| Extracorporeal life support as ultimate strategy for refractory severe cardiogenic shock induced by Tako-tsubo cardiomyopathy: a new effective therapeutic option. | |
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MedLine Citation:
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PMID: 19681838 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a possible new therapeutic strategy, using extracorporeal cardiopulmonary support (ECLS), for severe refractory cardiogenic shock (SRCS) in a patient with Tako-tsubo cardiomyopathy (TC). TC is a syndrome characterized by left ventricular wall motion abnormalities, without coronary artery disease, mimicking the diagnosis of acute coronary syndrome. This ventricular dysfunction can be reversible; however, it can progress into refractory cardiogenic shock with limited therapeutic options available. For the first time in a Tako-tsubo patient with refractory cardiogenic shock, we used ECLS treatment in order to rest the heart, sustain circulation and end-organ perfusion, and promote potential ventricular recovery. ECLS might be the selected treatment for SRCS in patients with TC, and seems to be an effective and useful ultimate therapeutic strategy for preventing death. |
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Authors:
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Massimo Bonacchi; Serafina Valente; Guy Harmelin; Gian Franco Gensini; Guido Sani |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-07-22 |
Journal Detail:
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Title: Artificial organs Volume: 33 ISSN: 1525-1594 ISO Abbreviation: Artif Organs Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-10-23 Completed Date: 2010-01-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7802778 Medline TA: Artif Organs Country: United States |
Other Details:
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Languages: eng Pagination: 866-70 Citation Subset: IM |
Affiliation:
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Cardiac Surgery, Medical and Surgical Critical Care Department, University of Florence, Viale Morgagni 85, Florence, Italy. mbonacchi@unifi.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Cardiovascular Agents / therapeutic use Echocardiography, Transesophageal Extracorporeal Circulation* Female Hemodynamics Humans Intra-Aortic Balloon Pumping Recovery of Function Severity of Illness Index Shock, Cardiogenic / diagnosis, etiology, physiopathology, therapy* Stress, Psychological / complications*, physiopathology Takotsubo Cardiomyopathy / diagnosis, etiology, physiopathology, therapy* Treatment Failure Ventricular Function, Left |
| Chemical | |
Reg. No./Substance:
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0/Cardiovascular Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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