Journal article
Ventricular Assist Device Support: for Management of Sustained Ventricular Arrhythmias
Texas Heart Institute journal, v 29(1), pp 33-36
01 Jan 2002
PMID: 11995847
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We describe herein the cases of 2 patients who had ventricular arrhythmias. In one, a short-term biventricular assist device, the ABIOMED BVS 5000, was placed because the patient had sustained ventricular tachycardia and could not be weaned from cardiopulmonary bypass. Excellent hemodynamic support was maintained for several days while the antiarrhythmic therapy was maximized. Sinus rhythm was restored, and the patient was successfully weaned from the ventricular assist device. However, the substrate for the arrhythmia persisted, and a recurrence, 1 week later, resulted in the patient's death.
In the 2nd patient, the use of an implantable left ventricular assist device was successful in temporarily alleviating the ventricular tachycardia associated with ischemic cardiomyopathy. However, after 2 days of device assistance, the patient experienced a recurrence of the tachycardia, which degenerated into ventricular fibrillation with a marked deterioration in the patient's hemodynamics. The arrhythmia persisted despite multiple attempts at external cardioversion, and internal cardioversion and placement of an automatic implantable cardioverter-defibrillator were necessary. This treatment, along with repeated boluses of amiodarone, led to successful suppression of the arrhythmias, and the patient eventually underwent transplantation.
The mechanical hemodynamic support of the circulation by ventricular assist devices was effective in supporting these 2 patients who had sustained ventricular arrhythmias.
(Tex Heart Inst J 2002;29:33–6)
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Details
- Title
- Ventricular Assist Device Support
- Creators
- Panayotis Fasseas - Hahnemann University HospitalSteven P. Kutalek - Hahnemann University HospitalFania L. Samuels - Hahnemann University HospitalElena C. Holmes - Hahnemann University HospitalLouis E. Samuels - Hahnemann University Hospital
- Publication Details
- Texas Heart Institute journal, v 29(1), pp 33-36
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:000174881600008
- Scopus ID
- 2-s2.0-0036237685
- Other Identifier
- 991019339574004721
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InCites Highlights
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- Web of Science research areas
- Cardiac & Cardiovascular Systems