Stress induced cardiomyopathy complicated by cardiogenic shock: A non-survivor case

IF 0.3 Q4 CRITICAL CARE MEDICINE Egyptian Journal of Critical Care Medicine Pub Date : 2018-12-01 DOI:10.1016/j.ejccm.2018.12.018
M. Abouelwafa, Alia Abdelfattah, Waheed Radwan, Akram Bary, M. Khaled, Wael Samy, M. Yousry, A. Saed, Mahmood Saad
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引用次数: 0

Abstract

Stress induced cardiomyopathy complicated by refractory cardiogenic shock is challenging as treatment by inotropes and vasopressors may be ineffective. We present a case of female patient presented with cardiogenic shock after rupture globe operation, patient presented on mega doses of vasopressors and inotropes, peripheral percutaneous VA ECMO was instituted, IABP was put to deload leftventricle, 2 days later patient was shifted to VAV ECMO. After 4 days of ECMO run patient recovered left ventricular function and patient was weaned from all mechanical support devices. But patient developed septic shock refractory to vasopressors therapy and patient died.

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应激性心肌病并发心源性休克1例
应激性心肌病合并难治性心源性休克是具有挑战性的,因为使用收缩性药物和血管加压药物治疗可能无效。我们报告1例女性患者在破裂球手术后出现心源性休克,患者给予大剂量的血管加压药和收缩性药物,行外周经皮VA ECMO, IABP负荷左心室,2 d后转至VAV ECMO。ECMO运行4 天后,患者恢复左心室功能,并脱离所有机械支持装置。但患者发生感染性休克,抗利尿药物治疗无效,患者死亡。
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来源期刊
自引率
0.00%
发文量
5
审稿时长
42 weeks
期刊介绍: The Egyptian Journal of Critical Care Medicine is the official Journal of the Egyptian College of Critical Care Physicians, the most authoritative organization of Egyptian physicians involved in the multi-professional field of critical care medicine. The journal is intended to provide a peer-reviewed source for multidisciplinary coverage of general acute and intensive care medicine and its various subcategories including cardiac, pulmonary, neuro, renal as well as post-operative care. The journal is proud to have an international multi-professional editorial board in the broad field of critical care that will assist in publishing promising research and breakthrough reports that lead to better patients care in life threatening conditions, and bring the reader a quick access to the latest diagnostic and therapeutic approaches in monitoring and management of critically ill patients.
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