Extracorporeal Cardiopulmonary Resuscitation for Management of Out-of-Hospital Cardiac Arrest in a Patient with Fulminant Myocarditis
A 68-year-old male with a witnessed out-of-hospital cardiac arrest while jogging who was managed with extracorporeal cardiopulmonary resuscitation (ECPR) is presented. The patient was found to be in refractory ventricular fibrillation by emergency medical service personnel and underwent advanced car...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2020/8881042 |
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| author | Alexander J. Meyer Michael A. Biersmith Ernest L. Mazzaferri Konstantinos Dean Boudoulas |
| author_facet | Alexander J. Meyer Michael A. Biersmith Ernest L. Mazzaferri Konstantinos Dean Boudoulas |
| author_sort | Alexander J. Meyer |
| collection | DOAJ |
| description | A 68-year-old male with a witnessed out-of-hospital cardiac arrest while jogging who was managed with extracorporeal cardiopulmonary resuscitation (ECPR) is presented. The patient was found to be in refractory ventricular fibrillation by emergency medical service personnel and underwent advanced cardiac life support (ACLS) protocol with placement of an automated chest compression device. He was emergently transported to the cardiac catheterization laboratory. Due to refractory ventricular fibrillation, he was placed on venoarterial extracorporeal membranous oxygenation (VA-ECMO). Coronary angiography at that time showed nonobstructive coronary artery disease. Management with VA-ECMO and other supportive measures were continued for 5 days, after which a cardiac magnetic resonance imaging was performed with findings consistent with acute myocarditis. His condition substantially improved, and he was discharged from the hospital with good neurologic and functional status. Fulminant myocarditis is often fatal, but aggressive supportive measures with novel ECPR protocols may result in recovery, as it happened in this case. |
| format | Article |
| id | doaj-art-86079fcd927544228b1439b7ab9c9c08 |
| institution | Kabale University |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-86079fcd927544228b1439b7ab9c9c082025-02-03T01:01:27ZengWileyCase Reports in Critical Care2090-64202090-64392020-01-01202010.1155/2020/88810428881042Extracorporeal Cardiopulmonary Resuscitation for Management of Out-of-Hospital Cardiac Arrest in a Patient with Fulminant MyocarditisAlexander J. Meyer0Michael A. Biersmith1Ernest L. Mazzaferri2Konstantinos Dean Boudoulas3Division of Cardiovascular Medicine, The Ohio State University, Columbus, Ohio, USADivision of Cardiovascular Medicine, The Ohio State University, Columbus, Ohio, USADivision of Cardiovascular Medicine, The Ohio State University, Columbus, Ohio, USADivision of Cardiovascular Medicine, The Ohio State University, Columbus, Ohio, USAA 68-year-old male with a witnessed out-of-hospital cardiac arrest while jogging who was managed with extracorporeal cardiopulmonary resuscitation (ECPR) is presented. The patient was found to be in refractory ventricular fibrillation by emergency medical service personnel and underwent advanced cardiac life support (ACLS) protocol with placement of an automated chest compression device. He was emergently transported to the cardiac catheterization laboratory. Due to refractory ventricular fibrillation, he was placed on venoarterial extracorporeal membranous oxygenation (VA-ECMO). Coronary angiography at that time showed nonobstructive coronary artery disease. Management with VA-ECMO and other supportive measures were continued for 5 days, after which a cardiac magnetic resonance imaging was performed with findings consistent with acute myocarditis. His condition substantially improved, and he was discharged from the hospital with good neurologic and functional status. Fulminant myocarditis is often fatal, but aggressive supportive measures with novel ECPR protocols may result in recovery, as it happened in this case.http://dx.doi.org/10.1155/2020/8881042 |
| spellingShingle | Alexander J. Meyer Michael A. Biersmith Ernest L. Mazzaferri Konstantinos Dean Boudoulas Extracorporeal Cardiopulmonary Resuscitation for Management of Out-of-Hospital Cardiac Arrest in a Patient with Fulminant Myocarditis Case Reports in Critical Care |
| title | Extracorporeal Cardiopulmonary Resuscitation for Management of Out-of-Hospital Cardiac Arrest in a Patient with Fulminant Myocarditis |
| title_full | Extracorporeal Cardiopulmonary Resuscitation for Management of Out-of-Hospital Cardiac Arrest in a Patient with Fulminant Myocarditis |
| title_fullStr | Extracorporeal Cardiopulmonary Resuscitation for Management of Out-of-Hospital Cardiac Arrest in a Patient with Fulminant Myocarditis |
| title_full_unstemmed | Extracorporeal Cardiopulmonary Resuscitation for Management of Out-of-Hospital Cardiac Arrest in a Patient with Fulminant Myocarditis |
| title_short | Extracorporeal Cardiopulmonary Resuscitation for Management of Out-of-Hospital Cardiac Arrest in a Patient with Fulminant Myocarditis |
| title_sort | extracorporeal cardiopulmonary resuscitation for management of out of hospital cardiac arrest in a patient with fulminant myocarditis |
| url | http://dx.doi.org/10.1155/2020/8881042 |
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