Format

Send to:

Choose Destination
See comment in PubMed Commons below
Med Klin Intensivmed Notfmed. 2011 Oct;106(2):132-6. doi: 10.1007/s00063-011-0047-0. Epub 2011 Oct 29.

Successful bridge to recovery using a microaxial blood pump in a patient with electrical storm and cardiogenic shock.

Author information

  • 1Medizinische Klinik, Universitaetsklinikum Tuebingen, Germany. andreas.henning@med.uni-tuebingen.de

Abstract

A 59-year-old patient with dilated cardiomyopathy and incessant ventricular tachycardia leading to progressive cardiogenic shock is presented. Due to hemodynamic instability, high dose catecholamines were required in addition to the implantation of an intraaortic balloon pump (IABP), which, however, appeared to further augment the frequency and duration of ventricular tachycardias. The implantation of a microaxial blood pump allowed catecholamine administration to be terminated, thereby, ending this vicious circle of catecholamine-driven electrical storm. Within 5 days, the patient was hemodynamically stabilized and kidney and liver function recovered with the support of intensive antiarrhythmic therapy (amiodarone, mexiletine, sotalol). During a 24-month follow-up, the patient had no further ICD shocks and no rehospitalization was required for treatment of congestive heart failure.

PMID:
22038638
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Springer
    Loading ...
    Write to the Help Desk