Advances in mechanical circulatory support therapy for fulminant myocarditis in children
10.3760/cma.j.issn.1673-4408.2018.02.003
- VernacularTitle:儿童暴发性心肌炎机械循环支持治疗进展
- Author:
Mengchun LI
1
Author Information
1. 400014,重庆医科大学附属儿童医院心内科 儿童发育疾病研究教育部重点实验室 儿童发育重大疾病国家国际科技合作基地儿科学重庆市重点实验室
- Keywords:
Fulminant myocarditis;
Mechanical assistant support;
Extracorporeal membrane oxygenation;
Intra-aortic balloon pump;
Left ventricular assist device
- From:
International Journal of Pediatrics
2018;45(2):80-83
- CountryChina
- Language:Chinese
-
Abstract:
Fulminant myocarditis in children often has a transient viral prodrome,which is characterized by acute onset and lack of specificity in the early stage.It is prone to deteriorate in serious cardiac pump dysfunction and arrhythmia,which may lead to cardiogenic shock and even sudden cardiac death.Some patients are given the pharmacologic treatment of large doses of inotropes,corticosteroids,intravenous immunoglobulin,antiarrhythmic agents as well as other therapies such as mechanical ventilation,temporary pacemaker,but the circulatory failure still can not be improved,leading to irreversible heart damage and life-threatening.It has been reported that timely mechanical circulatory support for critically ill children can effectively promote the recovery of cardiac pump function,reduce mortality and improve prognosis.Mechanical circulatory assist devices mainly inclucle extracorporeal membrane oxygenation(ECMO),intra aortic balloon pump (IABP),left ventricular assist device (LVAD) or double ventricular assist device(Bi-VAD).In view of the limited understanding of the technology in the field of pediatrics in our country,this has not been used extensively.This article reviews the progress of FM treatment in children with mechanical circulatory support.
