Document Detail

Cardiogenic shock in right ventricular infarction managed with a combined thermodilution and pacing pulmonary artery flotation catheter.
MedLine Citation:
PMID:  3620050     Owner:  NLM     Status:  MEDLINE    
When cardiogenic shock complicates right ventricular infarction it is widely appreciated that rational therapy can only be achieved by use of plasma volume expansion and inotropic agents guided by invasive monitoring (Cohn et al., 1974). In these cases, there is a high incidence of symptomatic heart block and serious atrial and ventricular dysrhythmias (Cohn, 1979). Thus, venous access may be required for monitoring, pacing, infusion of fluid, and vasoactive or antiarrhythmic drugs. A case of right ventricular infarction complicated by cardiogenic shock, heart block, multiple arrhythmias and severe hypoxaemic respiratory failure is described. Technical problems in venous access were encountered and overcome by the use of a single multi-purpose catheter for haemodynamic monitoring, infusion of drugs and fluids and passage of a pacing wire. We believe that this is the first description of the use of such a catheter in the United Kingdom, although the use of a multi-purpose pulmonary artery flotation catheter with fixed pacing electrodes has been described before (Zaidan & Freniere, 1983).
J D Edwards; R Wilkins; H Gibson
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of emergency medicine     Volume:  4     ISSN:  0264-4924     ISO Abbreviation:  Arch Emerg Med     Publication Date:  1987 Jun 
Date Detail:
Created Date:  1987-10-08     Completed Date:  1987-10-08     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8500828     Medline TA:  Arch Emerg Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  107-10     Citation Subset:  IM    
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MeSH Terms
Heart Catheterization / instrumentation*
Myocardial Infarction / complications*
Shock, Cardiogenic / etiology,  therapy*

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