The assessment of clinical outcomes of veno-arterial extracorporeal membrane oxygenation in adult patients with cardiogenic shock due to acute myocarditis

  • Bui Van Cuong Bach Mai Hospital
  • Le Thi Viet Hoa 108 Institute Of Clinical Medical And Pharmaceutical Sciences
  • Dao Xuan Co Bach Mai Hospital

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Keywords

Veno-arterial extracorporeal membrane oxygenation, acute myocarditis, cardiogenic shock

Abstract

Summary


Objective: To assess the effectiveness of clinical outcomes in cardiogenic shock due to acute myocarditis in adult patients supported veno-arterial extracorporeal membrane oxygenation. Subject and method: Prospective study in acute myocarditis patients complicated cardiogenic shock were supported VA ECMO in ICU, Bach Mai Hospital from 2014 to 2018. Mean blood pressure, blood pressurre, pulse pressure, lactat and SOFA were recorded before and after VA ECMO. Result: Forty five patients with average age 35.6 (min: 18, max: 67), female was 66.7%, the survival rate was 81.4%. The comparion between before initiating VA ECMO and ending ECMO, heart rate decreased from 116.9 ± 43.02 to 94.4 ± 29.02 beats per minute, mean blood pressure, and blood pressure increased from 62.4 ± 24.60mmHg, 33.7 ± 14.85mmHg to 77.6 ± 17.70mmHg, 39.5 ± 16.71mmHg respectively. Blood lactate concentation reduced from 7.6 ± 4.47mmol/l to 2.5 ± 3.38mmol/l and SOFA score increased significantly from 7.8 ± 2.68 to 9.6 ± 3.68 (p<0.05). Conclusion: The recovery of shock situation improved after VA ECMO. Decreased heart pulse and serum lactate, mean blood pressure and blood pressure improved, however SOFA score increased significantly during ECMO.


Keywords: Veno-arterial extracorporeal membrane oxygenation, acute myocarditis, cardiogenic shock.


 

Article Details

References

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Published
Jul 7, 2020
Issue
Volume 15 - No 7/2020
Section
Articles
How to Cite
Van CuongB., Thi Viet HoaL., & Xuan CoD. (2020). The assessment of clinical outcomes of veno-arterial extracorporeal membrane oxygenation in adult patients with cardiogenic shock due to acute myocarditis. Tạp Chí Y Dược lâm sàng 108, 15(7). Retrieved from https://tcydls108.benhvien108.vn/index.php/YDLS/article/view/474