Percutaneous Cardiopulmonary Support Aids Resuscitation From Sustained Ventricular Tachycardia

A 67-year-old man was transferred to hospital because of acute circulatory failure resulting from sustained left ventricular tachycardia (LVT) and dysfunction. Transthoracic echocardiography revealed severely impaired left ventricular contraction and dyskinesis of the apical wall. Neither anti-arrhy...

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Bibliographic Details
Published in:Circulation Journal 2003, Vol.67(12), pp.1061-1063
Main Authors: Izawa, Atsushi, Kinoshita, Osamu, Shiba, Yuji, Takahashi, Wataru, Uchikawa, Shin-ichiro, Imamura, Hiroshi, Owa, Mafumi, Kubo, Keishi
Format: Article
Language:English
Subjects:
Aged
Amiodarone - therapeutic use
Anti-Arrhythmia Agents - therapeutic use
Assisted Circulation - methods
Biological and medical sciences
Blood and lymphatic vessels
Cardiogenic shock
Cardiology. Vascular system
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Humans
Imidazoles - therapeutic use
Male
Medical sciences
Percutaneous cardiopulmonary support
Resuscitation
Tachycardia, Ventricular - complications
Tachycardia, Ventricular - diagnosis
Tachycardia, Ventricular - therapy
Treatment Outcome
Ventricular Dysfunction, Left - diagnosis
Ventricular Dysfunction, Left - therapy
Ventricular tachycardia
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Summary:A 67-year-old man was transferred to hospital because of acute circulatory failure resulting from sustained left ventricular tachycardia (LVT) and dysfunction. Transthoracic echocardiography revealed severely impaired left ventricular contraction and dyskinesis of the apical wall. Neither anti-arrhythmic agents nor direct current cardioversion was effective; the patient was resuscitated by immediate use of percutaneous cardiopulmonary support and intraaortic balloon counterpulsation. Ventricular contraction returned to normal following restoration of normal sinus rhythm with amiodarone and cibenzoline. The pathogenesis of LVT accompanied by transient ventricular dyskinesis is discussed with regard to the efficient use of a mechanical circulatory support system in resuscitation. (Circ J 2003; 67: 1061 - 1063)
ISSN:1346-9843
1347-4820
DOI:10.1253/circj.67.1061