1.Statins for Patients with Cardiogenic Shock.
Korean Circulation Journal 2014;44(3):200-202
No abstract available.
Humans
;
Hydroxymethylglutaryl-CoA Reductase Inhibitors*
;
Shock, Cardiogenic*
2.Efficacy of Intra-Aortic Balloon Pump in Postcardiotomy Cardiogenic Shock.
Jee Won CHANG ; Sun Kyung MIN ; Tae Hee WON ; Jae Ho AHN
The Korean Journal of Thoracic and Cardiovascular Surgery 2002;35(6):449-453
BACKGROUND: Intra-aortic balloon pump (IABP)is well known for its hemodynamic benefit but still has its own complications.Proper use of IABP is the best way t o obt ai n maximum benefit with low complication rate. MATERIALS AND METHOD: Twenty one(men 10,female 11) patients were included in this study among the 100 consecutive adult cardiac surgery patients in our hospital.Eighteen(85.7%)were ischemic heart disease patients.They all received IABP therapy due to postcardiotomy cardiogenic shock according to the well-known indications.Their preoperative conditions,intraoperative factors including hemodynamics, postoperative conditions and IABP-related complications were analyzed. RESULT: Nineteen patients(90.5%)were successfully weaned from IABP.There were 2 patients of operative death and the mortality rate was 9.5%.Duration of IABP use was 40.7+/-24.3 hours.There were 2 cases(9.5%)of IABP-related vascular complications that required surgical intervention. CONCLUSION: We concluded that IABP could be used effectively and safely for postcardiotomy cardiogenic shock patients with low complication rate.
Adult
;
Hemodynamics
;
Humans
;
Mortality
;
Myocardial Ischemia
;
Shock, Cardiogenic*
;
Thoracic Surgery
3.A Case of Pheochromocytoma Presented with Cardiogenic Shock and Followed by Spontaneous Remission.
Jae Wook KWAK ; Jong Sang KIM ; Yun Jong SEO ; Jae Hui JANG ; Sun Hui PARK ; Hyo Heon KIM
Endocrinology and Metabolism 2010;25(3):236-239
Pheochromocytoma is derived from the chromaffin cells and patients with pheochromocytoma present with several signs and symptoms by producing, storing and secreting catecholamine. Spontaneous rupture or necrosis of pheochromocytoma is extremely rare, but it can be lethal because of the dramatic change in the circulation such as an acute abdominal emergency or shock. Spontaneous remission of the clinical symptoms due to necrosis of the pheochromocytoma is rare. We describe such a case that presented with cardiogenic shock due to extensive necrosis of the pheochromocytoma and this was followed by spontaneous remission of the clinical symptoms without removal of the pheochromocytoma.
Chromaffin Cells
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Emergencies
;
Humans
;
Necrosis
;
Pheochromocytoma
;
Remission, Spontaneous
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Rupture, Spontaneous
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Shock
;
Shock, Cardiogenic
4.Mechanical Circulatory Support in the Cardiac Catheterization Laboratory for Cardiogenic Shock
Matt RYAN ; Natalia BRICENO ; Divaka PERERA
Korean Circulation Journal 2019;49(3):197-213
Despite the development of acute revascularisation, the mortality rate for cardiogenic shock remains around 50%. Mechanical circulatory support devices have long held promise in improving outcomes in shock, but high-quality evidence of benefit has not been forthcoming. In this article we review the currently available devices for treating shock, their physiological effects and the evidence base for their use in practice. We subsequently look ahead within this developing field, including new devices and novel indications for established technology.
Cardiac Catheterization
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Cardiac Catheters
;
Extracorporeal Membrane Oxygenation
;
Mortality
;
Myocardial Infarction
;
Shock
;
Shock, Cardiogenic
5.Catastrophic catecholamine-induced cardiomyopathy rescued by extracorporeal membrane oxygenation in recurrent malignant pheochromocytoma
Yeungnam University Journal of Medicine 2019;36(3):254-259
Pheochromocytoma (PCC) is a rare catecholamine-producing tumor with the incidence in hypertension of 0.1-0.6%. PCC crisis is an endocrine emergency that can lead to hemodynamic disturbance and organ failure such as catecholamine-induced cardiomyopathy. The circulatory collapse caused by it often requires mechanical support. The author reports an unusual case in which a patient who previously underwent surgery for malignant PCC developed catecholamine-induced cardiomyopathy, and successfully recovered using extracorporeal membrane oxygenation.
