Rescue extracorporeal membrane oxygenation for refractory cardiogenic shock

Litwiński, Paweł; Dębski, Artur; Tyczyński, Paweł; Jasińska, Małgorzata; Lichomski, Jerzy; Szymański, Jarosław; Kuśmierczyk, Mariusz

doi:10.5114/pwki.2015.55605

pwki

2015

DOI: 10.5114/pwki.2015.55605

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Rescue extracorporeal membrane oxygenation for refractory cardiogenic shock

Paweł Litwiński

Artur Dębski

Paweł Tyczyński

et al.

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Cited by 2 publications

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References 11 publications

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“…In this issue of the journal, Litwiński et al . report a non-ST-elevation myocardial infarction (NSTEMI) patient with life-threatening iatrogenic left main dissection during coronary angiography which could not be solved by stenting [ 2 ]. As expected, the patient immediately developed cardiogenic shock refractory to mechanical ventilation and inotropes.…”

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confidence: 99%

Prime time for veno-arterial extracorporeal membrane oxygenation in 24-7 interventional cardiology center?

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2015

pwki

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confidence: 99%

Prime time for veno-arterial extracorporeal membrane oxygenation in 24-7 interventional cardiology center?

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2015

pwki

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Management of Cardiogenic Shock due to Thyrotoxicosis: A Systematic Literature Review

Modarresi

Amro²,

Amro³

et al. 2021

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Background: A grave complication of thyrotoxicosis, or thyroid storm, is the development of heart failure and cardiomyopathy. Recognizing this condition is imperative in preventing further left ventricular dysfunction and cardiogenic shock. This manuscript aims to review the literature on cardiogenic shock associated with thyrotoxicosis and present management recommendations on this rare condition. Method: A literature search was performed in December of 2018, using the PubMed medical search engine. A systematic search was carried out using the keywords Thyroid Storm AND Cardiogenic Shock and Thyrotoxicosis AND Shock. Management: A) Decrease of thyroid hormone levels using therapeutic plasma exchange B) LV Unloading and ventilation by Impella and Extracorporeal Mechanical Ventilation (ECMO). Conclusion: Patients presenting with thyroid storm-induced shock may not be suitable candidates for traditional management with β-adrenergic blockers (β-blockers). Use of β-blockers could exasperate their condition. Through extensive literature review on this rare condition, the most effective management was found to be therapeutic plasma exchange in order to decrease thyroid hormone levels, which have direct toxic effect on the heart. Furthermore, the use of ECMO and Impella are advised to reduce pressure on the heart and ensure the patient’s organs are well oxygenated and perfused while the left ventricle is recovering.

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Rescue extracorporeal membrane oxygenation for refractory cardiogenic shock

Cited by 2 publications

References 11 publications

Prime time for veno-arterial extracorporeal membrane oxygenation in 24-7 interventional cardiology center?

Prime time for veno-arterial extracorporeal membrane oxygenation in 24-7 interventional cardiology center?

Management of Cardiogenic Shock due to Thyrotoxicosis: A Systematic Literature Review

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