Emergency department extracorporeal membrane oxygenation as a rescue therapy for ventricular tachycardia electrical storm: a case report

被引:1
作者
Pugh, Andrew [1 ]
Tonna, Joseph E. [1 ,2 ]
Youngquist, Scott [1 ]
Ryan, John J. [3 ]
Brant-Zawadzki, Graham [1 ]
机构
[1] Univ Utah Hlth, Dept Surg, Div Emergency Med, Salt Lake City, UT USA
[2] Univ Utah Hlth, Dept Surg, Div Cardiothorac Surg, Salt Lake City, UT USA
[3] Univ Utah Hlth, Div Cardiovasc Med, Salt Lake City, UT USA
基金
美国国家卫生研究院;
关键词
arrhythmogenic right ventricular cardiomyopathy; epsilon waves; extracorporeal life support; sudden cardiac death; DIAGNOSIS;
D O I
10.1002/emp2.12053
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Arrhythmogenic right ventricular cardiomyopathy is a cause of sudden cardiac death in often otherwise healthy young adults. Cardiac arrest following an unstable tachydysrhythmia may be the primary presenting symptom. Venous arterial extracorporeal life support via extracorporeal membrane oxygenation (VA ECMO) has been used as a rescue strategy in emergency departments (EDs) for patients with cardiac arrest unresponsive to conventional cardiopulmonary resuscitation. We present a case of a previously healthy 18-year-old male who presented to our emergency department with ECG features of arrhythmogenic right ventricular cardiomyopathy and subsequent pulseless polymorphic ventricular tachycardia refractory cardiac arrest, treated with ED-initiated VA ECMO.
引用
收藏
页码:371 / 374
页数:4
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