Successful treatment of sepsis-induced cardiomyopathy with 36 hours refractory ventricular fibrillation: A case report

Figures

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  Fig. 1. Chest CT scans at different levels showed exudative lesions.

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  Fig. 2. (A) mNGS results of alveolar lavage fluid, indicated the sequence number of Enterococcus faecium was 42, Stenotrophomonas maltophilia was 9, and Pseudomonas aeruginosa was 4; (B) mNGS result of bood, indicated the sequence number of Enterococcus faecium was 49, Akkermansia muciniphila was 103, and Klebsiella pneumonia was 23.

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  Fig. 3. The evolution of the patient's electrocardiogram. (A) On admission, the electrocardiogram (ECG) revealed ST-segment depression and second-degree atrioventricular block; (B) At 09:37 on 8th July, the ECG developed VF; (C) At 23:12 on 8th July, after cardiac defibrillation, the patient developed cardiac arrest; (D) At 02:00 on 9th July, the ECG of the patient reappeared VF; (E) After the second shock, the rhythm recovered to third-degree conduction block; (F) On 11th July, the ECG of the patient became degree II atrioventricular block.

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  Fig. 4. The evolution of the patient's echocardiography. (A) On admission, the echocardiography revealed that left ventricular wall motion was generally weak, with an estimated ejection fraction (EF) of 29 %; (B) At 21:00 on 6th July, the cardiac function was worse with EF 26.32 %; (C) On 9th July, left ventricular wall motion improved with EF 36.05 %; (D) 41 days after admission, the patient’s echocardiography showed an estimated ejection fraction of 53 %.

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  Fig. 5. The entire process of this episode was summarized in a timeline.