Venlafaxine intoxication with development of takotsubo cardiomyopathy: successful use of extracorporeal life support, intravenous lipid emulsion and CytoSorb®

被引：25
|
作者：
Schroeder, Ines [1 ]
Zoller, Michael [1 ]
Angstwurm, Matthias [2 ]
Kur, Felix [3 ]
Frey, Lorenz [1 ]
机构：
[1] Univ Munich, Univ Hosp Ludwig Maximilians LMU, Dept Anesthesiol, Munich, Germany
[2] Univ Munich, Univ Hosp Ludwig Maximilians LMU, Dept Internal Med 1, Munich, Germany
[3] Univ Munich, Ludwig Maximilians Univ, Clin Cardiac Surg, Univ Hosp, Munich, Germany
来源：
INTERNATIONAL JOURNAL OF ARTIFICIAL ORGANS | 2017年 / 40卷 / 07期
关键词：
CytoSorb (R); ECLS; Intoxication; Takotsubo cardiomyopathy; Venlafaxine; STRESS CARDIOMYOPATHY; THERAPY;
D O I：
10.5301/ijao.5000595
中图分类号：
R318 [生物医学工程];
学科分类号：
0831 ;
摘要：
We describe a young patient who ingested 18 g (240 times the daily therapeutic dose) of venlafaxine in a suicide attempt. She developed severe cardiomyopathy in a takotsubo distribution causing cardiogenic shock and multiorgan dysfunction syndrome (MODS). She was successfully treated with intravenous lipid emulsion (ILE), extracorporeal life support (ECLS) and CytoSorb (R). This is remarkable as, to the best of the authors' knowledge, this is the highest amount of venlafaxine intake seen in the literature with a nonfatal outcome.
引用
收藏
页码：358 / 360
页数：3
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