ST-Elevation Myocardial Infarction with Cardiogenic Shock Rescued by Use of Extracorporeal Membrane Oxygenation: A Case Report and Literature Review

宋 立勤, 陳 郁志, 趙 盛豐, 王 志鴻(Ji-Hung Wang)

Research output: Contribution to journalArticle

Abstract

Cardiogenic shock is the leading cause of death in patients with acute myocardial
infarction (AMI) despite aggressive treatment modalities such as fibrinolysis and
percutaneous transluminal coronary angioplasty. We report our experience with a
case of ST segment elevation AMI complicated with refractory cardiogenic shock
and ventricular tachyarrhythmia even after successful revascularization using hemodynamic
support with the extracorporeal membrane oxygenation (ECMO). This
patient was weaned from ECMO, survived and discharged from hospital. The purpose
of the ECMO is to restore the systemic perfusion while intra-aortic balloon pump
failed and to avoid severe injury to the organs, and to allow time for intrinsic
recovery of the heart, thus, improving the chance of survival.
Original languageEnglish
Pages (from-to)204-209
Number of pages6
Journal重症醫學雜誌
Volume9
Issue number3
DOIs
Publication statusPublished - 2008
Externally publishedYes

Keywords

  • Acute myocardial infarction
  • Cardiogenic shock
  • Extracorporeal membrane oxygenation

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