E-CPR in Cardiogenic Shock Following Severe Mix-Intoxication with Beta-Blockers, Angiotensin-Converting Enzyme Inhibitors, Dihydropyridine Type Calcium Antagonist and Allopurinol – ECMO As A Bridge to Recovery

Authors

  • Matthias Mezger
  • Aneke Gansewig
  • Ingo Eitel
  • Tobias Graf

Abstract

Patient admission to intensive care unit (ICU) due to suggested intoxication either because of suicide or because of accident is not uncommon. We describe the case of a 49-year-old male patient who was admitted to our hospital after ingestion of approximately 75 tablets, consisting of beta-blockers, angiotensin-converting enzyme (ACE) inhibitors, dihydropyridine-type calcium antagonists and allopurinol. Only few hours after ingestion, the patient developed cardiac arrest in presence of preclinical healthcare professionals. Therefore, he was transferred to our heart-catheterization lab under mechanical supported chest compression and we commenced veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) therapy. Heart function almost completely recovered, and finally, after explantation of VA- ECMO, he could be transferred to neurorehabilitation.

Downloads

Published

2020-09-16

How to Cite

Mezger, M., Gansewig, A., Eitel, I., & Graf, T. (2020). E-CPR in Cardiogenic Shock Following Severe Mix-Intoxication with Beta-Blockers, Angiotensin-Converting Enzyme Inhibitors, Dihydropyridine Type Calcium Antagonist and Allopurinol – ECMO As A Bridge to Recovery. Archives of Clinical and Medical Case Reports, 4(5), 903–912. Retrieved from https://fortunejournals.org/ojs/index.php/acmcr/article/view/22396

Issue

Vol. 4 No. 5 (2020): Volume 4, Issue 5

Section

Articles