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Early Application of ECMO after Sudden Cardiac Arrest to Prevent Further Deterioration: A Review and Case Report
ECMO has become a therapeutic modality for in- and out-of-hospital scenarios and is also suitable as a bridging therapy until further decisions and interventions can be made. Case report: A 27-year-old male patient with mechanical aortic valve prothesis had a sudden cardiac arrest (SCA). ROSC had be...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10342643/ https://www.ncbi.nlm.nih.gov/pubmed/37445284 http://dx.doi.org/10.3390/jcm12134249 |
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author | Kiss, Boldizsár Nagy, Bettina Pál-Jakab, Ádám Lakatos, Bálint Soltész, Ádám Osztheimer, István Heltai, Krisztina Édes, István Ferenc Németh, Endre Merkely, Béla Zima, Endre |
author_facet | Kiss, Boldizsár Nagy, Bettina Pál-Jakab, Ádám Lakatos, Bálint Soltész, Ádám Osztheimer, István Heltai, Krisztina Édes, István Ferenc Németh, Endre Merkely, Béla Zima, Endre |
author_sort | Kiss, Boldizsár |
collection | PubMed |
description | ECMO has become a therapeutic modality for in- and out-of-hospital scenarios and is also suitable as a bridging therapy until further decisions and interventions can be made. Case report: A 27-year-old male patient with mechanical aortic valve prothesis had a sudden cardiac arrest (SCA). ROSC had been achieved after more than 60 min of CPR and eight DC shocks due to ventricular fibrillation (VF). The National Ambulance Service unit transported the patient to our clinic for further treatment. Due to the trauma and therapeutic INR, a CT scan was performed and ruled out bleeding. Echocardiography described severely decreased left ventricular function. Coronary angiography was negative. Due to the therapeutic refractory circulatory and respiratory failure against intensive care, VA-ECMO implantation was indicated. After four days of ECMO treatment, the patient’s circulation was stabilized without neurological deficit, and the functions of the end organs were normalized. Cardiac MRI showed no exact etiology behind SCA. ICD was implanted due to VF and SCA. The patient was discharged after 19 days of hospitalization. Conclusion: This case report points out that the early application of mechanical circulatory support could be an outcome-determinant therapeutic modality. Post-resuscitation care includes cardiorespiratory stabilization, treatment of reversible causes of malignant arrhythmia, and secondary prevention. |
format | Online Article Text |
id | pubmed-10342643 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-103426432023-07-14 Early Application of ECMO after Sudden Cardiac Arrest to Prevent Further Deterioration: A Review and Case Report Kiss, Boldizsár Nagy, Bettina Pál-Jakab, Ádám Lakatos, Bálint Soltész, Ádám Osztheimer, István Heltai, Krisztina Édes, István Ferenc Németh, Endre Merkely, Béla Zima, Endre J Clin Med Case Report ECMO has become a therapeutic modality for in- and out-of-hospital scenarios and is also suitable as a bridging therapy until further decisions and interventions can be made. Case report: A 27-year-old male patient with mechanical aortic valve prothesis had a sudden cardiac arrest (SCA). ROSC had been achieved after more than 60 min of CPR and eight DC shocks due to ventricular fibrillation (VF). The National Ambulance Service unit transported the patient to our clinic for further treatment. Due to the trauma and therapeutic INR, a CT scan was performed and ruled out bleeding. Echocardiography described severely decreased left ventricular function. Coronary angiography was negative. Due to the therapeutic refractory circulatory and respiratory failure against intensive care, VA-ECMO implantation was indicated. After four days of ECMO treatment, the patient’s circulation was stabilized without neurological deficit, and the functions of the end organs were normalized. Cardiac MRI showed no exact etiology behind SCA. ICD was implanted due to VF and SCA. The patient was discharged after 19 days of hospitalization. Conclusion: This case report points out that the early application of mechanical circulatory support could be an outcome-determinant therapeutic modality. Post-resuscitation care includes cardiorespiratory stabilization, treatment of reversible causes of malignant arrhythmia, and secondary prevention. MDPI 2023-06-25 /pmc/articles/PMC10342643/ /pubmed/37445284 http://dx.doi.org/10.3390/jcm12134249 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Kiss, Boldizsár Nagy, Bettina Pál-Jakab, Ádám Lakatos, Bálint Soltész, Ádám Osztheimer, István Heltai, Krisztina Édes, István Ferenc Németh, Endre Merkely, Béla Zima, Endre Early Application of ECMO after Sudden Cardiac Arrest to Prevent Further Deterioration: A Review and Case Report |
title | Early Application of ECMO after Sudden Cardiac Arrest to Prevent Further Deterioration: A Review and Case Report |
title_full | Early Application of ECMO after Sudden Cardiac Arrest to Prevent Further Deterioration: A Review and Case Report |
title_fullStr | Early Application of ECMO after Sudden Cardiac Arrest to Prevent Further Deterioration: A Review and Case Report |
title_full_unstemmed | Early Application of ECMO after Sudden Cardiac Arrest to Prevent Further Deterioration: A Review and Case Report |
title_short | Early Application of ECMO after Sudden Cardiac Arrest to Prevent Further Deterioration: A Review and Case Report |
title_sort | early application of ecmo after sudden cardiac arrest to prevent further deterioration: a review and case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10342643/ https://www.ncbi.nlm.nih.gov/pubmed/37445284 http://dx.doi.org/10.3390/jcm12134249 |
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