title: Fulminant myocarditis survivor after 56 hours of non-responsive cardiac arrest successfully returned to normal life by cardiac resynchronization therapy: a case report.
abstract: A 20-year-old female survived fulminant myocarditis with 56 hr of non-responsive cardiac arrest and was able to resume a normal life with cardiac resynchronization therapy(CRT). On admission, she had developed cardiogenic shock refractory to pharmacological intervention. Percutaneous cardiopulmonary support was initiated with intraaortic balloon pumping. She developed complete cardiac standstill unresponsive to ventricular pacing. After 56 hr of cardiac arrest, ventricular fibrillation occurred and her ventricle started to respond to pacing therapy. She could leave the intensive care unit, although she continued to have severe heart failure refractory to medical intervention. She presented with paradoxical ventricular motion with a low cardiac output, so CRT was performed. After the initiation of CRT, her heart failure symptoms improved and she could return home.
authors.affiliation: Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Honjo 1-1-1, Kumamoto, Kumamoto 860-8556.
authors.forename: Koichi
authors.initials: K
authors.lastname: Sugamura
authors.forename: Seigo
authors.initials: S
authors.lastname: Sugiyama
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kawano
authors.forename: Eiji
authors.initials: E
authors.lastname: Horio
authors.forename: Shunichi
authors.initials: S
authors.lastname: Ono
authors.forename: Sunao
authors.initials: S
authors.lastname: Kojima
authors.forename: Koichi
authors.initials: K
authors.lastname: Kaikita
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Sagishima
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Sakamoto
authors.forename: Michihiro
authors.initials: M
authors.lastname: Yoshimura
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Kinoshita
authors.forename: Hisao
authors.initials: H
authors.lastname: Ogawa
mesh_terms: D000208:Acute Disease; D000328:Adult; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D005260:Female; D006323:Heart Arrest / Q000209:etiology / Q000534:rehabilitation / Q000628:therapy*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D009205:Myocarditis / Q000150:complications / Q000534:rehabilitation / Q000628:therapy*; D013997:Time Factors; D016896:Treatment Outcome