Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Korean Circ J. 2013 Aug;43(8):565-8. doi: 10.4070/kcj.2013.43.8.565. Epub 2013 Aug 31.
Clinical features of acute myocarditis range from a subclinical state to a fulminant state. Fulminant myocarditis with ventricular arrhythmia or atrioventricular block is associated with a high mortality rate. In cases in which aggressive medical therapy for fulminant myocarditis is not likely to be successful, intensive and emergency mechanical circulatory support, such as extracorporeal membrane oxygenation (ECMO) or intra-aortic balloon pump, should be considered. We report life salvage of acute fulminant myocarditis in a 53-year-old woman presented with malignant arrhythmia and cardiogenic shock supported by ECMO.
急性心肌炎的临床特征从亚临床状态到暴发性状态不等。暴发性心肌炎伴室性心律失常或房室传导阻滞与高死亡率相关。在积极的药物治疗暴发性心肌炎不太可能成功的情况下,应考虑强化和紧急机械循环支持,如体外膜氧合(ECMO)或主动脉内球囊泵。我们报告了一例 53 岁女性急性暴发性心肌炎患者的抢救,该患者因恶性心律失常和心源性休克接受 ECMO 支持。