Literature DB >> 21806468

Sustained ventricular fibrillation in an alert patient: preserved hemodynamics with a left ventricular assist device.

Poonam Patel1, Jefferson G Williams, Jane H Brice.   

Abstract

Emergency medical services (EMS) encountered an alert patient with sustained ventricular fibrillation with preserved hemodynamics via a left ventricular assist device (LVAD). Multiple firings of the patient's implantable defibrillator were the only sign that this patient was experiencing the usually fatal ventricular arrhythmia. Initial attempts at rhythm conversion with amiodarone and 200-J biphasic shocks were unsuccessful. The patient was finally defibrillated to normal sinus rhythm after a 360-J biphasic shock. This case conference highlights the increasing prevalence of LVADs. These devices are used not only as a bridge to cardiac transplantation, but also as definitive therapy for patients in end-stage cardiac failure. Ventricular fibrillation has been shown to be well tolerated in patients with LVADs, and we discuss a standard of care for these patients. The occurrence of sustained ventricular fibrillation in patients with ventricular assist devices represents a challenging situation for EMS and emergency department providers and one that will be increasingly encountered in the future.

Entities:  

Mesh:

Substances:

Year:  2011        PMID: 21806468     DOI: 10.3109/10903127.2011.598616

Source DB:  PubMed          Journal:  Prehosp Emerg Care        ISSN: 1090-3127            Impact factor:   3.077


  6 in total

1.  Early decision for a left ventricular assist device implantation is necessary for patients with modifier A.

Authors:  Teruhiko Imamura; Koichiro Kinugawa; Taro Shiga; Miyoko Endo; Toshiro Inaba; Hisataka Maki; Masaru Hatano; Yasushi Imai; Atsushi Yao; Yasunobu Hirata; Takashi Nishimura; Shunei Kyo; Minoru Ono; Ryozo Nagai
Journal:  J Artif Organs       Date:  2012-04-18       Impact factor: 1.731

Review 2.  Ventricular assist devices: pharmacological aspects of a mechanical therapy.

Authors:  O Wever-Pinzon; J Stehlik; A G Kfoury; J V Terrovitis; N A Diakos; C Charitos; D Y Li; S G Drakos
Journal:  Pharmacol Ther       Date:  2012-01-16       Impact factor: 12.310

Review 3.  [Recommendations for emergency management of patients with permanent mechanical circulatory support : Consensus statement of DGTHG, DIVI, DGIIN, DGAI, DGINA, DGfK and DGK].

Authors:  Kevin Pilarczyk; Udo Boeken; Andreas Beckmann; Andreas Markewitz; P Christian Schulze; Martin Pin; Ingo Gräff; Sebastian Schmidt; Birk Runge; Hans-Jörg Busch; Michael R Preusch; Nils Haake; Gereon Schälte; Jan Gummert; Guido Michels
Journal:  Anaesthesist       Date:  2020-04       Impact factor: 1.041

4.  Ineffective ICD Shocks for Ventricular Fibrillation in a Patient with a Left Ventricular Assist Device: Continuous Flow During the Electrical Storm.

Authors:  Enes Elvin Gul; Mohammad Melhem; Sohaib Haseeb; Rifat Al Harach; Osama Al Amudi
Journal:  J Atr Fibrillation       Date:  2018-06-30

5.  The Burden of Ventricular Arrhythmias Following Left Ventricular Assist Device Implantation.

Authors:  Jan M Griffin; Jason N Katz
Journal:  Arrhythm Electrophysiol Rev       Date:  2014-11-29

6.  A Review of New-Onset Ventricular Arrhythmia after Left Ventricular Assist Device Implantation.

Authors:  Jianwei Shi; Xinyi Yu; Zhigang Liu
Journal:  Cardiology       Date:  2022-04-28       Impact factor: 2.342

  6 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.