Bourenne Jeremy, Jeremy Bourenne, Fresco Raphaëlle, Raphaëlle Fresco, Kerbaul François, François Kerbaul, Michelet Pierre, Pierre Michelet, Gainnier Marc, Marc Gainnier
Réanimation des Urgences et Médicale, Assistance Publique Hôpitaux de Marseille, CHU la Timone 2, Aix-Marseille Université, Marseille, France.
Service d'Aide Médicale Urgente des Bouches du Rhône, CHU la Timone and UMR MD2, Aix-Marseille Université, Marseille, France.
Case Rep Crit Care. 2017;2017:3731069. doi: 10.1155/2017/3731069. Epub 2017 Aug 27.
A 28-year-old man was admitted to the ICU for self-injection of Epinephrine. This injection resulted in the rapid development of a catecholamine-induced cardiomyopathy (inverted Takotsubo) with a severe cardiogenic shock. The importance of ventricular dysfunction required the implementation of a temporary arteriovenous circulatory support until the recovery of myocardial stunning. This case allows redefining the role of circulatory assistance during cardiotropic agents intoxication.
一名28岁男子因自行注射肾上腺素被收入重症监护病房。此次注射导致迅速发展为儿茶酚胺诱导的心肌病（反向型Takotsubo心肌病）并伴有严重的心源性休克。心室功能障碍的严重性要求实施临时动静脉循环支持，直至心肌顿抑恢复。该病例有助于重新界定在心脏药物中毒期间循环辅助的作用。
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