Cardiomyopathies
;
Emergencies
;
Extracorporeal Membrane Oxygenation
;
Hemodynamics
;
Humans
;
Hypertension
;
Incidence
;
Pheochromocytoma
;
Shock
;
Shock, Cardiogenic
6.A case involving the use of nafamostat mesilate as an anticoagulant during extracorporeal membrane oxygenation in acute myocardial infarction.
Won Ki HONG ; Go Woon KIM ; Sung Hoa LEE ; Woo Jin LEE ; Duck Hyoung YOON ; Hyoung Soo KIM ; Sang Jin HAN
Korean Journal of Medicine 2010;79(2):181-186
It is essential during extracorporeal membrane oxygenation (ECMO) to extend the activated clotting time (ACT) using anticoagulants to prevent blood clot formation. Traditionally, heparin has been used as an anticoagulant during ECMO. Hemorrhaging due to systemic heparinization is considered a major complication of ECMO. A 48-year-old man was admitted due to cardiogenic shock with acute myocardial infarction. ECMO was instituted because of recurrent ventricular tachycardia and refractory shock. We used nafamostat mesilate (Futhan) as an anticoagulant to reduce hemorrhagic complications. The total bypass time was 153 h. The average dose of nafamostat mesilate was 2.64+/-1.11 mg/kg/h; the average ACT was 128.68+/-21.24 seconds. Only a few units were transfused, and there was no oxygenator failure or hemorrhagic complications. Thus, nafamostat mesilate may reduce the need for transfusions and hemorrhagic complications during ECMO.
Anticoagulants
;
Extracorporeal Membrane Oxygenation
;
Guanidines
;
Hemorrhage
;
Heparin
;
Humans
;
Mesylates
;
Middle Aged
;
Myocardial Infarction
;
Oxygen
;
Oxygenators
;
Shock
;
Shock, Cardiogenic
;
Tachycardia, Ventricular
7.Effect of Early Statin Treatment in Patients with Cardiogenic Shock Complicating Acute Myocardial Infarction.
Doo Sun SIM ; Myung Ho JEONG ; Kyung Hoon CHO ; Youngkeun AHN ; Young Jo KIM ; Shung Chull CHAE ; Taek Jong HONG ; In Whan SEONG ; Jei Keon CHAE ; Chong Jin KIM ; Myeong Chan CHO ; Seung Woon RHA ; Jang Ho BAE ; Ki Bae SEUNG ; Seung Jung PARK
Korean Circulation Journal 2013;43(2):100-109
BACKGROUND AND OBJECTIVES: The benefit of early statin treatment following acute myocardial infarction (MI) complicated with cardiogenic shock (CS) has not been well studied. We sought to assess the effect of early statin therapy in patients with CS complicating acute MI. SUBJECTS AND METHODS: We studied 553 statin-naive patients with acute MI and CS (Killip class IV) who underwent revascularization therapy between November 2005 and January 2008 at 51 hospitals in the Korea Acute Myocardial Infarction Registry. Patients were divided into 2 groups: those who received statins during hospitalization (n=280) and those who did not (n=273). The influence of statin treatment on a 12-month clinical outcome was examined using a matched-pairs analysis (n=200 in each group) based on the propensity for receiving statin therapy during hospitalization. RESULTS: Before adjustment, patients receiving statin, compared to those not receiving statin, had a more favorable clinical profile, were less likely to suffer procedural complications, and more likely to receive adequate medical therapy. Patients receiving statin had lower unadjusted in-hospital mortality and composite rate of mortality, MI, and repeat revascularization at 12 months, which remained significantly lower after adjustment for patient risk, procedural characteristics, and treatment propensity. CONCLUSION: In CS patients with acute MI undergoing revascularization therapy, early statin treatment initiated during hospitalization was associated with lower rates of in-hospital death and 12-month adverse cardiac events.
Angioplasty
;
Hospital Mortality
;
Hospitalization
;
Humans
;
Hydroxymethylglutaryl-CoA Reductase Inhibitors
;
Korea
;
Myocardial Infarction
;
Secondary Prevention
;
Shock
;
Shock, Cardiogenic
8.Effect of Early Statin Treatment in Patients with Cardiogenic Shock Complicating Acute Myocardial Infarction.
