Clinical Reasoning: Persistent respiratory failure following cardiac arrest

Timothy Fullam, John H. Sladky

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1117-1122
Number of pages6
JournalNeurology
Volume90
Issue number24
DOIs
StatePublished - Jun 12 2018

ASJC Scopus subject areas

  • Clinical Neurology

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