Emergency department extracorporeal membrane oxygenation as a rescue therapy for ventricular tachycardia electrical storm: a case report
Abstract Arrhythmogenic right ventricular cardiomyopathy is a cause of sudden cardiac death in often otherwise healthy young adults. Cardiac arrest following an unstable tachydysrhythmia may be the primary presenting symptom. Venous arterial extracorporeal life support via extracorporeal membrane ox...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-08-01
|
| Series: | Journal of the American College of Emergency Physicians Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/emp2.12053 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849744762423214080 |
|---|---|
| author | Andrew Pugh Joseph E. Tonna Scott Youngquist John J. Ryan Graham Brant‐Zawadzki |
| author_facet | Andrew Pugh Joseph E. Tonna Scott Youngquist John J. Ryan Graham Brant‐Zawadzki |
| author_sort | Andrew Pugh |
| collection | DOAJ |
| description | Abstract Arrhythmogenic right ventricular cardiomyopathy is a cause of sudden cardiac death in often otherwise healthy young adults. Cardiac arrest following an unstable tachydysrhythmia may be the primary presenting symptom. Venous arterial extracorporeal life support via extracorporeal membrane oxygenation (VA ECMO) has been used as a rescue strategy in emergency departments (EDs) for patients with cardiac arrest unresponsive to conventional cardiopulmonary resuscitation. We present a case of a previously healthy 18‐year‐old male who presented to our emergency department with ECG features of arrhythmogenic right ventricular cardiomyopathy and subsequent pulseless polymorphic ventricular tachycardia refractory cardiac arrest, treated with ED‐initiated VA ECMO. |
| format | Article |
| id | doaj-art-261c87f758174a0ea30f4c6b15d42073 |
| institution | DOAJ |
| issn | 2688-1152 |
| language | English |
| publishDate | 2020-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj-art-261c87f758174a0ea30f4c6b15d420732025-08-20T03:09:45ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522020-08-011437137410.1002/emp2.12053Emergency department extracorporeal membrane oxygenation as a rescue therapy for ventricular tachycardia electrical storm: a case reportAndrew Pugh0Joseph E. Tonna1Scott Youngquist2John J. Ryan3Graham Brant‐Zawadzki4Division of Emergency Medicine Department of Surgery University of Utah Health Salt Lake City UtahDivision of Emergency Medicine Department of Surgery University of Utah Health Salt Lake City UtahDivision of Emergency Medicine Department of Surgery University of Utah Health Salt Lake City UtahDivision of Cardiovascular Medicine University of Utah Health Salt Lake City UtahDivision of Emergency Medicine Department of Surgery University of Utah Health Salt Lake City UtahAbstract Arrhythmogenic right ventricular cardiomyopathy is a cause of sudden cardiac death in often otherwise healthy young adults. Cardiac arrest following an unstable tachydysrhythmia may be the primary presenting symptom. Venous arterial extracorporeal life support via extracorporeal membrane oxygenation (VA ECMO) has been used as a rescue strategy in emergency departments (EDs) for patients with cardiac arrest unresponsive to conventional cardiopulmonary resuscitation. We present a case of a previously healthy 18‐year‐old male who presented to our emergency department with ECG features of arrhythmogenic right ventricular cardiomyopathy and subsequent pulseless polymorphic ventricular tachycardia refractory cardiac arrest, treated with ED‐initiated VA ECMO.https://doi.org/10.1002/emp2.12053arrhythmogenic right ventricular cardiomyopathyepsilon wavesextracorporeal life supportsudden cardiac death |
| spellingShingle | Andrew Pugh Joseph E. Tonna Scott Youngquist John J. Ryan Graham Brant‐Zawadzki Emergency department extracorporeal membrane oxygenation as a rescue therapy for ventricular tachycardia electrical storm: a case report Journal of the American College of Emergency Physicians Open arrhythmogenic right ventricular cardiomyopathy epsilon waves extracorporeal life support sudden cardiac death |
| title | Emergency department extracorporeal membrane oxygenation as a rescue therapy for ventricular tachycardia electrical storm: a case report |
| title_full | Emergency department extracorporeal membrane oxygenation as a rescue therapy for ventricular tachycardia electrical storm: a case report |
| title_fullStr | Emergency department extracorporeal membrane oxygenation as a rescue therapy for ventricular tachycardia electrical storm: a case report |
| title_full_unstemmed | Emergency department extracorporeal membrane oxygenation as a rescue therapy for ventricular tachycardia electrical storm: a case report |
| title_short | Emergency department extracorporeal membrane oxygenation as a rescue therapy for ventricular tachycardia electrical storm: a case report |
| title_sort | emergency department extracorporeal membrane oxygenation as a rescue therapy for ventricular tachycardia electrical storm a case report |
| topic | arrhythmogenic right ventricular cardiomyopathy epsilon waves extracorporeal life support sudden cardiac death |
| url | https://doi.org/10.1002/emp2.12053 |
| work_keys_str_mv | AT andrewpugh emergencydepartmentextracorporealmembraneoxygenationasarescuetherapyforventriculartachycardiaelectricalstormacasereport AT josephetonna emergencydepartmentextracorporealmembraneoxygenationasarescuetherapyforventriculartachycardiaelectricalstormacasereport AT scottyoungquist emergencydepartmentextracorporealmembraneoxygenationasarescuetherapyforventriculartachycardiaelectricalstormacasereport AT johnjryan emergencydepartmentextracorporealmembraneoxygenationasarescuetherapyforventriculartachycardiaelectricalstormacasereport AT grahambrantzawadzki emergencydepartmentextracorporealmembraneoxygenationasarescuetherapyforventriculartachycardiaelectricalstormacasereport |