The Treatment Subcommittee – National Steering Committee for COVID-19 Prevention and Control announced on the afternoon of July 31 that Vietnam has recorded one patient dying from a heart attack amid severe underlying conditions and COVID-19.
This is patient 428, a 70-year-old man living in Minh An Ward, Hoi An City, Quang Nam. He has a history of chronic kidney disease and had undergone dialysis twice a week for over 10 years, suffered from hypertension – heart failure, and coronary artery disease.
On July 9, he experienced shortness of breath and fatigue, and visited the Department of Internal Medicine – Endocrinology at Da Nang Hospital, where he was diagnosed with end-stage kidney disease, on dialysis, hypertension, coronary artery disease, end-stage heart failure, and pneumonia.
On July 26, the patient was tested for COVID-19 and the result was positive for the SARS-CoV-2 virus, and he was actively treated at Da Nang Hospital.
At 5:30 AM on July 30, the patient showed signs of respiratory failure and underwent intubation, receiving VCV ventilation, and continuous venous dialysis.
At 7:30 AM on July 30, the patient showed bradycardia and cardiac arrest, with resuscitation efforts for 5 minutes resulting in a return of cardiac activity. The patient continued to receive continuous venous dialysis.
At 9:45 PM on July 30, he was transferred to Hue Central Hospital, with monitoring equipment and adequate emergency resuscitation devices during transport.
At 12:25 AM on July 31, he was admitted to the Emergency Resuscitation Department of Hue Central Hospital in very critical condition, with a very high risk of death.
Five minutes later, the patient showed bradycardia and was resuscitated with indications for ventilation in the ICU. After 5 minutes of cardiac arrest, resuscitation efforts restored the pulse, and blood pressure increased to 190 – 200 mmHg, but 30 minutes later, blood pressure dropped to 140 – 110/70 mmHg.
Early morning on July 31, the patient experienced cardiac arrest again and was resuscitated on the spot, but died at 5:30 AM on July 31.
The Treatment Subcommittee assessed this as a case of a very critical patient, elderly, with multiple severe underlying conditions, who had been consulted multiple times by the Treatment Subcommittee and leading experts in emergency resuscitation, cardiology, and infectious diseases; treated at Da Nang Hospital and Hue Central Hospital with intensive care and continuous resuscitation, but unfortunately, he passed away.
Cause of death: Heart attack in a patient with underlying conditions including hypertension, coronary artery disease, heart failure, end-stage chronic kidney disease, and complications: respiratory failure due to heart failure and COVID-19.