Cardioembolic stroke as consequence of myocardial infarction: Case report and concise review.
Identifikátory výsledku
Kód výsledku v IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F27283933%3A_____%2F18%3A00006480" target="_blank" >RIV/27283933:_____/18:00006480 - isvavai.cz</a>
Výsledek na webu
<a href="https://api.elsevier.com/content/article/PII:S0010865018300511?httpAccept=text/xml" target="_blank" >https://api.elsevier.com/content/article/PII:S0010865018300511?httpAccept=text/xml</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.crvasa.2018.08.003" target="_blank" >10.1016/j.crvasa.2018.08.003</a>
Alternativní jazyky
Jazyk výsledku
angličtina
Název v původním jazyce
Cardioembolic stroke as consequence of myocardial infarction: Case report and concise review.
Popis výsledku v původním jazyce
Yew intoxication is an uncommon, life-threatening emergency. Patients frequently die due to refractory cardiac shock or pulseless ventricular tachycardia and ventricular fibrillation, both of which do not respond to classical treatment with antiarrhythmics and defibrillation. The cardiac toxicity is driven mainly by taxine B, both sodium and calcium channel blocker. Hemodialysis is ineffective, because of the large molecular size of taxine B. Specific antidote is currently not available, but digoxin-specific FAB antibodies can be used instead, with partial effect. Severe cases of intoxication can profit from initiation of veno-arterial extracorporeal membrane circulation (VA ECMO). We present a case of a 25-year-old patient with yew and escitalopram ingestion in a suicide attempt. He presented to the emergency department of a regional hospital with cardiology center without cardiosurgery clinic, but with VA ECMO team on site. Pulseless ventricular tachycardia and fibrillation unresponsive to usual treatment developed soon after presentation and the patient had to be placed on VA ECMO during ongoing cardiopulmonary resuscitation using Lucas CPR device. Patient survived and was successfully weaned off VA ECMO after 4 days with normalization of cardiac function and without severe liver or kidney dysfunction. Unfortunately, brain death was diagnosed after the discontinuation of sedation two days later and the patient entered the transplantation program as a donor. This propably happened due to inadequate mechanical resuscitation during transportation to the cathlab. VA ECMO is an important option for the treatment of intoxications, with early indication being crucial.
Název v anglickém jazyce
Cardioembolic stroke as consequence of myocardial infarction: Case report and concise review.
Popis výsledku anglicky
Yew intoxication is an uncommon, life-threatening emergency. Patients frequently die due to refractory cardiac shock or pulseless ventricular tachycardia and ventricular fibrillation, both of which do not respond to classical treatment with antiarrhythmics and defibrillation. The cardiac toxicity is driven mainly by taxine B, both sodium and calcium channel blocker. Hemodialysis is ineffective, because of the large molecular size of taxine B. Specific antidote is currently not available, but digoxin-specific FAB antibodies can be used instead, with partial effect. Severe cases of intoxication can profit from initiation of veno-arterial extracorporeal membrane circulation (VA ECMO). We present a case of a 25-year-old patient with yew and escitalopram ingestion in a suicide attempt. He presented to the emergency department of a regional hospital with cardiology center without cardiosurgery clinic, but with VA ECMO team on site. Pulseless ventricular tachycardia and fibrillation unresponsive to usual treatment developed soon after presentation and the patient had to be placed on VA ECMO during ongoing cardiopulmonary resuscitation using Lucas CPR device. Patient survived and was successfully weaned off VA ECMO after 4 days with normalization of cardiac function and without severe liver or kidney dysfunction. Unfortunately, brain death was diagnosed after the discontinuation of sedation two days later and the patient entered the transplantation program as a donor. This propably happened due to inadequate mechanical resuscitation during transportation to the cathlab. VA ECMO is an important option for the treatment of intoxications, with early indication being crucial.
Klasifikace
Druh
J<sub>SC</sub> - Článek v periodiku v databázi SCOPUS
CEP obor
—
OECD FORD obor
30201 - Cardiac and Cardiovascular systems
Návaznosti výsledku
Projekt
—
Návaznosti
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Ostatní
Rok uplatnění
2018
Kód důvěrnosti údajů
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Údaje specifické pro druh výsledku
Název periodika
Cor et Vasa
ISSN
0010-8650
e-ISSN
—
Svazek periodika
7
Číslo periodika v rámci svazku
3
Stát vydavatele periodika
CZ - Česká republika
Počet stran výsledku
6
Strana od-do
—
Kód UT WoS článku
—
EID výsledku v databázi Scopus
2-s2.0-85052793281