Resuscitation From Fulminant Myocarditis Associated With Refractory Ventricular Fibrillation

概要

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Resuscitation was possible in a case of fulminant myocarditis with refractory ventricular fibrillation(Vf) using a percutaneous cardiopulmonary support system(PCPS). A 46-year old Japanese man suddenly experienced cardiopulmonary dysfunction shortly after the onset of flu symptoms, was promptly diagnosed as having fulminant myocarditis and PCPS was immediately initiated. On the second day in the hospital, refractory Vf occurred, which lasted for approximately 2 h despite repeated efforts to terminate it. Finally, a large dose of steroids was administered. From the third day of hospitalization and onwards, the Vf disappeared totally. The patient completely recovered from such a serious state in 6 months. During the following 3 years, he has had no clinical symptoms of worsening. As in this case demonstrates, most myocarditis is curable and invasive measures are very helpful in rescuing patients from the fulminant type with refractory Vf.
社団法人日本循環器学会の論文
2000-01-20