[Cardiogenic shock secondary to acute myocardial infarction managed with high volume hemofiltration: report of a case].
Cardiogenic shock secondary to acute myocardial infarction unveils a systemic inflammatory response with elevation of cytokines that contribute to hypoperfusion. High volume hemofiltration may remove cytokines in patients with septic shock resulting in hemodynamic improvement and reducing the requirements of norepinephrine. We report a 48 year-old male with cardiogenic shock secondary to acute myocardial infarction who presented a systemic inflammatory response characterized by fever and hemodynamic collapse, without evidence of infection. Its hemodynamic profile was stabilized with high volume hemofiltration.
da Costa
Daniel
D
Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago de Chile. pcastro@med.puc.cl
Gabrielli
Luigi
L
Andresen
Max
M
Downey
Patricio
P
Castro
Pablo
P
D006439:Hemodynamics / Q000502:physiology; D006440:Hemofiltration / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D012770:Shock, Cardiogenic / Q000209:etiology / Q000628:therapy*