Resuscitation from fulminant myocarditis associated with refractory ventricular fibrillation

Citation
K. Kohno et al., Resuscitation from fulminant myocarditis associated with refractory ventricular fibrillation, JPN CIRC J, 64(2), 2000, pp. 139-143
Citations number
20
Categorie Soggetti
Cardiovascular & Respiratory Systems","Cardiovascular & Hematology Research
Journal title
JAPANESE CIRCULATION JOURNAL-ENGLISH EDITION
ISSN journal
00471828 → ACNP
Volume
64
Issue
2
Year of publication
2000
Pages
139 - 143
Database
ISI
SICI code
0047-1828(200002)64:2<139:RFFMAW>2.0.ZU;2-1
Abstract
Resuscitation was possible in a case of fulminant myocarditis with refracto ry ventricular fibrillation (Vf) using a percutaneous cardiopulmonary suppo rt system (PCPS). A 46-year old Japanese man suddenly experienced cardiopul monary dysfunction shortly after the onset of flu symptoms, was promptly di agnosed as having fulminant myocarditis and PCPS was immediately initiated. On the second day in the hospital, refractory Vf occurred, which lasted fo r approximately 2h despite repeated efforts to terminate it. Finally, a lar ge dose of steroids was administered. From the third day of hospitalization and onwards, the Vf disappeared totally. The patient completely recovered from such a serious state in 6 months. During the following 3 years, he has had no clinical symptoms of worsening. As in this case demonstrates, most myocarditis is curable and invasive measures are very helpful in rescuing p atients from the fulminant type with refractory Vf.