Atrial Arrhythmias During Venovenous ECMO: A Cry for Help?

Abstract

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Impaired Pharmacokinetics of Amiodarone under Veno-Venous Extracorporeal Membrane Oxygenation: From Bench to Bedside

“…The loss of atrial function induces a 20% drop in cardiac output, which impairs oxygen delivery [ 12 ]. Recently, Li et al reported that new-onset atrial arrhythmias are a frequent complication during VV ECMO and are independently associated with odds ratio for in-hospital mortality as high as 2.21 CI 95 [1.08–4.55], with an interesting early temporal association of atrial arrhythmias with ECMO initiation (median time to onset of 1.7 days after ECMO deployment) [ 13 , 14 ]. Otherwise, the worst conditions clinicians would have to manage are refractory ventricular arrhythmias and cardiac arrest.…”