Amiodarone triggered Kounis syndrome complicated by refractory cardiac arrest rescued with VA-ECMO.
ECMO support
Kounis syndrome
amiodarone
case report
nitric oxide
refractory shock
Journal
Clinical case reports
ISSN: 2050-0904
Titre abrégé: Clin Case Rep
Pays: England
ID NLM: 101620385
Informations de publication
Date de publication:
May 2024
May 2024
Historique:
received:
19
07
2023
revised:
19
01
2024
accepted:
11
03
2024
medline:
20
5
2024
pubmed:
20
5
2024
entrez:
20
5
2024
Statut:
epublish
Résumé
An interesting case that shows an infrequent cause of cardiorespiratory arrest such as coronary vasospasm due to intravenous amiodarone induced Kounis syndrome. It highlights the usefulness of circulatory support with ECMO in the scenario of CPR. A patient with atrial fibrillation was admitted for an elective electrical cardioversion. He was given an amiodarone bolus that triggered Kounis syndrome with cardiac arrest due to vasospasm requiring emergency coronary angiography with infusion of nitroglycerin. Due to following refractory shock and severe refractory hypoxemia required mechanical circulatory support with ECMO and inhaled nitric oxide with favorable evolution. Allergy to amiodarone was later confirmed.
Identifiants
pubmed: 38765612
doi: 10.1002/ccr3.8712
pii: CCR38712
pmc: PMC11099698
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e8712Informations de copyright
© 2024 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.
Déclaration de conflit d'intérêts
No relationship with industry.