title: Successful treatment of life-threatening ventricular tachycardia with high-dose propranolol under extracorporeal life support and intraaortic balloon pumping.
abstract: The use of propranolol is generally contraindicated in patients with congestive heart failure. However, we successfully used a continuous high-dose infusion of propranolol, in combination with the use of extracorporeal life support (ECLS) and intra-aortic balloon pumping (IABP), to treat refractory life-threatening ventricular tachycardia in a patient with postoperative congestive heart failure. The early combined use of ECLS and IABP before irreversible myocardial damage contributed to the successful outcome.
authors.affiliation: Department of Anesthesiology, Kumamoto University School of Medicine, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Kurose
authors.forename: K
authors.initials: K
authors.lastname: Okamoto
authors.forename: T
authors.initials: T
authors.lastname: Sato
authors.forename: R
authors.initials: R
authors.lastname: Yatsuda
authors.forename: K
authors.initials: K
authors.lastname: Ogata
authors.forename: M
authors.initials: M
authors.lastname: Yasumoto
authors.forename: H
authors.initials: H
authors.lastname: Terasaki
authors.forename: H
authors.initials: H
authors.lastname: Goto
authors.forename: K
authors.initials: K
authors.lastname: Okumura
mesh_terms: D003131:Combined Modality Therapy; D005112:Extracorporeal Circulation; D006333:Heart Failure / Q000150:complications / Q000628:therapy; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008020:Life Support Care; D008297:Male; D008875:Middle Aged; D011433:Propranolol / Q000008:administration & dosage / Q000627:therapeutic use*; D017180:Tachycardia, Ventricular / Q000150:complications / Q000188:drug therapy / Q000628:therapy*
chemical_list: D011433:Propranolol