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Extracorporeal membrane oxygenation for patients with electrical storm or refractory ventricular arrhythmias: Management and outcomes.
Can J Cardiol
December 2024
Department of Medicine, University of Toronto, Toronto, Canada; Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network, Toronto, Canada. Electronic address:
Patients on veno-arterial extracorporeal membrane oxygenation (VA-ECMO) are at high risk for ventricular arrhythmias due to derangements in myocardial perfusion, hemodynamics, and heightened catecholamine states. Existing data on the management and outcomes of patients with electrical storm or refractory ventricular tachycardia/fibrillation (VT/VF) treated with VA-ECMO are primarily derived from retrospective observational studies. Typical survival rates are in the range of 40-50%, with 15-20% of patients undergoing VT ablation and 30-40% of patients requiring advanced heart failure therapies (cardiac transplant or durable left ventricular assist device).
View Article and Find Full Text PDFQuantifying treatment burden: the patient burden score a study of 758 patients across three clinical urologic scenarios.
World J Urol
November 2024
Departments of Urology, Radiology, and Oncology, Hadassah Hebrew University Hospital, P.O.Box 12000, Jerusalem, 91120, Israel.
Article Synopsis
- A comprehensive scale was developed to measure the burdens of three types of treatment: expected, unexpected complications, and ancillary procedure needs.
- Expert panels assessed the burden of treatments in urology cases, calculating a burden score (BS) for different treatment options including partial nephrectomy, percutaneous ablation, radical cystectomy, and others.
- Results indicated that less invasive treatments like percutaneous ablation and trimodal therapy had similar success rates as more invasive options, but with significantly lower burden scores, aiding in patient consultations on treatment choices.
Mechanical circulatory support as bridge to recovery in an 8-year-old girl with tachycardia-induced cardiomyopathy due to atypical atrioventricular nodal re-entrant tachycardia: a case report.
Eur Heart J Case Rep
October 2024
Division of Pediatric Cardiology, Department of Pediatrics and Adolescent Medicine, Pediatric Heart Center Vienna, Medical University of Vienna, Waehringer Guertel 18-20, Vienna A-1090, Austria.
Article Synopsis
- Tachycardia-induced cardiomyopathy (TIC) severely affects heart function and can lead to heart failure if not managed, often requiring mechanical support or transplantation.
- In a case involving an 8-year-old girl, her heart function was critically impaired, necessitating mechanical circulatory support and eventually radiofrequency ablation of a rare tachycardia called atypical atrioventricular nodal re-entrant tachycardia (aAVNRT).
- The successful management involved careful heart rate control with medication, which allowed recovery of heart function and the safe removal of the mechanical support device.
A case report involving incessant multi-types of supraventricular tachycardia and acute decompensated heart failure required a rescuing electrophysiology study and ablation. Ventricular fibrillation occurred due to coronary spasm, complicating the deteriorating heart. However, aggressive therapies, including extracorporeal support and the timely elimination of the culprit accessory pathway, successfully resolved the patient's condition.
View Article and Find Full Text PDFNursing care during management of recurrent pheochromocytoma: A case study.
Nurs Crit Care
October 2024
School of Nursing, Putian University, Putian, China.
Article Synopsis
- Pheochromocytoma, especially in patients with multiple endocrine neoplasia type 2, poses a challenge due to the risk of recurrence after surgery, necessitating effective management strategies.
- A case study involved a 34-year-old woman who, after a history of surgery for pheochromocytoma, faced recurrent episodes leading to severe complications, including cardiac arrest, but ultimately recovered through innovative treatment approaches.
- The study emphasizes the importance of a comprehensive nursing management plan that includes close monitoring, patient positioning, and psychological support to enhance recovery outcomes for similar patients.
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