Fulminant myocarditis survivor after 56 hours of non-responsive cardiac arrest successfully returned to normal life by cardiac resynchronization therapy: a case report.
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.
Sugamura
Koichi
K
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Honjo 1-1-1, Kumamoto, Kumamoto 860-8556.
Sugiyama
Seigo
S
Kawano
Hiroaki
H
Horio
Eiji
E
Ono
Shunichi
S
Kojima
Sunao
S
Kaikita
Koichi
K
Sagishima
Katsuyuki
K
Sakamoto
Tomohiro
T
Yoshimura
Michihiro
M
Kinoshita
Yoshihiro
Y
Ogawa
Hisao
H
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