成功治疗低温治疗药物性J波和心脏骤停患者:一例报告。

IF 0.8 4区医学 Q4 CRITICAL CARE MEDICINE Therapeutic hypothermia and temperature management Pub Date : 2023-12-01 Epub Date: 2023-09-19 DOI:10.1089/ther.2023.0041

Jun Sato, Tsukasa Yagi, Erika Shimada, Masashi Kobori, Kazuhiro Watanabe, Tsukasa Kuwana, Nobutaka Chiba, Takeshi Saito, Kosaku Kinoshita

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摘要

一名50岁男性在接受大剂量阿替洛尔、氨氯地平和乙替唑仑治疗后，因低血压和心动过缓入院。他在心电图上有药物引起的J波，随后发生心脏骤停。患者通过静脉动脉体外膜氧合(VA-ECMO)成功获救，并通过治疗性低温(TH)获得了良好的神经预后。在J波患者中，TH被认为会增加J波并导致致命的心律失常，但在本例中，使用VA-ECMO快速冷却使患者成功完成TH。

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Successful Therapeutic Hypothermia in a Patient with Drug-Induced J Waves and Cardiac Arrest: A Case Report.

A 50-year-old man was admitted to our hospital with hypotension and bradycardia after receiving high doses of atenolol, amlodipine, and etizolam. He had a drug-induced J wave on electrocardiography and subsequently underwent cardiac arrest. The patient was successfully rescued by venoarterial extracorporeal membrane oxygenation (VA-ECMO) and a good neurological outcome was achieved with therapeutic hypothermia (TH). In patients with J waves, TH is thought to increase the J waves and cause fatal arrhythmias, but in this case, rapid cooling with VA-ECMO allowed the patient to successfully complete TH.

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来源期刊

Therapeutic hypothermia and temperature management CRITICAL CARE MEDICINE-

CiteScore

2.50

自引率

8.30%

发文量

期刊介绍： Therapeutic Hypothermia and Temperature Management is the first and only journal to cover all aspects of hypothermia and temperature considerations relevant to this exciting field, including its application in cardiac arrest, spinal cord and traumatic brain injury, stroke, burns, and much more. The Journal provides a strong multidisciplinary forum to ensure that research advances are well disseminated, and that therapeutic hypothermia is well understood and used effectively to enhance patient outcomes. Novel findings from translational preclinical investigations as well as clinical studies and trials are featured in original articles, state-of-the-art review articles, protocols and best practices. Therapeutic Hypothermia and Temperature Management coverage includes: Temperature mechanisms and cooling strategies Protocols, risk factors, and drug interventions Intraoperative considerations Post-resuscitation cooling ICU management.