Successful bridge to recovery using a microaxial blood pump in a patient with electrical storm and cardiogenic shock
作者： A. Henning , J. Schreieck , R. Riessen , M. Gawaz , A.E. May
DOI: 10.1007/S00063-011-0047-0
关键词:
摘要: A 59-year-old patient with dilated cardiomyopathy and incessant ventricular tachycardia leading to progressive cardiogenic shock is presented. Due hemodynamic instability, high dose catecholamines were required in addition the implantation of an intraaortic balloon pump (IABP), which, however, appeared further augment frequency duration tachycardias. The a microaxial blood allowed catecholamine administration be terminated, thereby, ending this vicious circle catecholamine-driven electrical storm. Within 5 days, was hemodynamically stabilized kidney liver function recovered support intensive antiarrhythmic therapy (amiodarone, mexiletine, sotalol). During 24-month follow-up, had no ICD shocks rehospitalization for treatment congestive heart failure.
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