Doo Sun SIM ; Myung Ho JEONG ; Kyung Hoon CHO ; Youngkeun AHN ; Young Jo KIM ; Shung Chull CHAE ; Taek Jong HONG ; In Whan SEONG ; Jei Keon CHAE ; Chong Jin KIM ; Myeong Chan CHO ; Seung Woon RHA ; Jang Ho BAE ; Ki Bae SEUNG ; Seung Jung PARK
Korean Circulation Journal 2013;43(2):100-109
BACKGROUND AND OBJECTIVES: The benefit of early statin treatment following acute myocardial infarction (MI) complicated with cardiogenic shock (CS) has not been well studied. We sought to assess the effect of early statin therapy in patients with CS complicating acute MI. SUBJECTS AND METHODS: We studied 553 statin-naive patients with acute MI and CS (Killip class IV) who underwent revascularization therapy between November 2005 and January 2008 at 51 hospitals in the Korea Acute Myocardial Infarction Registry. Patients were divided into 2 groups: those who received statins during hospitalization (n=280) and those who did not (n=273). The influence of statin treatment on a 12-month clinical outcome was examined using a matched-pairs analysis (n=200 in each group) based on the propensity for receiving statin therapy during hospitalization. RESULTS: Before adjustment, patients receiving statin, compared to those not receiving statin, had a more favorable clinical profile, were less likely to suffer procedural complications, and more likely to receive adequate medical therapy. Patients receiving statin had lower unadjusted in-hospital mortality and composite rate of mortality, MI, and repeat revascularization at 12 months, which remained significantly lower after adjustment for patient risk, procedural characteristics, and treatment propensity. CONCLUSION: In CS patients with acute MI undergoing revascularization therapy, early statin treatment initiated during hospitalization was associated with lower rates of in-hospital death and 12-month adverse cardiac events.
Angioplasty
;
Hospital Mortality
;
Hospitalization
;
Humans
;
Hydroxymethylglutaryl-CoA Reductase Inhibitors
;
Korea
;
Myocardial Infarction
;
Secondary Prevention
;
Shock
;
Shock, Cardiogenic
9.Two Cases of Successful Surgical Treatment of Postmyocardial Infarction Ventricular Septal Defect-Repeated Performation After the First Operation.
Ji Hyun LEE ; Byung Gyu NA ; Sang Woo OH ; Gi Byoung NAM ; Dong Woon KIM ; Myeong Chan CHO ; Youn Woo NO ; Jong Myun HONG ; Jae Ho AN
Korean Circulation Journal 1997;27(2):234-240
Mechanical complications of acute myocardial infarction which may lead to heart failure or shock include ruptute of left ventricular free wall, ventricular septum and papillary muscle. The clinical characteristics of these lesions vary conservative management alone has high mortality rate, for which reason surgical repair of these defects are essential. Structural defects including rupture of the left ventricular free wall, ventricular septum, and papillary muscle, accout for 5% to 20% of all deaths from acute myocardial infarction. Among these, ventricular septal defects occur in approximately 1% of all myocardial infarction, and account for up to 2% of deaths subsequent to myocardial infarction. Rupture of the ventricular septum following acute myocardial infarction(AMI) is associated with high mortality rate, as 54% of the patients succumb within two weeks, 87% within two months and 92.5% during the first year. We experienced two cases of postinfarct ventricular septal defects(VSD) which had been repaired within 1 week after AMI due to progressive deterioration of patients` conditions, and were to be reoperated because of repeated septal ruptures in postoperation period and development of cardiogenic shock.
Heart Failure
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Heart Septal Defects, Ventricular
;
Humans
;
Infarction*
;
Mortality
;
Myocardial Infarction
;
Papillary Muscles
;
Rupture
;
Shock
;
Shock, Cardiogenic
;
Ventricular Septum
10.Takotsubo Cardiomyopathy Associated With Status Epilepticus.
Yoonju LEE ; Han YI ; Kyung Min KIM ; Dong Hyun LEE ; Jun Hong LEE ; Sun Ah CHOI ; Jeong Hee CHO ; Jong Hun KIM ; Gyu Sik KIM
Journal of the Korean Neurological Association 2014;32(3):194-197
Takotsubo cardiomyopathy is a reversible cardiac syndrome that occurs subsequently to other medical illnesses such as cerebral hemorrhage, shock, or seizure disorders that are presumed to disturb autonomic regulation. This syndrome is characterized by chest pain, dyspnea, and electrocardiographic changes mimicking an acute coronary syndrome. Mild elevation of cardiac enzymes and transient wall-motion abnormalities of apical akinesia can appear. However, takotsubo cardiomyopathy following epilepsy is not well recognized. We report two cases of takotsubo-cardiomyopathy-related idiopathic status epilepticus presenting with cardiogenic shock.
Acute Coronary Syndrome
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Cerebral Hemorrhage
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Chest Pain
;
Dyspnea
;
Electrocardiography
;
Epilepsy
;
Shock
;
Shock, Cardiogenic
;
Status Epilepticus*
;
Takotsubo Cardiomyopathy*