Key result
A 49-year-old woman with ventricular fibrillation cardiac arrest and recurrent ventricular tachycardia developed cardiogenic shock requiring transition to extracorporeal membrane oxygenation.
Case Report (n=1)
A case demonstrating the use of ECMO as a bridge to potential LVAD or transplant in a patient with refractory ventricular arrhythmias and cardiogenic shock following cardiac arrest.
A 49-year-old woman was found unresponsive in bed, with ventricular fibrillation ultimately diagnosed. She was intubated and cardiac life support administered. Amiodarone was loaded and maintenance initiated. Left heart catheterization/ventriculography demonstrated no coronary artery disease, with reduced ejection fraction (EF)/global hypokinesis and dilated left ventricle. Intermittent ventricular tachycardia continued, causing recurrent arrests and metabolic acidosis. She was transitioned to extracorporeal membrane oxygenation (ECMO) with improved arrhythmias and acidosis but continued cardiogenic shock. She was transferred to an outside hospital for potential left ventricular assist device (LVAD) or cardiac transplant.
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Fullam et al. (2018) conducted a case report in Cardiac arrest and cardiogenic shock (n=1). Extracorporeal membrane oxygenation (ECMO) was evaluated. A 49-year-old woman with ventricular fibrillation cardiac arrest and recurrent ventricular tachycardia developed cardiogenic shock requiring transition to extracorporeal membrane oxygenation.
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