Abstract
Cardiogenic shock is the leading cause of death in patients with acute myocardial
infarction (AMI) despite aggressive treatment modalities such as fibrinolysis and
percutaneous transluminal coronary angioplasty. We report our experience with a
case of ST segment elevation AMI complicated with refractory cardiogenic shock
and ventricular tachyarrhythmia even after successful revascularization using hemodynamic
support with the extracorporeal membrane oxygenation (ECMO). This
patient was weaned from ECMO, survived and discharged from hospital. The purpose
of the ECMO is to restore the systemic perfusion while intra-aortic balloon pump
failed and to avoid severe injury to the organs, and to allow time for intrinsic
recovery of the heart, thus, improving the chance of survival.
infarction (AMI) despite aggressive treatment modalities such as fibrinolysis and
percutaneous transluminal coronary angioplasty. We report our experience with a
case of ST segment elevation AMI complicated with refractory cardiogenic shock
and ventricular tachyarrhythmia even after successful revascularization using hemodynamic
support with the extracorporeal membrane oxygenation (ECMO). This
patient was weaned from ECMO, survived and discharged from hospital. The purpose
of the ECMO is to restore the systemic perfusion while intra-aortic balloon pump
failed and to avoid severe injury to the organs, and to allow time for intrinsic
recovery of the heart, thus, improving the chance of survival.
| Original language | English |
|---|---|
| Pages (from-to) | 204-209 |
| Number of pages | 6 |
| Journal | 重症醫學雜誌 |
| Volume | 9 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 2008 |
| Externally published | Yes |
Keywords
- Acute myocardial infarction
- Cardiogenic shock
- Extracorporeal membrane oxygenation