Cardiac Resynchronization Therapy Device Implantation in a Patient with Cardiogenic Shock under Percutaneous Mechanical Circulatory Support
Korean Circulation Journal
;
: 132-135, 2017.
Artigo
em Inglês
| WPRIM
| ID: wpr-98366
ABSTRACT
65-year-old woman was admitted to our hospital with acute decompensated heart failure with reduced left ventricular ejection fraction and severe mitral regurgitation. Electrocardiography revealed a typical left bundle branch block and atrial fibrillation. Her condition deteriorated despite administering high-doses of inotropes and vasopressors. Pending a decision to therapy, venoarterial extracorporeal membrane oxygenation (ECMO) was performed when the patient underwent a cardiogenic shock. Although the hemodynamic status stabilized with ECMO support, weaning the patient from ECMO was not possible. Thus, we decided to perform cardiac resynchronization with defibrillator implantation as a “rescue” therapy. Five days post-implantation, the patient was successfully weaned from ECMO.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Fibrilação Atrial
/
Choque Cardiogênico
/
Volume Sistólico
/
Desmame
/
Bloqueio de Ramo
/
Oxigenação por Membrana Extracorpórea
/
Desfibriladores
/
Eletrocardiografia
/
Terapia de Ressincronização Cardíaca
/
Insuficiência Cardíaca
Limite:
Idoso
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Korean Circulation Journal
Ano de publicação:
2017
Tipo de documento:
Artigo
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