac arrest, and did not have a “heart attack”
Heart attack is associated to myocardial infarction, or heart tissue damage due to lack of blood flow (usually coronary artery disease).
Cardiac arrest (heart stopped) is usually due to an injury caused to the heart (trauma I.e. hit to the chest) or cardiac dysrhythia (electrical disTurbinece or electrolyte irregularity)
Cardiac arrest and heart attack are 2 different processes or diagnosis, however heart attack can lead to cardiac arrest.
As far as I’ve read, he had no prior history of heart disease (of which physical exam in NFL or NCAA would have likely detected by now)
In all likelihood, he went into dysthymia due to an unfortunate hit at the wrong time. Likely causing him to go into VTAC or Vfib, both are medical emergency, however vfib is incompatible with meaningful circulation.
Cardiac arrest with extended period of CPR required will most times lead to several processes to take place afterwards, all of which include life support with ventilation, Neuro monitoring, and cardiac monitoring.
Some of the other details released by family have made me lean towards traumatic injury to his chest causing the cardiac arrest. The fact that someone in his ring of “people in the know” mentioned he was laying on his stomach in the ICU, that would indicate breathing issues. This process is called “prone”. Most persons placed in this position have had extensive lung disease or traumatic injury (I placed more persons in prone than I can remember during the bad covid times).
Some family did mentioned that he was “improving” and he was requiring less 02. The o2 requirement being reduced is good, however their is much more involved in mechanical ventilation than just oxygen…the supportive measures provided by the ventilator will be a much better indicator of how he is truly improving. How much PEEP (positive expiratory pressure) and respiration rate. The less PEEP and respiratory rate that the ventilator requires directly correlates to how much he is breathing on his own. I’ve had patients requiring no extra 02 however the ventilator is providing 100% of the work because the patient cannot take a breath on their own. Of which happens with severe brain injury, due to traumatic injury or lack of blood flow. The latter would be his biggest concern due to requiring CPR, however he is young and it does present a higher chance of recovery.
Just wanted to clarify since you mentioned he had a heart attack and to offer further insight from someone that has personally taken care of numerous persons in ICU with all of the above mentioned issues.
I don't know where you work, but you may have helped save my life or took care of me. In December 2019, I was brought to LGMC as a trauma 2 patient and should have died on the way there. I was in ICU for 10 days. If you were, I just want to say thank you!!!
If you work elsewhere, I still want to say thank you anyway for what ya'll do. People like you are doing God's work!!
Geaux Cajuns!!!
I've now heard a few different physicians as well as yourself say & please correct me if I'm wrong, but the hit just happening at the right millisecond in the right spot could have literally caused his cardiac arrest. The only problem I have with this train of thought is if this is what you are saying & is the case, then how does this not happen more often as there are hits like this & in many cases having seemingly much greater impact in the same area of the body on a weekly basis at pretty much every level of play in football as well as hockey & rugby. Also, thank you for your enlightenment & the job you do as well.
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